Occult pneumothorax in patients presenting with blunt chest trauma : an observational analysis
المؤلفون المشاركون
Nadim, Ahmad
Peralta, Ruben
al-Abdallat, Muhammad
al-Minyar, Ayman
Mahmud, Ismail
Yunus, Basil
Ahmad, Khalid
Mustafa, Fuad
Nabir, Sayyid
Parchani, Ashok
al-Thani, Hassan
المصدر
العدد
المجلد 2020، العدد 1 (30 يونيو/حزيران 2020)، ص ص. 1-10، 10ص.
الناشر
تاريخ النشر
2020-06-30
دولة النشر
قطر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Background: We aimed to assess the management and outcome of occult pneumothorax and to determine the factors associated with failure of observational management in patients with blunt chest trauma (BCT).
Methods: Patients with BCT were retrospectively identified from the trauma database over 4 years.
Data were analyzed and compared on the basis of initial management (conservative vs.
tube thoracostomy).
Results: Across the study period, 1928 patients were admitted with BCT, of which 150 (7.8%) patients were found to have occult pneumothorax.
The mean patient age was 32.8 ^ 13.7 years, and the majority were male (86.7%).
Positive-pressure ventilation (PPV) was required in 32 patients, and bilateral occult pneumothorax was seen in 25 patients.
In 85.3% (n ¼ 128) of cases, occult pneumothorax was managed conservatively, whereas 14.7% (n ¼ 22) underwent tube thoracostomy.
Five patients had failed observational treatment requiring delayed tube thoracostomy.
Pneumonia was reported in 12.8% of cases.
Compared with those who were treated conservatively, patients who underwent tube thoracostomy had thicker pneumothoraxes and a higher rate of lung contusion, rib fracture, pneumonia, prolonged ventilatory days, and prolonged hospital length of stay.
Overall mortality was 4.0%.
The deceased had more polytrauma and were treated conservatively without a chest tube.
Patients who failed conservative management had a higher frequency of lung contusion, greater pneumothorax thickness, higher Injury Severity Scores (ISS), and required more PPV.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mahmud, Ismail& Yunus, Basil& Ahmad, Khalid& Mustafa, Fuad& al-Minyar, Ayman& al-Abdallat, Muhammad…[et al.]. 2020. Occult pneumothorax in patients presenting with blunt chest trauma : an observational analysis. Qatar Medical Journal،Vol. 2020, no. 1, pp.1-10.
https://search.emarefa.net/detail/BIM-956572
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mahmud, Ismail…[et al.]. Occult pneumothorax in patients presenting with blunt chest trauma : an observational analysis. Qatar Medical Journal No. 1 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-956572
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mahmud, Ismail& Yunus, Basil& Ahmad, Khalid& Mustafa, Fuad& al-Minyar, Ayman& al-Abdallat, Muhammad…[et al.]. Occult pneumothorax in patients presenting with blunt chest trauma : an observational analysis. Qatar Medical Journal. 2020. Vol. 2020, no. 1, pp.1-10.
https://search.emarefa.net/detail/BIM-956572
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 8-10
رقم السجل
BIM-956572
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر