Trial reportThe Journal of trauma1999
Treatment of occult pneumothoraces from blunt trauma.
Trial report in The Journal of trauma, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00530725 (Prospective Randomized Trial of the Management of Occult Pneumothoraces in Mechanically Ventilated Patients), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Prospective Randomized Trial of the Management of Occult Pneumothoraces in Mechanically Ventilated Patients
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 149 citations in OpenAlex.
- Prehospital management of chest injuries in severely injured patients-a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- [Diagnosis and immediate therapeutic management of chest trauma. A systematic review of the literature].Der Unfallchirurg · 2004Pooled it
- Semi-quantification of pneumothorax volume by lung ultrasound.Intensive care medicine · 2014Trial
- Role of Interventional Radiology in the Management of Non-aortic Thoracic Trauma.Seminars in interventional radiology · 2022Review
- Failure of observation and need for delayed tube thoracostomy in 197 unselected patients with occult pneumothorax: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Chest tube output, duration, and length of stay are similar for pneumothorax and hemothorax seen only on computed tomography vs. chest radiograph.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Occult Pneumothorax in Patients Presenting with Blunt Chest Trauma: An Observational Analysis.Qatar medical journal · 2020Article
- Factors Associated with Chest Tube Placement in Blunt Trauma Patients with an Occult Pneumothorax.Critical care research and practice · 2019Article
- Extended focused assessment with sonography in trauma.BJA education · 2018Review
- A case of iatrogenic pneumothorax in which chest tube placement could be avoided by intraoperative evaluation with transthoracic ultrasonography.Therapeutics and clinical risk management · 2017Article
- Occult pneumothorax in blunt trauma: is there a need for tube thoracostomy?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- From FAST to E-FAST: an overview of the evolution of ultrasound-based traumatic injury assessment.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Review
- Diagnostic accuracy of oblique chest radiograph for occult pneumothorax: comparison with ultrasonography.World journal of emergency surgery : WJES · 2016Article
- Outcome of concurrent occult hemothorax and pneumothorax in trauma patients who required assisted ventilation.Emergency medicine international · 2015Article
- Case Report: Perioperative management of a pregnant poly trauma patient for spine fixation surgery.F1000Research · 2015Article
- Retrospective review of the use and costs of routine chest x rays in a trauma setting.Journal of trauma management & outcomes · 2013Article
- Article
- Occult pneumothoraces in acute trauma patients.The western journal of emergency medicine · 2012Article
- Anteroposterior chest radiograph vs. chest CT scan in early detection of pneumothorax in trauma patients.International archives of medicine · 2011Article
- CT imaging of blunt chest trauma.Insights into imaging · 2011Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOccult pneumothoraces (OPTXs) are seen on abdominal computed tomographic (CT) scans but not on routine chest x-ray films. Optimal treatment for blunt trauma OPTXs has not been defined. We hypothesized that OPTXs could be safely observed without need for a chest tube (CT).
methodsA prospective trial randomized blunt trauma patients with OPTXs to CT scan or observation. Patients were not excluded for positive pressure ventilation. Primary outcome measures were respiratory distress and pneumothoraces progression.
resultsThirty-nine patients with 44 pneumothoraces were enrolled. Eighteen patients received a CT scan, and 21 patients were observed. Nine patients in each group received positive pressure ventilation. There was no difference in overall complication rate. No patient had respiratory distress related to the OPTX or required emergent CT scan.
conclusionsObservation of OPTX is not associated with an increased incidence of pneumothorax progression or respiratory distress. These pneumothoraces can be safely observed in patients with blunt trauma injury regardless of the need for positive pressure ventilation.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.