Penetrating cardiac trauma in stab wounds: A study of diagnostic accuracy of the cardiac area

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dc.contributor.authorMontenegro Muñoz, Jorge Hernan
dc.contributor.authorDussan, Oscar
dc.contributor.authorRuiz, Francisco
dc.contributor.authorRubiano, Andrés M.
dc.contributor.authorPuyana, Juan C.
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-09-30T16:29:18Z
dc.date.available2020-09-30T16:29:18Z
dc.description.abstractenglishBACKGROUND: Stab wounds (SW) to the thorax raises suspicion for cardiac injuries; however, the topographic description is variable. The present study aims to evaluate different topographical descriptions within the thorax and establish their diagnostic value in penetrating cardiac trauma by SW. METHODS: Medical records of all patients admitted to our center with thoracic SW from January 2013 to June 2016 were included in this study. Diagnostic value potential was measured using different areas of the thorax described in the literature. RESULTS: In this study, we analyzed 306 cases. Thirty-eight (12.4%) patients had a cardiac injury managed surgically. Death by cardiac injury occurred in seven (18.4%) patients. The cardiac area defined between the right mid-clavicle line until the left anterior axillary line, and between 2nd and 6th intercostal spaces was the more accurate. It has sensitivity of 97.3%, specificity 72%, positive predictive value 33%, negative predictive value 99.4% and accuracy 75.1% for penetrating cardiac trauma. ROC was 0.894 IC 95% (0.760–0.901). CONCLUSION: Among the thoracic areas, topographical limits between the right mid-clavicle line and the left anterior axillary line, and between 2nd and 6th intercostal spaces are the more accurate and are highly indicative of cardiac injury in patients with SW to the thorax.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://dx.doi.org/10.14744/tjtes.2020.70503
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1306-696X
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/4210
dc.language.isoeng
dc.publisherUlusal Travma ve Acil Cerrahi Dernegispa
dc.publisher.journalUlusal travma ve acil cerrahi dergisispa
dc.relation.ispartofseriesUlusal travma ve acil cerrahi dergisi, 1306-696X, Vol. 26, Nro. 5, 2020, p. 693-698spa
dc.relation.urihttps://www.tjtes.org/eng/jvi.aspx?pdir=travma&plng=eng&un=UTD-70503
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2020-09-10
dc.rights.localAcceso abiertospa
dc.subject.keywordsDiagnosisspa
dc.subject.keywordsPenetrating cardiac traumaspa
dc.subject.keywordsStab woundspa
dc.subject.keywordsTraumaspa
dc.titlePenetrating cardiac trauma in stab wounds: A study of diagnostic accuracy of the cardiac areaspa
dc.title.translatedKesici-delici alet yaralanmalarında penetran kardiyak travma: Kardiyak bölgenin doğru tanısına ilişkin bir çalışmaspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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