کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3240878 1206058 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Complications following thoracic trauma managed with tube thoracostomy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Complications following thoracic trauma managed with tube thoracostomy
چکیده انگلیسی

IntroductionTube thoracostomy is a common procedure used to treat traumatic chest injuries. Although the mechanism of injury traditionally does not alter chest tube management, complication rates may vary depending on the severity of injury. The purpose of this study was to investigate the incidence of and risk factors associated with chest tube complications (CTCs) following thoracic trauma.MethodsA retrospective chart review of all trauma patients (≥16 years old) admitted to an urban level 1 trauma centre (1/2007–12/2007) was conducted. Patients who required chest tube (CT) therapy for thoracic injuries within 24 h of admission and survived until CT removal were included. CTCs were defined as a recurrent pneumothorax or residual haemothorax requiring CT reinsertion within 24 h after initial tube removal or addition of new CT >24 h after initial placement. Variables including demographic data, mechanism, associated injuries, initial vital signs, chest abbreviated injury score (AIS), injury severity score (ISS), Glasgow coma score (GCS) and length of stay (LOS) and CT-specific variables (e.g. indication, timing of insertion, and duration of therapy) were compared using the chi square test, Mann–Whitney test, and multivariate analysis.Results154 patients were included with 22.1% (n = 34) developing a CTC. On univariate analysis, CTCs were associated with longer ICU and hospital LOS (p = 0.02 and p < 0.001), increased chest AIS (p = 0.01), and the presence of an extrathoracic injury (p = 0.047). Results of the multivariate analysis indicated that only increased chest AIS (OR 2.49; p = 0.03) was a significantly independent predictor of CTCs.ConclusionsCTCs following chest trauma are common and are associated with increased morbidity. The severity of the thoracic injury, as measured by chest AIS, should be incorporated into the development of CT management guidelines in order to decrease the incidence of CTCs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 43, Issue 1, January 2012, Pages 46–50
نویسندگان
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