• Eur J Surg · May 1992

    Stab wounds to the pericardium and heart: an analysis of 85 consecutive patients.

    • L A Böstman, J A Salo, and O M Böstman.
    • I Department of Surgery, University Central Hospital, Helsinki, Finland.
    • Eur J Surg. 1992 May 1;158(5):271-5.

    ObjectiveTo audit all stab wounds of the pericardium and heart treated by a policy of immediate exploration over a period of 17 years, and identify any factors predictive of outcome.DesignRetrospective study.SettingUrban referral centre.Subjects85 consecutive patients with stab wounds of pericardium and heart.InterventionsImmediate exploration.Main Outcome MeasuresMortality and morbidity.ResultsEleven patients died (13%), 10 of them on the operating table. No powerful predictor of outcome was identified, but measurable blood pressure on admission (p = 0.04) and a low cardiac trauma index score (p = 0.07) seemed to be associated with survival.ConclusionSome unrecordable factors--for example, the skill of the team on duty--may have had a considerable influence on outcome.

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