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Incidence and management of occult hemothoraces.

Publication ,  Journal Article
Stafford, RE; Linn, J; Washington, L
Published in: Am J Surg
December 2006

BACKGROUND: Little is known about the incidence of and associated management outcomes of occult hemothorax in blunt trauma patients. The increased use of computed thoracic tomography for the evaluation of the multiply injured blunt trauma patient has led to an increase in the identification of these hemothoraces and management dilemmas. METHODS: A retrospective review of blunt trauma patients with occult hemothoraces was performed. Patients were divided into 2 groups: chest tube versus no chest tube. Outcomes and complications for the 2 groups were defined. Data included demographics, Injury Severity Score, length of stay, need for mechanical ventilation and thoracic consult, pneumonia, and empyema. The size of the occult hemothorax was measured on the computed thoracic tomography. RESULTS: Eighty-eight patients (21.4%) had a total of 107 occult hemothoraces. Patients in the chest tube group were more likely to have a higher Injury Severity Score and an associated occult pneumothorax and to have smaller hemothoraces. CONCLUSIONS: Occult pneumothoraces occur in a significant proportion of the multiply injured blunt trauma population. Small, isolated, occult hemothoraces can be managed safely in the stable patient.

Duke Scholars

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

December 2006

Volume

192

Issue

6

Start / End Page

722 / 726

Location

United States

Related Subject Headings

  • Wounds, Nonpenetrating
  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Thoracostomy
  • Surgery
  • Retrospective Studies
  • Pneumothorax
  • Middle Aged
  • Male
  • Incidence
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Stafford, R. E., Linn, J., & Washington, L. (2006). Incidence and management of occult hemothoraces. Am J Surg, 192(6), 722–726. https://doi.org/10.1016/j.amjsurg.2006.08.033
Stafford, Renae E., John Linn, and Lacey Washington. “Incidence and management of occult hemothoraces.Am J Surg 192, no. 6 (December 2006): 722–26. https://doi.org/10.1016/j.amjsurg.2006.08.033.
Stafford RE, Linn J, Washington L. Incidence and management of occult hemothoraces. Am J Surg. 2006 Dec;192(6):722–6.
Stafford, Renae E., et al. “Incidence and management of occult hemothoraces.Am J Surg, vol. 192, no. 6, Dec. 2006, pp. 722–26. Pubmed, doi:10.1016/j.amjsurg.2006.08.033.
Stafford RE, Linn J, Washington L. Incidence and management of occult hemothoraces. Am J Surg. 2006 Dec;192(6):722–726.
Journal cover image

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

December 2006

Volume

192

Issue

6

Start / End Page

722 / 726

Location

United States

Related Subject Headings

  • Wounds, Nonpenetrating
  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Thoracostomy
  • Surgery
  • Retrospective Studies
  • Pneumothorax
  • Middle Aged
  • Male
  • Incidence