Adenauer Marinho de Oliveira Góes Junior1,2,3, Édpo Vinicius Lenzi de Oliveira4, Flávia Beatriz Araújo de Albuquerque2, Eduardo Gorayeb Martins2, Mariseth Carvalho de Andrade5, Simone de Campos Vieira Abib3. 1. Hospital Metropolitano de Urgência e Emergência, Serviço de Cirurgia Vascular/ Cirurgia do Trauma, Ananindeua, PA, Brasil. 2. Centro Universitário do Estado do Pará, Faculdade de Medicina, Belém, PA, Brasil. 3. Universidade Federal de São Paulo, Departamento de Cirurgia, Programa de Pós-Graduação em Ciências Interdisciplinar, São Paulo, SP, Brasil. 4. Hospital Metropolitano de Urgência e Emêrgencia, Serviço de Cirurgia Geral, Ananindeua, PA, Brasil. 5. Universidade Estadual do Pará, Departamento de Cirurgia, Programa de Pós-Graduação em Cirurgia e Pesquisa Experimental, Belém, PA, Brasil.
Abstract
OBJECTIVE: to determine if computed tomography represents a safe option for penetrating heart injury screening. METHODS: retrospective transversal study which confronted tomographic findings with the ones detected in surgical exploration in patients that had undergone surgery because of suspected cardiac trauma from January, 2016 to January, 2018. RESULTS: seventy-two cases were analysed; 97.2% of them were males, and the most prevalent age range was 20 to 29 years; 56.9% of them presented injuries caused by firearm shots and 43.1% by cutting weapons. In 20 cases, computed tomography suggested heart injury, confirmed in 13 cases during surgery. Sensitivity of computed tomography was 56.5%, reaching a specificity of 85.7%. CONCLUSION: computed tomography must not be adopted as a routine for the screening of penetrating heart injuries.
OBJECTIVE: to determine if computed tomography represents a safe option for penetrating heart injury screening. METHODS: retrospective transversal study which confronted tomographic findings with the ones detected in surgical exploration in patients that had undergone surgery because of suspected cardiac trauma from January, 2016 to January, 2018. RESULTS: seventy-two cases were analysed; 97.2% of them were males, and the most prevalent age range was 20 to 29 years; 56.9% of them presented injuries caused by firearm shots and 43.1% by cutting weapons. In 20 cases, computed tomography suggested heart injury, confirmed in 13 cases during surgery. Sensitivity of computed tomography was 56.5%, reaching a specificity of 85.7%. CONCLUSION: computed tomography must not be adopted as a routine for the screening of penetrating heart injuries.