Evidence map›Paper›PMID 39001296›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Resuscitation and Forensic Factors Influencing Outcome in Penetrating Cardiac Injury.

Astrid Aumaitre, Clémence Delteil, Lucile Tuchtan, Marie-Dominique Piercecchi-Marti, Marc Gainnier, Julien Carvelli, Salah Boussen, Nicolas Bruder, Fouzia Heireche, Thibault Florant and 5 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Astrid AumaitreService de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France.
Clémence DelteilService de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France.
Lucile TuchtanService de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France.
Marie-Dominique Piercecchi-MartiService de Médecine Légale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France.
Marc GainnierRéanimation des Urgences, Assistance Publique-Hôpitaux de Marseille, CHU La Timone, 13385 Marseille, France.
Julien CarvelliRéanimation des Urgences, Assistance Publique-Hôpitaux de Marseille, CHU La Timone, 13385 Marseille, France.ORCID 0000-0003-1305-9805
Salah BoussenDépartement d'Anesthésie-Réanimation, CHU Timone, Aix Marseille University, 13005 Marseille, France.
Nicolas BruderDépartement d'Anesthésie-Réanimation, CHU Timone, Aix Marseille University, 13005 Marseille, France.
Fouzia HeirecheSAMU13, Pôle RUSH, CHU La Timone, AP-HM, 13005 Marseille, France.
Thibault FlorantDepartment of Public Health, University Hospital of Marseille, 13015 Marseille, France.
Françoise GaillatDépartement d'Anesthésie et Réanimation (SAR 2), CHU La Timone, Assistance Publique des Hôpitaux de Marseille, 13015 Marseille, France.
David LagierDépartement d'Anesthésie et Réanimation (SAR 2), CHU La Timone, Assistance Publique des Hôpitaux de Marseille, 13015 Marseille, France.
Alizée PortoDépartement de Chirurgie Cardiaque, CHU Timone, 13005 Marseille, France.
Lionel VellyDépartement d'Anesthésie-Réanimation, CHU Timone, Aix Marseille University, 13005 Marseille, France.
Pierre SimeoneDépartement d'Anesthésie-Réanimation, CHU Timone, Aix Marseille University, 13005 Marseille, France.ORCID 0000-0002-0682-9405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac injury caused by a sharp object is a medical and surgical therapeutic challenge. Mortality risk factors have been identified but there are major discrepancies in the literature. The aim of this study was to analyse the management of victims of penetrating cardiac injuries before and after admission to hospital and the anatomical characteristics of these injuries in order to facilitate diagnosis of the most critical patients.

methodsTo carry out this study, we conducted a retrospective analytical study with epidemiological data on victims of penetrating cardiac injuries. We included two types of patients, with those who underwent autopsy in our institution after death from sharp injury to the heart or great vessels and those who survived with treatment in the emergency department or intensive care unit between January 2015 and February 2022.

resultsWe included 30 autopsied patients and 12 survivors aged between 18 and 73 years. Higher mortality was associated with prehospital or in-hospital cardiorespiratory arrest (OR = 4, CI [1.71-9.35]), preoperative mechanical ventilation (OR = 10, CI [1.53-65.41]), preoperative catecholamines (OR = 7, CI [1.12-6.29]), preoperative and perioperative adrenaline (OR = 13, CI [1.98-85.46] and [1.98-85.46]), penetrating cardiac injury (OR = 14, CI [2.10-93.22]), multiple cardiac injuries (OR = 1.5, CI [1.05-2.22]) and an Organ Injury Scaling of the American Association for the Surgery of Trauma (AAST-OIS) score of 5 (OR = 2.9, CI [1.04-8.54];

conclusionsThis study identified risk mortality factors in penetrating cardiac injury patients. These findings can help improve the diagnosis and management of these patients. The AAST-OIS score may be a good tool to diagnose critical patients.

Indexed as

emergency medicineforensicpenetrating cardiac injurysharp object

Identifiers

PMID39001296
PMCPMC11241016

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.