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February 1, 2001

Clinically Significant Blunt Cardiac Trauma: Role of Serum Troponin Levels Combined with Electrocardiographic Findings

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Why the study?

Does the combination of ECG and cTnI accurately predict clinically significant blunt cardiac trauma in patients with significant blunt thoracic trauma?

Population

115 patients with evidence of significant blunt thoracic trauma

Design

Cohort

Follow-up

prospective follow-up

Authors

ASAlí SalimBrigham and Women's HospitalGVGeorge C. VelmahosBoston UniversityAJAnurag JindalGovernment Medical College and Hospital

Discussion

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Implication

May support ruling out clinically significant blunt cardiac trauma when both normal; leaves open prospective validation before practice change.

Structured PICO

Does the combination of ECG and cTnI accurately predict clinically significant blunt cardiac trauma in patients with significant blunt thoracic trauma?

P
Population
115 patients with evidence of significant blunt thoracic trauma
I
Intervention
Combination of electrocardiogram (ECG) at admission and 8 hours, and serum cardiac troponin I (cTnI) at admission, 4 hours, and 8 hours
O
Outcome
Clinically significant blunt cardiac trauma (Sig-BCT), defined as cardiogenic shock, arrhythmias requiring treatment, or structural cardiac abnormalities directly related to the cardiac traumacomposite

The combination of admission ECG and cTnI has a 100% negative predictive value for clinically significant blunt cardiac trauma, allowing for safe discharge of patients with normal results.

Cite This Study

Salim et al. (2001) studied this question.

synapsesocial.com/papers/6a75c38df1e99ff85ab212c9https://doi.org/10.1097/00005373-200102000-00008
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diagnostic efficiency of troponin T measurements in acute myocardial infarction.1991 · 817 citations
  2. 2Objective Evaluation of Blunt Cardiac Trauma1986 · 193 citations
  3. 3Evaluation of Incidence, Clinical Significance, and Prognostic Value of Circulating Cardiac Troponin I and T Elevation in Hemodynamically Stable Patients with Suspected Myocardial Contusion after Blunt Chest Trauma2000 · 268 citations