Occult pneumothoraces in Chinese patients with significant blunt chest trauma: radiological classification and proposed clinical significance

Injury
Ryan K L LeeTimothy H Rainer

Abstract

An occult pneumothorax (OP) is a pneumothorax not seen on a supine chest X-ray (CXR) but detected on abdominal or thoracic computed tomography (CT) scanning. With the increasing use of CT in the management of significantly injured trauma patients, more OPs are being detected. The aim of this study was to classify OPs diagnosed on thoracic CT (TCT) and correlate them with their clinical significance. Retrospective analysis of prospectively collected trauma registry data. Total 36 (N=36) consecutive significantly injured trauma patients admitted through the emergency department (ED) who sustained blunt chest trauma and underwent TCT between 1 January 2007 and 31 December 2008 were included. OP was defined as the identification (by a consultant radiologist) of a pneumothorax on TCT that had not been detected on supine CXR. OPs were classified by laterality (unilateral/bilateral) and location (apical, basal, non apical/basal). The size of pneumothoraces, severity of injury [including number of associated thoracic injuries and injury severity score (ISS)], length of hospital stay and mortality were compared between groups. The need for tube thoracostomy and clinical outcome were also analysed. Patients with bilateral OPs (N=8) had s...Continue Reading

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Citations

Feb 11, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M ZhangK T S Go
Dec 6, 2014·Interactive Cardiovascular and Thoracic Surgery·Henri de LesquenXavier-Benoît D'Journo
Apr 27, 2016·Revue de pneumologie clinique·M BensghirC Haimeur
Apr 24, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J J E M van LaarhovenL P H Leenen
Aug 7, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Bhavesh H PatelMark I Langdorf
Oct 1, 2019·Critical Care Research and Practice·Michael PaplawskiCatherine Ko
Feb 22, 2013·The Journal of Trauma and Acute Care Surgery·Andrew W KirkpatrickUNKNOWN Canadian Trauma Trials Collaborative and the Research Committee of the Trauma Association of Canada
Mar 2, 2021·American Journal of Surgery·Thomas W ClementsAndrew W Kirkpatrick

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