ArticleSingapore medical journal2018
Management of computed tomography-detected pneumothorax in patients with blunt trauma: experience from a community-based hospital.
Article in Singapore medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Predicting the Need for Tube Thoracostomy in Blunt Trauma Patients With Occult Pneumothorax: Observation Versus Intervention.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Occult Pneumothorax in Blunt Thoracic Trauma: Clinical Characteristics and Results of Delayed Tube Thoracostomy in a Level 1 Trauma Center.Journal of clinical medicine · 2023Article
- 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
- Diagnosis of Traumatic Pneumothorax: A Comparison between Lung Ultrasound and Supine Chest Radiographs.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- Deep learning detection and quantification of pneumothorax in heterogeneous routine chest computed tomography.European radiology experimental · 2020Article
- Occult Pneumothorax in Patients Presenting with Blunt Chest Trauma: An Observational Analysis.Qatar medical journal · 2020Article
- Anatomical locations of air for rapid diagnosis of pneumothorax in blunt trauma patients.World journal of emergency surgery : WJES · 2019Article
- Factors Associated with Chest Tube Placement in Blunt Trauma Patients with an Occult Pneumothorax.Critical care research and practice · 2019Article
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Authors and funding
6 authors.
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Abstract
introductionDiagnoses of pneumothorax, especially occult pneumothorax, have increased as the use of computed tomography (CT) for imaging trauma patients becomes near-routine. However, the need for chest tube insertion remains controversial. We aimed to study the management of pneumothorax detected on CT among patients with blunt trauma, including the decision for tube thoracostomy, in a community-based hospital.
methodsChest CT scans of patients with blunt trauma treated at Al Rahba Hospital, Abu Dhabi, United Arab Emirates, from October 2010 to October 2014 were retrospectively studied. Variables studied included demography, mechanism of injury, endotracheal intubation, pneumothorax volume, chest tube insertion, Injury Severity Score, hospital length of stay and mortality.
resultsCT was performed in 703 patients with blunt trauma. Overall, pneumothorax was detected on CT for 74 (10.5%) patients. Among the 65 patients for whom pneumothorax was detected before chest tube insertion, 25 (38.5%) needed chest tube insertion, while 40 (61.5%) did not. Backward stepwise likelihood regression showed that independent factors that significantly predicted chest tube insertion were endotracheal intubation (p = 0.01), non-United Arab Emirates nationality (p = 0.01) and pneumothorax volume (p = 0.03). The receiver operating characteristic curve showed that the best pneumothorax volume that predicted chest tube insertion was 30 mL.
conclusionChest tube was inserted in less than half of the patients with blunt trauma for whom pneumothorax was detected on CT. Pneumothorax volume should be considered in decision-making regarding chest tube insertion. Conservative treatment may be sufficient for pneumothorax of volume < 30 mL.
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