Background Hemothorax is most commonly resulted from a closed chest trauma, while a tube thoracostomy (TT) is usually the ﬁrst procedure attempted to treat it. However, TT may lead to unexpected results and complications in some cases. The advantage of thoracic ultrasound (TUS) over a physical examination combined with chest radio- graph (CXR) for diagnosing hemothorax has been proposed previously. However, its beneﬁts in terms of avoiding non-therapeutic TT have not yet been conﬁrmed. Therefore, this study is aimed to evaluate the severity of hemothorax in blunt chest trauma patients by using TUS in order to avoid non-therapeutic TT in stable cases. Methods The data from 46,036 consecutive patient visits to our trauma center over a four-year period were collected, and those with blunt chest trauma were identiﬁed. Patients who met any of the following criteria were excluded: transferred from another facility, with an abbreviated injury scale (AIS) score C 2 for any region except the chest region, with a documented ﬁnding of tension pneumothorax or pneumothorax [10%, younger than 16 years old and with indications requiring any non-thoracic major operation. The decision to perform TT for those patients in the non-TUS group was made on the basis of
World Journal of Surgery – Springer Journals
Published: Jan 5, 2018
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