Clinical Study

Outcome of Concurrent Occult Hemothorax and Pneumothorax in Trauma Patients Who Required Assisted Ventilation

Table 1

Comparison of patients with chest tube versus no-chest tube.

Overall No-chest tube Chest tube value
( = 56) = 41 (%) = 15 (%)

Age (mean ± SD)35.8 ± 12.936 ± 12.735.3 ± 14.10.85
Males . (%)55 (98.2)41 (100%)14 (93.3)0.09
Mechanism of injury . (%)0.13
 Motor vehicle crash25 (44.6)20 (48.8)5 (33.3)
 Fall from height16 (26.8)13 (31.7)3 (20)
 Pedestrian10 (17.9)6 (14.6)4 (26.7)
 Stab1 (1.8)1 (2.4)0 (0)
 Other4 (7.1)1 (2.4)3 (20)
Lung contusion . (%)47 (83.9)33 (80.5)14 (93.3)0.25
Number of fractured ribs (median; range)4 (1–7)4 (1–6)4 (1–7)0.59
Hemothorax thickness (median; range)10 (1–40)9 (1–21)13 (1–40)0.04
Pneumothorax thickness (median; range)10.5 (2–80)10 (2–70)12 (2–80)0.12
Injury severity score (mean ± SD)24.4 ± 8.724.3 ± 9.524.9 ± 6.50.79
Chest AIS (mean ± SD)3 ± 2.72.98 ± 0.272.93 ± 0.250.60
Surgical procedures*. (%)19 (33.9)17 (41.5)2 (13.3)0.04
Ventilatory days (median; range)3 (1–21)2 (1–21)6 (1–20)0.02
Hospital length of stay (median; range)18 (3–90)17 (3–90)18 (5–90)0.42
Ventilator-associated pneumonia . (%)16 (28.6)12 (29.3)4 (26.7)0.84
Acute Respiratory Distress Syndrome . (%)9 (16.1)3 (7.3)6 (40)0.003
Mortality . (%)4 (7.1)2 (4.9)2 (13.3)0.28

Orthopedic, maxillofacial, or neurosurgery.