Étude de cohorte sur la prévalence et les facteurs de risque de complications pulmonaires tardives chez les adultes à la suite d'un traumatisme thoracique mineur fermé

Plourde, Miville; Émond, Marcel; Lavoie, André; Guímont, Chantal; Sage, Natalie Le; Bergeron, Éric; Vanier, Laurent; Moore, Lynne; Allain-Boulé, Nadine; Fratu, Ramona-Florina; Dufresne, Maryline

doi:10.1017/s1481803500002426

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Detection of delayed hemothorax in these patients is hindered by conflicting literature regarding the necessity of follow-up imaging studies [7,8] and perception of its rarity. The incidence of delayed hemothorax in patients with thoracic trauma has been reported between 7.4 -11.8% in prior prospective studies [9,10]. This is considerably greater than the incidence of delayed pneumonia (4%), an often considered sequelae of rib fracture [11,12], arguing for greater consideration of delayed hemothorax in thoracic trauma.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Delayed Hemothorax Complicated by Fibrothorax

Chokshi

Theodosopoulos

Wilson

et al. 2021

Asp Biomed Clin Case Rep

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Delayed hemothorax is a potentially life-threatening complication of thoracic trauma that should be carefully considered in all patients presenting with thoracic injury. We report a case of delayed hemothorax in a 77-year-old male presenting eleven days’ status post multiple right mid- to high-rib fractures. His case was complicated by retained hemothorax after CT-guided chest-tube with subsequent video-assisted tube thoracostomy (VATS) revealing fibrothorax necessitating conversion to open thoracotomy. Known risk factors for development of delayed hemothorax include older patient age, three or more rib fractures, and presence of mid- to high-rib fractures, and should be used in risk stratification of thoracic trauma. Tube thoracostomy is often sufficient in management of delayed hemothorax. In rare cases, hemothoraces can be complicated by retained hemothorax or fibrothorax, which require more invasive therapy and carry greater morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

A Case Report of Delayed Hemothorax Complicated by Fibrothorax

Chokshi

Theodosopoulos

Wilson

et al. 2021

Asp Biomed Clin Case Rep

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Functional Impact of a Minor Thoracic Injury

et al. 2015

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Clinical prediction models for the management of blunt chest trauma in the emergency department: a systematic review

Battle,

Cole,

Carter

et al. 2024

BMC Emerg Med

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Background The aim of this systematic review was to investigate how clinical prediction models compare in terms of their methodological development, validation, and predictive capabilities, for patients with blunt chest trauma presenting to the Emergency Department. Methods A systematic review was conducted across databases from 1st Jan 2000 until 1st April 2024. Studies were categorised into three types of multivariable prediction research and data extracted regarding methodological issues and the predictive capabilities of each model. Risk of bias and applicability were assessed. Results 41 studies were included that discussed 22 different models. The most commonly observed study design was a single-centre, retrospective, chart review. The most widely externally validated clinical prediction models with moderate to good discrimination were the Thoracic Trauma Severity Score and the STUMBL Score. Discussion This review demonstrates that the predictive ability of some of the existing clinical prediction models is acceptable, but high risk of bias and lack of subsequent external validation limits the extensive application of the models. The Thoracic Trauma Severity Score and STUMBL Score demonstrate better predictive accuracy in both development and external validation studies than the other models, but require recalibration and / or update and evaluation of their clinical and cost effectiveness. Review registration PROSPERO database (https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=351638).

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Étude de cohorte sur la prévalence et les facteurs de risque de complications pulmonaires tardives chez les adultes à la suite d'un traumatisme thoracique mineur fermé

Cited by 4 publications

References 14 publications

A Case Report of Delayed Hemothorax Complicated by Fibrothorax

A Case Report of Delayed Hemothorax Complicated by Fibrothorax

Functional Impact of a Minor Thoracic Injury

Clinical prediction models for the management of blunt chest trauma in the emergency department: a systematic review

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