{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:53:23Z","timestamp":1791204803623,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Blunt cardiac injury (BCI) after motor vehicle collisions (MVCs) is potentially life-threatening yet easily missed. We evaluated whether airbag deployment, an observation readily available in the trauma bay, can heighten suspicion for BCI and lower the threshold for cardiac screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of the ACS-TQIP database (2017-2021). Adult patients (\u226516 years) involved in MVCs were stratified by airbag deployment status (AB vs NoAB). Multivariable logistic regression was used to assess the association between airbag deployment and BCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Airbag deployment occurred in 424,912 patients (81.5%). AB was independently associated with an increased likelihood of BCI (OR 1.16, 95% CI 1.07-1.26; p &lt; 0.001). Sternal fracture (OR: 3.23; 95% CI: 3.03-3.44; p &lt; 0.001), sternal contusion without fracture (OR: 2.67; 95% CI: 1.71-4.14; p &lt; 0.001), congestive heart failure (OR 1.24, 95% CI 1.05-1.46; p = 0.013), and prior myocardial infarction (OR 1.40, 95% CI 1.02-1.92; p = 0.039) were associated with increased risk of BCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Airbag deployment was independently associated with BCI, including in low-severity trauma. Although the effect size was modest, airbag deployment is a known on arrival finding that, together with sternal injury, physiologic derangement, and cardiac biomarkers, may help identify patients who warrant BCI screening even when overall injury severity appears low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III retrospective study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261494133","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:57:53Z","timestamp":1790859473000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Airbag Deployment as a Trigger for Blunt Cardiac Injury Screening: A Nationwide Trauma Analysis"],"prefix":"10.1177","author":[{"given":"Vishmita","family":"Kannichamy","sequence":"first","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maral","family":"Peisepar","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishwanth","family":"Vetri","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kartik","family":"Prabhakaran","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riddhi","family":"Mehta","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samyuktha","family":"Harikrishnan","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilya","family":"Shnaydman","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Zuckerman","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Bronstein","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Kirsch","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1215-1693","authenticated-orcid":false,"given":"Bardiya","family":"Zangbar","sequence":"additional","affiliation":[{"name":"Section of Trauma, General Surgery, and Surgical Critical Care, Westchester Medical Center, New York Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181df68b3"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1556-4029.2009.01207.x"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318270193a"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-4-14"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12024-018-0020-9"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000038699.47295.2D"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-2-91"},{"issue":"1","key":"e_1_3_7_9_2","first-page":"E71","article-title":"Acute coronary occlusion and myocardial infarction secondary to blunt chest trauma from an automobile airbag deployment","volume":"18","author":"Zajarias A","year":"2006","unstructured":"Zajarias A, Thanigaraj S, Taniuchi M. 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