دورية أكاديمية
Validation of the 35-mm rule in traumatic pneumothorax in an Asian population.
| العنوان: | Validation of the 35-mm rule in traumatic pneumothorax in an Asian population. |
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| المؤلفون: | Nho WY; Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea.; Regional Trauma Center, Kyungpook National University Hospital, Daegu, South Korea. |
| المصدر: | Postgraduate medicine [Postgrad Med] 2024 Jan; Vol. 136 (1), pp. 60-66. Date of Electronic Publication: 2024 Feb 06. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 0401147 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-9260 (Electronic) Linking ISSN: 00325481 NLM ISO Abbreviation: Postgrad Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : London : Informa Healthcare Original Publication: New York : Vendome Group, -2006 |
| مواضيع طبية MeSH: | Pneumothorax*/etiology , Pneumothorax*/complications , Thoracic Injuries*/complications , Thoracic Injuries*/diagnostic imaging, Humans ; Thoracostomy/adverse effects ; Thoracostomy/methods ; Tomography, X-Ray Computed ; Retrospective Studies |
| مستخلص: | Objectives: Thoracic injury crucially threatens human health. Recent studies have suggested using computed tomography (CT) to observe traumatic pneumothorax (PTX). However, cross-ethnic validation is required to overcome potential barriers for the global application of this method. This study aimed to validate the 35-mm rule in traumatic PTX in a Korean population. Methods: Data from the institutional registry were analyzed, and chest CT images were reviewed. Factors for observation failure were evaluated via logistic regression analysis, and a receiver-operating curve was created to calculate the optimal cutoff value. Results: In total, 286 participants were included in this study. The average PTX size was 8.2 (3.2-26.5) mm, and 210 of 213 (95.3%) initially observed patients with a PTX size of ≤35 mm successfully completed the safety observation. Multivariate regression analysis revealed that a PTX size of >35 mm is associated with observation failure and suggested a cutoff of 24.5 mm. Conclusion: Most patients with traumatic PTX of ≤35 mm on CT had undergone successful 4-h observation without thoracostomy. Additionally, PTX of >35 mm was an independent risk factor for observation failure. Considering the lower optimal cutoff value and high failure rates observed in this study, the current guidelines need modifications. |
| فهرسة مساهمة: | Keywords: South Korea; Thoracic injury; chest trauma; trauma center; traumatic pneumothorax |
| تواريخ الأحداث: | Date Created: 20240131 Date Completed: 20240307 Latest Revision: 20240307 |
| رمز التحديث: | 20240307 |
| DOI: | 10.1080/00325481.2024.2313449 |
| PMID: | 38294228 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1941-9260 |
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| DOI: | 10.1080/00325481.2024.2313449 |