Risk factors associated with the development of post-traumatic retained hemothorax

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
M I VillegasE Londoño

Abstract

To identify risk factors associated with the development of post-traumatic retained hemothorax in chest trauma patients admitted to Hospital San Vicente de Paul (HUSVP). This study was a prospective cohort study that included patients with a diagnosis of chest trauma who required a tube thoracostomy as a therapeutic intervention. The measured outcome was retained hemothorax, defined as the presence of blood in the pleural cavity that could not be drained through the initial tube thoracostomy and appeared radio-opaque or hypodense on X-rays or CT scan. The postoperative follow-up period was 30 days. Six hundred thirty-three thoracostomies were performed over a 28-month period for chest trauma; the incidence of post-traumatic retained hemothorax was 16.7%, and additional complications were seen in 10% of cases. The risk of retained hemothorax was associated with: initial blood drainage (median, 400 ml; p < 0.001), the number of tubes placed (two or more; OR = 5.35, CI 95%: 3.98-7.20), the duration of the tube thoracostomy (median, 5 days; p = 0.01), and the need for mechanical ventilation (RR = 2.5, CI 95%: 1.66-3.75). The risk of post-traumatic retained hemothorax was associated with four factors. The probability of the outcome ...Continue Reading

References

Dec 1, 1984·American Journal of Surgery·J S CoselliA C Beall
May 1, 1995·Archives of Surgery·S W EtochJ D Richardson
Oct 1, 1993·The British Journal of Ophthalmology·A MermoudA D Murray
Aug 1, 1996·The Surgical Clinics of North America·J D RichardsonD A Spain
Apr 1, 1997·The Annals of Thoracic Surgery·B T HenifordJ D Richardson
Jun 1, 1997·Archives of Surgery·M M AguilarT Su
Jun 1, 2001·The Annals of Thoracic Surgery·R J CerfolioC R Katholi
Feb 9, 2002·The Journal of Trauma·Gina AdralesDavid G Jacobs
Mar 13, 2002·Chest·M Blair MarshallJoseph B Shrager
Nov 5, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M Deneuville
Nov 1, 1960·American Journal of Surgery·A R GRAYJ M HOWARD
Jun 30, 2004·The Annals of Thoracic Surgery·Pradeep H NavsariaAndrew J Nicol
Jul 27, 2007·Thoracic Surgery Clinics·Ibrahim B CetindagStephen R Hazelrigg

❮ Previous
Next ❯

Citations

Dec 19, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Behrad ZiapourIkenna Okereke
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Carlos H MoralesAndres Felipe Duque
Jan 14, 2021·Clinical Pulmonary Medicine·Jacob ZeilerAlan Cook
May 18, 2020·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Bekir Nihat DogrulSelim Can Peker

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Trauma and Acute Care Surgery
Carlos H MoralesAndres Felipe Duque
The Surgical Clinics of North America
P N Symbas
Annals of the Royal College of Surgeons of England
Christopher J AylwinMichael S Walsh
Revista do Colégio Brasileiro de Cirurgiões
João Baptista de Rezende-NetoGustavo Pereira Fraga
© 2021 Meta ULC. All rights reserved