ArticleInterdisciplinary cardiovascular and thoracic surgery2025
Prognostic Impact of Cardiovascular Injuries for Patients with Respiratory Isolated Chest Trauma.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. 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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Abstract
objectivesThis study assessed the prognostic impact of cardiovascular injuries in patients with isolated chest trauma primarily involving the respiratory system.
methodsWe retrospectively reviewed the Japan Trauma Data Bank records (2004-2019). Patients with isolated chest trauma were categorized into the respiratory or cardiovascular injury group according to the highest abbreviated injury scale score. The effect of cardiovascular injuries in the respiratory injury group was analysed using a multivariable logistic regression analysis.
resultsAmong the 8048 patients in the respiratory injury group, those with minor cardiac injury had a higher mortality rate than those without (15% vs 7%; P = .027); those with severe vascular injury (most commonly thoracic aorta) had a 76% mortality rate. The multivariable analysis indicated older age (adjusted odds ratio [adjOR]: 1.01, 95% CI: 1.00-1.01, P = .016), penetrating injury (adjOR: 2.19, 95% confidence interval [CI]: 1.40-3.43, P = .002), higher new injury severity score (adjOR: 3.89, 95% CI: 3.16-4.78, P < .001), coexistence of cardiac (adjOR: 2.68, 95% CI: 1.51-4.76, P < .001) or vascular injuries (adjOR: 3.36, 95% CI: 1.93-5.83, P < .001), and tracheobronchial injuries (adjOR: 2.10, 95% CI: 1.15-3.82, P = .015) with the highest abbreviated injury scale scores were significantly associated with increased odds of in-hospital mortality.
conclusionsMinor cardiac or severe vascular injuries significantly increased mortality in patients with isolated chest trauma primarily involving the respiratory system. Assessment of both respiratory and coexisting cardiovascular injuries is essential for clinical management.
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