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Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors

Penetrating cardiac injuries (PCIs) are highly lethal and several factors are related to its incidence and mortality. While most studies focus on characterizing patients who arrived at a medical facility alive and exploring the relationship between the degree of heart compromise and mortality, our s...

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Autores principales: Isaza-Restrepo, Andres, Donoso-Samper, Andrea, Benitez, Elkin, Martin-Saavedra, Juan Sebastian, Toro, Asdhar, Ariza-Salamanca, Daniel Felipe, Arredondo, Nora, Molano-Gonzales, Nicolas, Pinzon-Rondon, Angela Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354108/
https://www.ncbi.nlm.nih.gov/pubmed/37463948
http://dx.doi.org/10.1038/s41598-023-38756-9
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author Isaza-Restrepo, Andres
Donoso-Samper, Andrea
Benitez, Elkin
Martin-Saavedra, Juan Sebastian
Toro, Asdhar
Ariza-Salamanca, Daniel Felipe
Arredondo, Nora
Molano-Gonzales, Nicolas
Pinzon-Rondon, Angela Maria
author_facet Isaza-Restrepo, Andres
Donoso-Samper, Andrea
Benitez, Elkin
Martin-Saavedra, Juan Sebastian
Toro, Asdhar
Ariza-Salamanca, Daniel Felipe
Arredondo, Nora
Molano-Gonzales, Nicolas
Pinzon-Rondon, Angela Maria
author_sort Isaza-Restrepo, Andres
collection PubMed
description Penetrating cardiac injuries (PCIs) are highly lethal and several factors are related to its incidence and mortality. While most studies focus on characterizing patients who arrived at a medical facility alive and exploring the relationship between the degree of heart compromise and mortality, our study delved deeper into the topic. This study analyzed 261 autopsy reports from 2017 in Bogotá, Colombia, and characterized the factors surrounding PCI incidence and mortality while emphasizing the role of sociodemographic variables. Of these cases, 247 (94.6%) were males with a mean age of 29.19 ± 9.7 years. Weekends, holidays, and late hours had the highest incidence of PCIs. The victims' deaths occurred at the scene in 66 (25.3%) cases, and 65.1% of the victims died before receiving medical care. Upon admission, patients with vital signs were more likely to have been transported by taxi or a private vehicle. Two or more compromised cardiac chambers, increased time of transportation, trauma occurred in the city outskirts, and gunshot wounds were related to increased mortality. Our data is valuable for surgeons, health system managers, and policy analysts as we conducted a holistic assessment of the anatomical and sociodemographic factors that are closely associated with mortality following a PCI. Surgeons must recognize that PCIs can occur even when the entrance wound is outside the cardiac box. Reinforcing hospital infrastructure in the outskirts and improving the availability, accuracy, and response time of first responders may lead to improved patient mortality rates.
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spelling pubmed-103541082023-07-20 Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors Isaza-Restrepo, Andres Donoso-Samper, Andrea Benitez, Elkin Martin-Saavedra, Juan Sebastian Toro, Asdhar Ariza-Salamanca, Daniel Felipe Arredondo, Nora Molano-Gonzales, Nicolas Pinzon-Rondon, Angela Maria Sci Rep Article Penetrating cardiac injuries (PCIs) are highly lethal and several factors are related to its incidence and mortality. While most studies focus on characterizing patients who arrived at a medical facility alive and exploring the relationship between the degree of heart compromise and mortality, our study delved deeper into the topic. This study analyzed 261 autopsy reports from 2017 in Bogotá, Colombia, and characterized the factors surrounding PCI incidence and mortality while emphasizing the role of sociodemographic variables. Of these cases, 247 (94.6%) were males with a mean age of 29.19 ± 9.7 years. Weekends, holidays, and late hours had the highest incidence of PCIs. The victims' deaths occurred at the scene in 66 (25.3%) cases, and 65.1% of the victims died before receiving medical care. Upon admission, patients with vital signs were more likely to have been transported by taxi or a private vehicle. Two or more compromised cardiac chambers, increased time of transportation, trauma occurred in the city outskirts, and gunshot wounds were related to increased mortality. Our data is valuable for surgeons, health system managers, and policy analysts as we conducted a holistic assessment of the anatomical and sociodemographic factors that are closely associated with mortality following a PCI. Surgeons must recognize that PCIs can occur even when the entrance wound is outside the cardiac box. Reinforcing hospital infrastructure in the outskirts and improving the availability, accuracy, and response time of first responders may lead to improved patient mortality rates. Nature Publishing Group UK 2023-07-18 /pmc/articles/PMC10354108/ /pubmed/37463948 http://dx.doi.org/10.1038/s41598-023-38756-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Isaza-Restrepo, Andres
Donoso-Samper, Andrea
Benitez, Elkin
Martin-Saavedra, Juan Sebastian
Toro, Asdhar
Ariza-Salamanca, Daniel Felipe
Arredondo, Nora
Molano-Gonzales, Nicolas
Pinzon-Rondon, Angela Maria
Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors
title Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors
title_full Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors
title_fullStr Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors
title_full_unstemmed Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors
title_short Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors
title_sort retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354108/
https://www.ncbi.nlm.nih.gov/pubmed/37463948
http://dx.doi.org/10.1038/s41598-023-38756-9
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