ArticleJournal of clinical medicine2022
Factors Associated with Cardiac/Pericardial Injury among Blunt Injury Patients: A Nationwide Study in Japan.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 10 citations in OpenAlex.
- Predicting critical outcomes in sternal fractures: the dominant role of injury severity score: comparison of ISS, NISS and TRISS.International journal of emergency medicine · 2026Article
- [Sternal Fracture as a Risk Factor for Blunt Cardiac Injury].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Review
- Development and validation of an automatic machine learning-based myocardial contusion prediction model in rib fracture patients: a retrospective multicenter cohort study.Frontiers in medicine · 2026Article
- Absorptive Capacity of Gingival Retraction Cords in Hemostatic Solutions: An In Vitro Study.Medicina (Kaunas, Lithuania) · 2024Article
- The role and timing of cardiopulmonary bypass in the surgical repair of traumatic cardiac injury.General thoracic and cardiovascular surgery · 2023Article
- Sternal fractures and thoracic injury: an analysis of 288 sternal fractures attending a major trauma centre.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Penetrating cardiac injury caused by multiple rib fractures following high-energy trauma: Usefulness of the exploratory video-assisted thoracoscopic surgery.Acute medicine & surgeryArticle
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Authors and funding
14 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The lack of established diagnostic criteria makes diagnosing blunt cardiac injury difficult. We investigated the factors associated with blunt cardiac injury using the Japan Trauma Data Bank (JTDB) in a multicenter observational study of blunt trauma patients conducted between 2004 and 2018. The primary outcome was the incidence of blunt cardiac/pericardial injury. Multivariable logistic regression analysis was used to identify factors independently associated with blunt cardiac injuries. Of the 228,513 patients, 1002 (0.4%) had blunt cardiac injury. Hypotension on hospital arrival (adjusted odds ratio (AOR) 4.536, 95% confidence interval (CI) 3.802-5.412), thoracic aortic injury (AOR 2.722, 95% CI 1.947-3.806), pulmonary contusion (AOR 2.532, 95% CI 2.204-2.909), rib fracture (AOR 1.362, 95% CI 1.147-1.618), sternal fracture (AOR 3.319, 95% CI 2.696-4.085). and hemothorax/pneumothorax (AOR 1.689, 95% CI 1.423-2.006)) was positively associated with blunt cardiac injury. Regarding the types of patients, car drivers had a higher rate of blunt cardiac injury compared to other types of patients. Driving a car, hypotension on hospital arrival, thoracic aortic injury, pulmonary contusion, rib fracture, sternal fracture, and hemothorax/pneumothorax were positively associated with blunt cardiac injury.
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