Mortalidad Por Trauma Cardiaco Penetrante en Bogota, Colombia: Análisis de Factores Asociados

Isaza‐Restrepo, Andres; Bolívar-Sáenz, Dínimo José; Tarazona, Marcos Manuel; Jiménez, María Fernanda; Gil, Fabián

doi:10.5005/jp-journals-10030-1017

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…3,4 Its incidence is variable and currently represents 10% of the worldwide mortality, reaching an 82% among developing countries. [5][6][7][8] Scales of mortality are currently based on various sociodemographic contexts that somehow overlook the reality of developing countries, [9][10][11] which results in an inapposite patient characterization, leaving "gray areas" of classification that might affect their future treatment. Due to the high rates of violence within the Colombian society, 9 currently, a modified classification system has been used for the management and prognosis of patients with penetrating cardiac injury (PCI) that differs in some way to the traditional ones.…”

Section: Introductionmentioning

confidence: 99%

Predicting mortality in penetrating cardiac trauma in developing countries through a new classification: Validation of the Bogotá classification

Pulido

Reyes

Enríquez

et al. 2022

Health Science Reports

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Introduction Penetrating chest trauma (PCT) represents 10% of worldwide mortality, with developing countries counting as some of the most affected by high mortality rates due to cardiac trauma. Colombia is considered one of the most violent countries due to the high mortality rate associated with war and crime, hence the validation of an own classification for penetrating cardiac injuries (PCI) is mandatory. Methods Retrospective cross‐sectional study which included adult patients with PCIs at a level 4 trauma center in Colombia, between January 2018 and April 2020. We used our own system (Bogotá Classification) and compared it with traditional systems (e.g., Ivatury's, OIS‐AAST), by analyzing the mechanism of injury (MOI), the hemodynamic status of the patient at admission, the inpatient management, the individual outcomes, and some demographic variables. Bivariate statistical analysis, spearman correlation, and logistic regression were performed. Results Four hundred and ninety‐nine patients were included. Bivariate analysis demonstrated a significant relationship between mortality and hemodynamic state, MOI, its location and degree of lesion, cardiac/vessel injury, cardiac tamponade, time between injury and medical care, fluid reanimation, as well as the Ivatury's classification and the new classification (p < 0.005). The adequate correlation between Ivatury's and Bogotá classification supports the latter's clinical utility for patients presenting with PCI. Likewise, logistic regression showed a statistically significant association among mortality rates (p < 0.005). Conclusions The Bogotá classification showed similar performance to the Ivatury's classification, correlating most strongly with mortality. This scale could be replicated in countries with similar social and economic contexts.

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