Pediatric Cardiac Trauma in the United States: A Systematic Review

Author:

Mylonas Konstantinos S.12,Tsilimigras Diamantis I.23,Texakalidis Pavlos24,Hemmati Pouya5,Schizas Dimitrios26,Economopoulos Konstantinos P.27

Affiliation:

1. Division of Pediatric Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

2. Surgery Working Group, Society of Junior Doctors, Athens, Greece

3. School of Medicine, National and Kapodistrian University of Athens, Athens, Greece

4. School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece

5. Department of Surgery, Mayo Clinic, Rochester, MN, USA

6. First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece

7. Department of Surgery, Duke University Medical Center, Durham, NC, USA

Abstract

Literature discussing cardiac injuries in children is limited. Systematic search of PubMed identified 21 studies enrolling 1,062 pediatric patients who experienced cardiac trauma in the United States during the period 1961 to 2012. The predominant type of injury was blunt cardiac contusion affecting 59.7% (n = 634/1,062) of the study population. Motor vehicle crashes (53.5%, n = 391/731) were the leading cause of blunt cardiac trauma, while gunshot wounds (50%, n = 150/300) accounted for most penetrating injuries. Overall mortality rate was 35.2% (n = 374/1,062).

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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