# Penetrating Cardiac Injury: A 20-Year Retrospective Analysis at a High-Complexity University Center

## TL;DR

This study examines 20 years of penetrating cardiac injuries at a university hospital, finding a 36% mortality rate and highlighting the importance of rapid treatment and interdisciplinary care.

## Contribution

The study provides updated insights into the management and outcomes of penetrating cardiac injuries over a 20-year period.

## Key findings

- Penetrating cardiac injuries had an overall mortality rate of 36%.
- Survival was associated with higher systolic blood pressure and better level of consciousness upon admission.
- Hemorrhage was the leading cause of death in these cases.

## Abstract

Penetrating cardiac injury, though infrequent, is associated with substantial
mortality. In 2005, our research team conducted a comprehensive
retrospective analysis of penetrating cardiac injuries managed at our
facility from 1990 to 2003. Now, two decades later, we conducted the present
study on penetrating cardiac injuries attended in our hospital over the last
20 years.

This is a retrospective analysis of medical records and trauma database data,
with a focus on survivors of penetrating cardiac trauma, excluding those
deceased upon arrival.

Out of 1,093 cases, 25 had penetrating cardiac injuries with an overall
mortality rate of 36%. Hemorrhage was the leading cause of death, and
survival was correlated with higher systolic blood pressure upon admission
and the level of consciousness.

The study highlights the need for rapid intervention and emphasizes the
importance of managing bleeding and supporting hemodynamics. It also points
to areas for improvement in emergency care and the benefits of
interdisciplinary collaboration.