ArticleWorld journal of surgery2018
External Validation of a Tube Thoracostomy Complication Classification System.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Complications in tube thoracostomy: Systematic review and meta-analysis.The journal of trauma and acute care surgery · 2018Pooled it
- Modified Johannesburg technique sets the standard - superior biomechanical stability in chest tube fixation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Closed Tube Thoracostomy Morbidity Rate in a Philippine Tertiary Government Hospital: 6-Year Review.Acta medica Philippina · 2025Article
- Enhancing needle puncture detection using high-pass filtering and diffuse reflectance.Frontiers in robotics and AI · 2025Article
- Left Ventricular Perforation Following Transcutaneous Pigtail Catheter Placement Mimicking Anterior Wall Myocardial Infarction: An Unusual Complication.Journal of acute medicine · 2024Article
- An observational simulation-based study of the accuracy of intercostal drain placement and factors influencing placement.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Massive hemothorax from injury of an anonymous vein after intercostal chest drain placement: A case report.Annals of medicine and surgery (2012) · 2021Article
- Hemothorax: A Review of the Literature.Clinical pulmonary medicine · 2020Article
- Chest drain and thoracotomy for chest trauma.Journal of thoracic disease · 2019Review
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundTube thoracostomy (TT) is a commonly performed procedure which is associated with significant complication rates. Currently, there is no validated taxonomy to classify and compare TT complications across different populations. This study aims to validate such TT complication taxonomy in a cohort of South African trauma patients.
methodsPost hoc analysis of a prospectively collected trauma database from Pietermaritzburg Metropolitan Trauma Service (PMTS) in South Africa was performed for the period January 2010 to December 2013. Baseline demographics, mechanism of injury and complications were collected and categorized according to published classification protocols. All patients requiring bedside TT were included in the study. Patients who necessitated operatively placed or image-guided TT insertion were excluded. Summary and univariate analyses were performed.
resultsA total of 1010 patients underwent TT. The mean age was (±SD) of 26 ± 8 years. Unilateral TTs were inserted in n = 966 (96%) and bilateral in n = 44 (4%). Complications developed in 162 (16%) patients. Penetrating injury was associated with lower complication rate (11%) than blunt injury (26%), p = 0.0001. Higher complication rate was seen in TT placed by interns (17%) compared to TT placed by residents (7%), p = 0.0001. Complications were classified as: insertional (38%), positional (44%), removal (9%), infective/immunologic (9%), and instructional, educational or equipment related (0%).
conclusionsDespite being developed in the USA, this classification system is robust and was able to comprehensively assign and categorize all the complications of TT in this South African trauma cohort. A universal standardized definition and classification system permits equitable comparisons of complication rates. The use of this classification taxonomy may help develop strategies to improve TT placement techniques and reduce the complications associated with the procedure. LEVEL OF EVIDENCE: V. STUDY TYPE: Single Institution Retrospective review.
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