Evidence map›Paper›PMID 28795207›Full record

Trial reportWorld journal of surgery2018

A Prospective Study of 7-Year Experience Using Percutaneous 14-French Pigtail Catheters for Traumatic Hemothorax/Hemopneumothorax at a Level-1 Trauma Center: Size Still Does Not Matter.

Zachary M Bauman, Narong Kulvatunyou, Bellal Joseph, Arpana Jain, Randall S Friese, Lynn Gries, Terence O'Keeffe, Andy L Tang, Gary Vercruysse, Peter Rhee

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03546764 (The Small), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03546764 nacompletednot on this map

The Small (14F) Percutaneous Catheter vs. Large (28-40F) Open Chest Tube for Traumatic Hemothorax (P-CAT): A Multi-center Randomized Clinical Trial

TypeinterventionalSponsorUniversity of ArizonaRan2018 to 2021Enrolled61ConditionsThe Efficacy of Percutaneous Catheter vs. Open Chest Tube, Traumatic HemothoraxArmsPercutaneous catheter
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
  2. Article
  3. Thoracostomy for removal of excess fluid in surgical stabilization of rib fractures: the T-REX trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  4. Review
  5. Article
  6. Review
  7. Percutaneous Chest Tube for Pleural Effusion and Pneumothorax.Seminars in interventional radiology · 2022
    Review
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Observational
  13. Hemothorax: A Review of the Literature.Clinical pulmonary medicine · 2020
    Article
  14. Chest drain and thoracotomy for chest trauma.Journal of thoracic disease · 2019
    Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Zachary M BaumanDivision of Trauma, Emergency General Surgery, and Critical Care, Department of Surgery, University of Nebraska, Omaha, NE, USA.
Narong KulvatunyouDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA. nkulvatunyou@surgery.arizona.edu.
Bellal JosephDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Arpana JainDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Randall S FrieseDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Lynn GriesDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Terence O'KeeffeDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Andy L TangDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Gary VercruysseDivision of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Peter RheeGrady Memorial Hospital, Atlanta, GA, USA.
University of Arizona · USGrady Memorial Hospital · USUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effectiveness of 14-French (14F) pigtail catheters (PCs) compared to 32-40F chest tubes (CTs) in patients with traumatic hemothorax (HTX) and hemopneumothorax (HPTX) is becoming more well known but still lacking. The aim of our study was to analyze our cumulative experience and outcomes with PCs in patients with traumatic HTX/HPTX. We hypothesized that PCs would be as effective as CTs.

methodsUsing our PC database, we analyzed all trauma patients who required chest drainage for HTX/HPTX from 2008 to 2014. Primary outcomes of interest, comparing PCs to CTs, included initial drainage output in milliliters (mL), tube insertion-related complications, and failure rate. For our statistical analysis, we used the unpaired Student's t test, Chi-square test, and Wilcoxon rank-sum test. We defined statistical significance as P < 0.05.

resultsDuring the 7-year period, 496 trauma patients required chest drainage for traumatic HTX/HPTX: 307 by CTs and 189 by PCs. PC patients were older (52 ± 21 vs. 42 ± 19, P < 0.001), demonstrated a significantly higher occurrence of blunt trauma (86 vs. 55%, P ≤ 0.001), and had tubes placed in a non-emergent fashion (Day 1 [interquartile range (IQR) 1-3 days] for PC placement vs. Day 0 [IQR 0-1 days] for CT placement, P < 0.001). All primary outcomes of interest were similar, except that the initial drainage output for PCs was higher (425 mL [IQR 200-800 mL] vs. 300 mL [IQR 150-500], P < 0.001). Findings for subgroup analysis among emergent and non-emergent PC placement were also similar to CT placement.

conclusionPCs had similar outcomes to CTs in terms of failure rate and tube insertion-related complications, and the initial drainage output from PCs was not inferior to that of CTs. The usage of PCs was, however, selective. A future multi-center study is needed to provide additional support and information for PC usage in traumatic HTX/HPTX.

Indexed as

CathetersAdultChest TubesDrainageFemaleHemopneumothoraxHemothoraxHumansMaleMiddle AgedProspective StudiesThoracic InjuriesTrauma CentersTreatment Outcome

Identifiers

PMID28795207
OpenAlexW2743051884

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.