{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:07:06Z","timestamp":1772755626122,"version":"3.50.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study assessed the prognostic impact of cardiovascular injuries in patients with isolated chest trauma primarily involving the respiratory system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed the Japan Trauma Data Bank records (2004-2019). Patients with isolated chest trauma were categorized into the respiratory or cardiovascular injury group according to the highest abbreviated injury scale score. The effect of cardiovascular injuries in the respiratory injury group was analysed using a multivariable logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 8048 patients in the respiratory injury group, those with minor cardiac injury had a higher mortality rate than those without (15% vs 7%; P\u2009=\u2009.027); those with severe vascular injury (most commonly thoracic aorta) had a 76% mortality rate. The multivariable analysis indicated older age (adjusted odds ratio [adjOR]: 1.01, 95% CI: 1.00-1.01, P\u2009=\u2009.016), penetrating injury (adjOR: 2.19, 95% confidence interval [CI]: 1.40-3.43, P\u2009=\u2009.002), higher new injury severity score (adjOR: 3.89, 95% CI: 3.16-4.78, P\u2009&amp;lt;\u2009.001), coexistence of cardiac (adjOR: 2.68, 95% CI: 1.51-4.76, P\u2009&amp;lt;\u2009.001) or vascular injuries (adjOR: 3.36, 95% CI: 1.93-5.83, P\u2009&amp;lt;\u2009.001), and tracheobronchial injuries (adjOR: 2.10, 95% CI: 1.15-3.82, P\u2009=\u2009.015) with the highest abbreviated injury scale scores were significantly associated with increased odds of in-hospital mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Minor cardiac or severe vascular injuries significantly increased mortality in patients with isolated chest trauma primarily involving the respiratory system. Assessment of both respiratory and coexisting cardiovascular injuries is essential for clinical management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivaf266","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T06:56:03Z","timestamp":1762671363000},"source":"Crossref","is-referenced-by-count":1,"title":["Prognostic Impact of Cardiovascular Injuries for Patients with Respiratory Isolated Chest Trauma"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5807-3558","authenticated-orcid":false,"given":"Shuji","family":"Mishima","sequence":"first","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine , Matumoto , Nagano, 390-8621,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4076-5174","authenticated-orcid":false,"given":"Kimihiro","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine , Matumoto , Nagano, 390-8621,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5916-8209","authenticated-orcid":false,"given":"Hitoshi","family":"Igai","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital , Maebashi , Gunma, 371-0811,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Nippon Medical School Chiyoda-ku , Tokyo, 101-8309,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Takiguchi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Nippon Medical School Chiyoda-ku , Tokyo, 101-8309,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Critical Care Medicine, Advanced Medical Emergency and Critical Care Center, Japanese Red Cross Maebashi Hospital , Maebashi , Gunma, 371-0811,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youichi","family":"Yanagawa","sequence":"additional","affiliation":[{"name":"Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University \u00a0 Izunokuni , Shizuoka, 410-2211,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daizoh","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Critical Care Medicine, National Defense Medical College \u00a0 Tokorozawa , Saitama, 359-8513,","place":["Japan"]},{"name":"Graduate School of Emergency Medical System, Kokushikan University , Tama , Tokyo, 206-0025,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1291-2619","authenticated-orcid":false,"given":"Kenji","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Bunkyo-ku , Tokyo, 113-0033,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0601-3828","authenticated-orcid":false,"given":"Morihito","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University , Hiroshima , Hiroshima, 734-0037,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Chida","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Dokkyo Medical University , Mibu , Tochigi, 321-0293,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Yoshino","sequence":"additional","affiliation":[{"name":"International University of Health and Welfare , Narita , Chiba, 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