Factors influencing outcome in stab wounds of the heart

Carlos Arreola-Risa, Peter Rhee, Edward M. Boyle, Ronald V. Maier, Gregory Jurkovich, Hugh M. Foy

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

The purpose of this study was to identify factors associated with unfavorable out-come following stab wounds to the heart in order to improve selection of patients who may benefit from aggressive resuscitative efforts. Preoperative and operative variables were reviewed for all patients treated for cardiac stab wounds at a level I trauma center from 1987 to 1993 in an attempt to identify factors influencing survival. Twenty-nine (53%) of the 55 patients who were resuscitated following stab wounds to the heart during the study period survived. Although profound hypotension (systolic blood pressure <40 mm Hg), cardiopulmonary resuscitation, and emergency room thoracotomies were associated with poor outcome, none were uniformly predictive of death. Some patients survived with each of these characteristics. We recommend that all patients suspected of having cardiac stab wounds be fully resuscitated and undergo thoracotomy, as significant survival can be achieved and death is not always the outcome.

Original languageEnglish (US)
Pages (from-to)553-556
Number of pages4
JournalAmerican Journal of Surgery
Volume169
Issue number5
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Fingerprint

Stab Wounds
Thoracotomy
Blood Pressure
Survival
Trauma Centers
Cardiopulmonary Resuscitation
Hypotension
Patient Selection
Hospital Emergency Service

ASJC Scopus subject areas

  • Surgery

Cite this

Arreola-Risa, C., Rhee, P., Boyle, E. M., Maier, R. V., Jurkovich, G., & Foy, H. M. (1995). Factors influencing outcome in stab wounds of the heart. American Journal of Surgery, 169(5), 553-556. https://doi.org/10.1016/S0002-9610(99)80217-7

Factors influencing outcome in stab wounds of the heart. / Arreola-Risa, Carlos; Rhee, Peter; Boyle, Edward M.; Maier, Ronald V.; Jurkovich, Gregory; Foy, Hugh M.

In: American Journal of Surgery, Vol. 169, No. 5, 01.01.1995, p. 553-556.

Research output: Contribution to journalArticle

Arreola-Risa, C, Rhee, P, Boyle, EM, Maier, RV, Jurkovich, G & Foy, HM 1995, 'Factors influencing outcome in stab wounds of the heart', American Journal of Surgery, vol. 169, no. 5, pp. 553-556. https://doi.org/10.1016/S0002-9610(99)80217-7
Arreola-Risa, Carlos ; Rhee, Peter ; Boyle, Edward M. ; Maier, Ronald V. ; Jurkovich, Gregory ; Foy, Hugh M. / Factors influencing outcome in stab wounds of the heart. In: American Journal of Surgery. 1995 ; Vol. 169, No. 5. pp. 553-556.
@article{ab84a141662b4dbc9fbd9ebdf068027b,
title = "Factors influencing outcome in stab wounds of the heart",
abstract = "The purpose of this study was to identify factors associated with unfavorable out-come following stab wounds to the heart in order to improve selection of patients who may benefit from aggressive resuscitative efforts. Preoperative and operative variables were reviewed for all patients treated for cardiac stab wounds at a level I trauma center from 1987 to 1993 in an attempt to identify factors influencing survival. Twenty-nine (53{\%}) of the 55 patients who were resuscitated following stab wounds to the heart during the study period survived. Although profound hypotension (systolic blood pressure <40 mm Hg), cardiopulmonary resuscitation, and emergency room thoracotomies were associated with poor outcome, none were uniformly predictive of death. Some patients survived with each of these characteristics. We recommend that all patients suspected of having cardiac stab wounds be fully resuscitated and undergo thoracotomy, as significant survival can be achieved and death is not always the outcome.",
author = "Carlos Arreola-Risa and Peter Rhee and Boyle, {Edward M.} and Maier, {Ronald V.} and Gregory Jurkovich and Foy, {Hugh M.}",
year = "1995",
month = "1",
day = "1",
doi = "10.1016/S0002-9610(99)80217-7",
language = "English (US)",
volume = "169",
pages = "553--556",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Factors influencing outcome in stab wounds of the heart

AU - Arreola-Risa, Carlos

AU - Rhee, Peter

AU - Boyle, Edward M.

AU - Maier, Ronald V.

AU - Jurkovich, Gregory

AU - Foy, Hugh M.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - The purpose of this study was to identify factors associated with unfavorable out-come following stab wounds to the heart in order to improve selection of patients who may benefit from aggressive resuscitative efforts. Preoperative and operative variables were reviewed for all patients treated for cardiac stab wounds at a level I trauma center from 1987 to 1993 in an attempt to identify factors influencing survival. Twenty-nine (53%) of the 55 patients who were resuscitated following stab wounds to the heart during the study period survived. Although profound hypotension (systolic blood pressure <40 mm Hg), cardiopulmonary resuscitation, and emergency room thoracotomies were associated with poor outcome, none were uniformly predictive of death. Some patients survived with each of these characteristics. We recommend that all patients suspected of having cardiac stab wounds be fully resuscitated and undergo thoracotomy, as significant survival can be achieved and death is not always the outcome.

AB - The purpose of this study was to identify factors associated with unfavorable out-come following stab wounds to the heart in order to improve selection of patients who may benefit from aggressive resuscitative efforts. Preoperative and operative variables were reviewed for all patients treated for cardiac stab wounds at a level I trauma center from 1987 to 1993 in an attempt to identify factors influencing survival. Twenty-nine (53%) of the 55 patients who were resuscitated following stab wounds to the heart during the study period survived. Although profound hypotension (systolic blood pressure <40 mm Hg), cardiopulmonary resuscitation, and emergency room thoracotomies were associated with poor outcome, none were uniformly predictive of death. Some patients survived with each of these characteristics. We recommend that all patients suspected of having cardiac stab wounds be fully resuscitated and undergo thoracotomy, as significant survival can be achieved and death is not always the outcome.

UR - http://www.scopus.com/inward/record.url?scp=0028921387&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028921387&partnerID=8YFLogxK

U2 - 10.1016/S0002-9610(99)80217-7

DO - 10.1016/S0002-9610(99)80217-7

M3 - Article

C2 - 7747838

AN - SCOPUS:0028921387

VL - 169

SP - 553

EP - 556

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 5

ER -