Incidence, Risk Factors, and Outcomes for Occult Pneumothoraces in Victims of Major Trauma

Ball, Chad G.; Kirkpatrick, Andrew W.; Laupland, Kevin B.; Fox, Dov; Nicolaou, Savvas; Anderson, Ian B.; Hameed, S. Morad; Kortbeek, John B.; Mulloy, Robert H.; Litvinchuk, Stacey; Boulanger, B.

doi:10.1097/01.ta.0000174663.46453.86

Cited by 125 publications

(116 citation statements)

References 30 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…Although only 16% of patients with occult pneumothorax had subcutaneous emphysema, 98% of the patients with subcutaneous emphysema had an underlying pneumothorax whether overt (82%) or occult (16%). 9,10 Therefore subcutaneous emphysema has a very high specificity for diagnosis of occult pneumothorax, but its absence is insufficient to rule out the diagnosis. In this study other chest injury which is most commonly associated with surgical emphysema is hemothorax (52.38%), followed by pneumothorax (33.33%), pulmonary contusion (28.57%) and flail chest (14.26%).…”

Section: Discussionmentioning

confidence: 99%

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

2018

View full text Add to dashboard Cite

Background: Chest trauma (or thoracic trauma) is a serious injury of the chest. Thoracic injuries may present extremely dramatic clinical problem that demand rapid diagnosis, decision making and aggressive management. Thoracic injuries can range from simple single rib fracture to major thoracic vessel injury and pulmonary contusion.Objective of this study was to describe the clinical characteristics and risk factors of thoracic trauma patients, and to evaluate their relationship in the development of complications with special emphasis to surgical emphysema.Methods: Descriptive, prospective and analytical study of a cohort of patients with thoracic trauma who were followed up for a period of 30 days. Excluded from the study were those patients with moderate to severe cranio-encephalic trauma, long bone fractures, abdominal trauma, and patients who required mechanical ventilation.Results: A total of 102 patients met the inclusion criteria out of which 90(88.23%)patients were male and 12(11.77%) female with male to female ratio of 7.5:1. Patients having surgical emphysema were all male 21(21.56%). Most common mode of the injury seen was road traffic accidents in 80 (80.95%) patients, followed by assault in 9(9.52%) patients, bull horn injury and fall from height in 4(4.76%) patients. Other chest injury which was most commonly associated with surgical emphysema was haemothorax in 11(52.38%) patients, followed by pneumothorax in 7(33.33%) patients, pulmonary contusion in 6(28.57%) patients and flail chest in 3(14.26%) patients. The risk of complications increases significantly in patients with more than 2 rib fractures, in older patients and in the presence of some comorbidities such as COPD and pathologies that require anticoagulation. The risk of re-admittance is greater in patients older than 60 years.Conclusions: Patients with thoracic trauma who present with co-morbidities, are older than 60 years and have more than 2 ribs fractures may present with more complications. These factors should be contemplated in the evaluation, management and follow-up of these subjects.

show abstract

Section: Discussionmentioning

confidence: 99%

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

2018

View full text Add to dashboard Cite

show abstract

“…[18][19][20] Blaivas ve arkadaşları künt travmalı 53 pnömoto-raks hastası saptadıkları çalışmalarında akciğer grafiğinin duyarlılığı %75 (%95 GA= %61,7 ile %86,2) ve özgüllüğü %100 (%95 GA= 97,1% ile 100%), acil hekimlerinin yaptığı toraks USG'nin duyarlılığı %98,1 (%95 GA= %89,9 ile %99,9) ve özgüllüğü %99,2 (%95 GA= %95,6 ile %99,9) bildirilmiştir. [9] Bu ça-lışmada spiral BT yanı sıra, "tüp torakostomi uygulamasında hava çıkışının izlenmesi" referans standart olarak kabul edilmiş ve tüm hastalara BT çekilmemiş-tir.…”

Section: Bulgularunclassified

Impact of the practice of "Extended Focused Assessment with Sonography for Trauma" (e-FAST) on clinical decision in the emergency department

Uz¹,

Yürüktümen²,

Boydak³

et al. 2013

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

“…Many patients with thoracic trauma die after reaching the hospital; however, many of these deaths could be prevented with prompt diagnosis and treatment 13 . The initial assessment and treatment of patients with thoracic trauma consists of the primary survey, resuscitation of vital functions, detailed secondary survey, and definitive care.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

Atls –A Systematic Review

Mittal¹,

Rathi²,

Raghaw.³

2016

IJAR

View full text Add to dashboard Cite

Incidence, Risk Factors, and Outcomes for Occult Pneumothoraces in Victims of Major Trauma

Abstract: OPTXs are commonly missed both by CXR and even abdominal CT scanning in seriously injured patients. Basic markers available early in resuscitation are highly predictive for OPTXs and may guide management before CT scanning. Further study of OPTX detection and management is required.

Cited by 125 publications

References 30 publications

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

A prospective study of chest injuries and associated complications with special reference to surgical emphysema

Impact of the practice of "Extended Focused Assessment with Sonography for Trauma" (e-FAST) on clinical decision in the emergency department

Atls –A Systematic Review

Contact Info

Product

Resources

About