Efficiency Analysis of Direct Video-Assisted Thoracoscopic Surgery in Elderly Patients with Blunt Traumatic Hemothorax without an Initial Thoracostomy
Joint Authors
Lin, Hsing-Lin
Huang, Wen-Yen
Lu, I-Yin
Yang, Chyan
Chou, Yi-Pin
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Hemothorax is common in elderly patients following blunt chest trauma.
Traditionally, tube thoracostomy is the first choice for managing this complication.
The goal of this study was to determine the benefits of this approach in elderly patients with and without an initial tube thoracostomy.
Seventy-eight patients aged >65 years with blunt chest trauma and stable vital signs were included.
All of them had more than 300 mL of hemothorax, indicating that a tube thoracostomy was necessary.
The basic demographic data and clinical outcomes of patients with hemothorax who underwent direct video-assisted thoracoscopic surgery without a tube thoracostomy were compared with those who received an initial tube thoracostomy.
Patients who did not receive a thoracostomy had lower posttrauma infection rates (28.6% versus 56.3%, P=0.061) and a significantly shorter length of stay in the intensive care unit (3.13 versus 8.27, P=0.029) and in the hospital (15.93 versus 23.17, P=0.01) compared with those who received a thoracostomy.
The clinical outcomes in the patients who received direct VATS were more favorable compared with those of the patients who did not receive direct VATS.
American Psychological Association (APA)
Huang, Wen-Yen& Lu, I-Yin& Yang, Chyan& Chou, Yi-Pin& Lin, Hsing-Lin. 2016. Efficiency Analysis of Direct Video-Assisted Thoracoscopic Surgery in Elderly Patients with Blunt Traumatic Hemothorax without an Initial Thoracostomy. BioMed Research International،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1097416
Modern Language Association (MLA)
Huang, Wen-Yen…[et al.]. Efficiency Analysis of Direct Video-Assisted Thoracoscopic Surgery in Elderly Patients with Blunt Traumatic Hemothorax without an Initial Thoracostomy. BioMed Research International No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1097416
American Medical Association (AMA)
Huang, Wen-Yen& Lu, I-Yin& Yang, Chyan& Chou, Yi-Pin& Lin, Hsing-Lin. Efficiency Analysis of Direct Video-Assisted Thoracoscopic Surgery in Elderly Patients with Blunt Traumatic Hemothorax without an Initial Thoracostomy. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1097416
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1097416