Article Figures & Data
Figures
- Figure 1
Flow chart of patients reviewed, including all patients who underwent sternotomy or pericardialwindow for suspected penetrating cardiac injury. OIS, Organ Injury Scale; PCW+drain, pericardial window, lavage, and drainage.
- Figure 2
Suggested modification to the Western Trauma Association’s management strategy for stable patients with penetrating thoracic injury. FAST, Focused Assessment with Sonography for Trauma; PCW, pericardial window; TEE, transesophageal echocardiography, VATS = Video Assisted Thoracic Surgery, CXR = Chest X-Ray.
Tables
- Table 1
All patients with penetrating chest trauma receiving either a pericardial window, sternotomy, or both
N=78 Male, n (%) 73 (93.6) Age (years), median (IQR) 29 (24–39) Mechanism Gunshot wound, n (%) 28 (35.9) Knife stab wound, n (%) 47 (60.3) Admission vitals Systolic blood pressure, median (IQR) 130 (85–149) Heart rate, median (IQR) 107 (88–121) Glasgow Coma Scale, median (IQR) 15 (9–15) Exploratory laparotomy, n (%) 42 (53.8) Hospital LOS (days), median (IQR) 7 (4–11) ICU LOS (days), median (IQR) 2 (1–5) Ventilator days (days), median (IQR) 0 (0–1) Hospital mortality, n (%) 16 (20.3) ICU, intensive care unit; LOS, length of stay.
- Table 2
Comparison between patients undergoing PCW+drain after positive PCW and those undergoing sternotomy for cardiac OIS of 1–3. Median and IQR displayed for continuous variables, and quantity (%) for categorical variables. omparison using Fisher’s exact test and Wilcoxon rank-sum with p<0.05 was considered statistically significant
PCW+drain
N=5Sternotomy
N=7P values Age (years), median 29 (25–51) 35 (17–52) 0.63 Male, n (%) 4 (80%) 7 (100%) 0.42 Knife stab wound, n (%) 5 (100%) 6 (86%) 1.0 Exploratory laparotomy, n (%) 2 (40%) 3 (43%) 1.0 Systolic blood pressure, median (IQR) 144 (138–149) 127 (71–145) 0.57 Heart rate, median (IQR) 99 (93–110) 98 (88–111) 0.81 Glasgow Coma Scale, median (IQR) 15 (15–15) 15 (15–15) 0.40 Revised Trauma Score, median (IQR) 12 (11–12) 12 (10–12) 1.0 Hospital LOS (days), median (IQR) 5 (5–12) 7 (4–20) 0.63 ICU LOS (days), median (IQR) 4 (3–4) 2 (2–3) 0.18 Ventilator days (days), median (IQR) 1 (0–2) 0 (0–1) 0.36 Hospital mortality, n (%) 0 (0%) 0 (0%) - ICU, intensive care unit; LOS, length of stay; PCW+drain, pericardial window, lavage, and drainage.
Supplementary data
Supplementary data
