ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018
Pulmonary contusions after blunt chest trauma: clinical significance and evaluation of patient management.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Classification methods of pulmonary contusion based on chest CT and the association with in-hospital outcomes: a systematic review of literature.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Exogenous surfactant for lung contusion causing ARDS: A systematic review of clinical and experimental reports.The clinical respiratory journal · 2024Pooled it
- Noninvasive ventilation with a helmet in patients with acute respiratory failure caused by chest trauma: a randomized controlled trial.Scientific reports · 2020Trial
- Metabolic and anatomical predictors of outcome in pulmonary contusion: lessons from a 355-patient cohort.Updates in surgery · 2026Article
- Lung Parenchymal and Airway Injuries: Differential Diagnosis and Severity Grading.Journal of the Korean Society of Radiology · 2026Review
- Mechanical traumatic injuries as a cause of death in free-ranging neotropical non-human primates living in anthropogenic matrices.Primates; journal of primatology · 2026Article
- Prediction of primary blast lung injury outcomes in goats using CT and injury factors.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Thoracic trauma WSES-AAST guidelines.World journal of emergency surgery : WJES · 2025Review
- Automatic recognition and differentiation of pulmonary contusion and bacterial pneumonia based on deep learning and radiomics.BMC medical imaging · 2025Article
- CT radiomics to assess severity of explosion-induced primary blast lung injury in goats.Scientific reports · 2025Article
- N-Acetylcysteine in the Treatment of Acute Lung Injury: Perspectives and Limitations.International journal of molecular sciences · 2025Review
- Improved Discriminability of Severe Lung Injury and Atelectasis in Thoracic Trauma at Low keV Virtual Monoenergetic Images from Photon-Counting Detector CT.Diagnostics (Basel, Switzerland) · 2024Article
- Watch Out for the Early Killers: Imaging Diagnosis of Thoracic Trauma.Korean journal of radiology · 2023Review
- Development and validation of a pulmonary complications prediction model based on the Yang's index.Journal of thoracic disease · 2023Article
- Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT.Diagnostics (Basel, Switzerland) · 2023Review
- Imaging findings of pulmonary contusions on multidetector CT: A retrospective study comparing adults and children.Medicine · 2022Article
- Blunt thoracic trauma: role of chest radiography and comparison with CT - findings and literature review.Emergency radiology · 2022Review
- Diagnostic value of multi-slice spiral CT scan in lung compression ratio of patients with pulmonary contusion complicated by pneumothorax or hydropneumothorax.American journal of translational research · 2021Article
- Evaluation of Lung Contusion, Associated Injuries, and Outcome in a Major Trauma Center in Shiraz, Southern Iran.Emergency medicine international · 2021Article
- IL-17 is a potential biomarker for predicting the severity and outcomes of pulmonary contusion in trauma patients.Biomedical reports · 2021Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA pulmonary contusion is an entity defined as alveolar haemorrhage and pulmonary parenchymal destruction after blunt chest trauma. According to the literature, most pulmonary contusions can only be seen on a chest CT. The aim of this study was to evaluate the patients with pulmonary contusions, as well as their management, considering diagnostic and therapeutic options related to their outcomes, since we assumed, based on everyday clinical practice, that an 'overdiagnosing' and 'overtreatment' attitude towards this injury could be present. PATIENTS AND
methodsThe research was a retrospective study including 5042 patients admitted to the Department of Traumatology in the Clinical Hospital Centre Osijek, during a 3-year period. The medical data of the patients who suffered pulmonary contusion were evaluated considering significant characteristics, known risk factors, procedures undergone, and outcomes.
resultsDuring the 3-year period, 2% of all the admitted patients were diagnosed with a pulmonary contusion. In 54% of the cases, the patient suffered polytraumatic injuries. The pulmonary contusion was an isolated injury in 7% of the patients. In 31% of the cases, there was no liquidothorax or pneumothorax (isolated pulmonary contusion). In 89% of the patients the pulmonary contusion was diagnosed using a CT scan. In 68% of the patients there were no interventions regarding the thorax; thoracocentesis was performed in 25% of the cases, and pleural punction in 14% of the cases. 25% of the patients developed respiratory insufficiency and 16% required mechanical ventilation. Regarding isolated pulmonary contusions, respiratory insufficiency was present in 8% of the cases.
conclusionsWe suggest that a pulmonary contusion seen on CT only has limited clinical significance and that the use of CT scans in diagnosing and follow-up of these patients should be re-evaluated. Further prospective and randomised studies should be conducted and the patients should be clinically evaluated, with the administration of supportive and antibiotic therapy, maintaining the fluid balance, the administration of diuretics, supportive oxygen therapy, pulmonary toilet, and physical therapy.
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