Observational studyRevista do Colegio Brasileiro de Cirurgioes2022
Predictors of pleural complications in trauma patients undergoing tube thoracostomy: A prospective observational study.
Observational study in Revista do Colegio Brasileiro de Cirurgioes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 3 citations in OpenAlex.
- Implementing a chest tube removal protocol in patients with thoracic trauma: a prospective clinical study.Journal of thoracic disease · 2025Article
- Closed Tube Thoracostomy Morbidity Rate in a Philippine Tertiary Government Hospital: 6-Year Review.Acta medica Philippina · 2025Article
- Trauma Registry: Trauma Quality indicators analysis in hospitalized patients.Revista do Colegio Brasileiro de Cirurgioes · 2024Article
- Radical surgery for intractable thoracic empyema complicating traumatic pneumothorax and rib fractures.Surgical case reports · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveto identify variables related to pleural complications in patients undergoing tube thoracostomies due to traumatic injuries.
methodwe conducted a prospective observational study from May/2019 to January/2021 including adult trauma patients submitted to tube thoracostomies after hospital admission. Patients undergoing thoracotomies as the initial treatment were not included. We excluded patients with suspected and confirmed COVID-19 diagnosis during the hospitalization. Pleural complications were defined as clotted hemothorax, residual pneumothorax and empyema. Students t, Mann Whitneys, Chi square and Fishers exact test were used to compare variables between groups. We considered p<0.05 as significant.
resultswe analyzed 68 patients. The mean age was 36.0 + 12.6 years and 91.2% were male. The mean RTS and ISS were, respectively, 7.0 ± 1.6 and 15.9 ± 7.6. The most frequent trauma mechanism was stab wounds in 50.0%, followed by blunt trauma in 38.2%. The severity of thoracic injuries was stratified (AIS) as 2 (4.4%), 3 (80.9%), 4 (13.2%), e 5 (1.5%). Pleural complications happened in 14 (20.5%) patients, being clotted / residual hemothorax (11.8%), residual pneumothorax (4.4%), empyema (2.9%) and miscellaneous (1.4%). These patients were treated by thoracoscopy (5), thoracotomy (3), chest re-drainage (3) and clinical measures alone (3). There was a significant association between pleural complications with the time of permanence (p<0,001) and the necessity of relocation (p<0,001) of the drain.
conclusionthe predictors of pleural complications in this series were time of permanence and the necessity of relocation of the drain.
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