Penetrating heart injuries in hospitals with few facilities: Not a moment to waste

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dc.contributor.authorAslaner, Oktay
dc.date.accessioned2022-09-26T08:11:25Z
dc.date.available2022-09-26T08:11:25Z
dc.date.issued2021
dc.departmentALKÜ, Fakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground: Penetrating heart injury is a genuine emergency that needs to be diagnosed and treated as soon as possible. Transport to a tertiary center with facilities such as a heart-lung pump and sternotomy can lead to loss of time. This study aimed to share the author's experiences in a private hospital with limited facilities. Methods: A retrospective study was conducted at a private hospital. Eleven penetrating cardiac injuries, which were treated surgically by the at two small hospitals from 2005 to 2015, were evaluated retrospectively. Patients' age and sex, type of injury, damage site at the heart, duration between injury and surgery, presence of additional damage, and patient survival were all recorded. Results: The most common form of injury was sharp object injury, while the most common site was the right ventricle. The period from injury to surgery, the additional injuries were found to be statistically significant in terms of survival ratios. The probability of patients' survival at intervention times 30, 60, and 120 minutes was 90.9, 54.5, and 27.3%, respectively. Conclusion: Mortality in cardiac injuries can be reduced with early intervention. The risks of being transported to an advanced hospital and the risk of emergency surgery performed in a small less equips facility should be well weighed. Successful surgeries may be performed even in a small, well-organized hospital.
dc.identifier.doi10.30491/tm.2022.313969.1398
dc.identifier.endpage491en_US
dc.identifier.issue3en_US
dc.identifier.startpage485en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12868/1682
dc.identifier.urihttps://pjms.org.pk/index.php/pjms/article/view/4229
dc.identifier.volume27en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.relation.ispartofTrauma Monthly
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPenetrating Cardiac Injury
dc.subjectPericardial Tamponade
dc.subjectEmergency Thoracotomy
dc.titlePenetrating heart injuries in hospitals with few facilities: Not a moment to waste
dc.typeArticle

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