Natural history of a postpull pneumothorax or effusion: observation is safe

The Journal of Trauma and Acute Care Surgery
Nathan W KuglerJasmeet Paul

Abstract

Thoracostomy tube (TT) for drainage of hemopneumothorax is the most common intervention in thoracic trauma. Postpull pneumothorax or effusion (PPP/PPE) is common after removal of a TT. The natural history of PPP/PPE after discharge has not been described. This study evaluates the outcomes and management of PPP/PPE after discharge. Trauma patients with TT placed from July 1, 2008, to June 30, 2013, were identified from an administrative database and trauma registry. PPP/PPE was defined as the presence of air or fluid in the chest on a postpull imaging. The electronic medical record and final radiology interpretation were reviewed to confirm PPP/PPE during index admission and at discharge. Clinical follow-up and imaging were reviewed for the presence of persistent PPP/PPE. Interventions directed toward PPP/PPE and readmissions were recorded for patients with and without a PPP/PPE. Multivariate logistic regression was performed to identify factors for chest-related readmission. Seven hundred ten patients surviving to discharge had a TT placed during the study time frame. Of the 151 patients (21.3%) with documented PPP/PPE on discharge, 115 patients had follow-up data available. Outpatient imaging was obtained in 35 patients, with ...Continue Reading

References

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Nov 14, 2012·The Journal of Trauma and Acute Care Surgery·Mary Oline AalandThein Hlaing Zhu

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Citations

Sep 21, 2017·The Journal of Trauma and Acute Care Surgery·Nathan W KuglerJasmeet S Paul
Nov 6, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Vasileios K KouritasIon Bellenis
Nov 28, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Alexandre Zanchenko FonsecaMarcelo Augusto Fontenelle Ribeiro
Feb 20, 2021·The Journal of Trauma and Acute Care Surgery·Arthur A R SweetRoderick M Houwert

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