Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma
Background. Video-assisted thoracoscopic surgery (VATS) has been shown to be an accurate method for identifying diaphragmatic injuries (DIs). The purpose of this investigation was to establish specific indications for the use of VATS after penetrating chest trauma. Methods. A retrospective review of...
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| Veröffentlicht in: | The Annals of thoracic surgery 2001-08, Vol.72 (2), p.342-347 |
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| creator | Freeman, Richard K Al-Dossari, Ghanam Hutcheson, Kelley A Huber, Lynn Jessen, Michael E Meyer, Dan M Wait, Michael A DiMaio, J.Michael |
| description | Background. Video-assisted thoracoscopic surgery (VATS) has been shown to be an accurate method for identifying diaphragmatic injuries (DIs). The purpose of this investigation was to establish specific indications for the use of VATS after penetrating chest trauma.
Methods. A retrospective review of all patients undergoing VATS after penetrating chest trauma at a level 1 trauma center over an 8-year period was performed. Logistic regression was used in an attempt to identify independent predictors of DI.
Results. One hundred seventy-one patients underwent VATS assessment of a hemidiaphragm, and 60 patients (35%) were found to have a DI. Five independent risk factors for DI were identified from analyzing the patient records: abnormal chest radiograph, associated intraabdominal injuries, high-velocity mechanism of injury, entrance wound inferior to the nipple line or scapula, and right-sided entrance wound.
Conclusions. In the largest published series of patients undergoing VATS to exclude a DI, this review identifies five independent predictors of DI after penetrating chest trauma. A diagnostic algorithm incorporating these five factors was designed with the goal of reducing the number of unrecognized DIs after penetrating chest trauma by using VATS for patients at greatest risk for such injuries. |
| doi_str_mv | 10.1016/S0003-4975(01)02803-X |
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Methods. A retrospective review of all patients undergoing VATS after penetrating chest trauma at a level 1 trauma center over an 8-year period was performed. Logistic regression was used in an attempt to identify independent predictors of DI.
Results. One hundred seventy-one patients underwent VATS assessment of a hemidiaphragm, and 60 patients (35%) were found to have a DI. Five independent risk factors for DI were identified from analyzing the patient records: abnormal chest radiograph, associated intraabdominal injuries, high-velocity mechanism of injury, entrance wound inferior to the nipple line or scapula, and right-sided entrance wound.
Conclusions. In the largest published series of patients undergoing VATS to exclude a DI, this review identifies five independent predictors of DI after penetrating chest trauma. A diagnostic algorithm incorporating these five factors was designed with the goal of reducing the number of unrecognized DIs after penetrating chest trauma by using VATS for patients at greatest risk for such injuries.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(01)02803-X</identifier><identifier>PMID: 11515863</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Diaphragm - injuries ; Diaphragm - surgery ; Female ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Retrospective Studies ; Risk Factors ; Thoracic Injuries - diagnosis ; Thoracic Injuries - surgery ; Thoracic Surgery, Video-Assisted ; Wounds, Gunshot - diagnosis ; Wounds, Gunshot - surgery ; Wounds, Penetrating - diagnosis ; Wounds, Penetrating - surgery ; Wounds, Stab - diagnosis ; Wounds, Stab - surgery</subject><ispartof>The Annals of thoracic surgery, 2001-08, Vol.72 (2), p.342-347</ispartof><rights>2001 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-21ca4cfe0332a6c58233139d8dc103454336ca32635f85f2a2f58cdd099521043</citedby><cites>FETCH-LOGICAL-c462t-21ca4cfe0332a6c58233139d8dc103454336ca32635f85f2a2f58cdd099521043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S000349750102803X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11515863$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Freeman, Richard K</creatorcontrib><creatorcontrib>Al-Dossari, Ghanam</creatorcontrib><creatorcontrib>Hutcheson, Kelley A</creatorcontrib><creatorcontrib>Huber, Lynn</creatorcontrib><creatorcontrib>Jessen, Michael E</creatorcontrib><creatorcontrib>Meyer, Dan M</creatorcontrib><creatorcontrib>Wait, Michael A</creatorcontrib><creatorcontrib>DiMaio, J.Michael</creatorcontrib><title>Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background. Video-assisted thoracoscopic surgery (VATS) has been shown to be an accurate method for identifying diaphragmatic injuries (DIs). The purpose of this investigation was to establish specific indications for the use of VATS after penetrating chest trauma.
Methods. A retrospective review of all patients undergoing VATS after penetrating chest trauma at a level 1 trauma center over an 8-year period was performed. Logistic regression was used in an attempt to identify independent predictors of DI.
Results. One hundred seventy-one patients underwent VATS assessment of a hemidiaphragm, and 60 patients (35%) were found to have a DI. Five independent risk factors for DI were identified from analyzing the patient records: abnormal chest radiograph, associated intraabdominal injuries, high-velocity mechanism of injury, entrance wound inferior to the nipple line or scapula, and right-sided entrance wound.
Conclusions. In the largest published series of patients undergoing VATS to exclude a DI, this review identifies five independent predictors of DI after penetrating chest trauma. A diagnostic algorithm incorporating these five factors was designed with the goal of reducing the number of unrecognized DIs after penetrating chest trauma by using VATS for patients at greatest risk for such injuries.</description><subject>Adult</subject><subject>Diaphragm - injuries</subject><subject>Diaphragm - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Thoracic Injuries - diagnosis</subject><subject>Thoracic Injuries - surgery</subject><subject>Thoracic Surgery, Video-Assisted</subject><subject>Wounds, Gunshot - diagnosis</subject><subject>Wounds, Gunshot - surgery</subject><subject>Wounds, Penetrating - diagnosis</subject><subject>Wounds, Penetrating - surgery</subject><subject>Wounds, Stab - diagnosis</subject><subject>Wounds, Stab - surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEFv1DAQhS1ERbeFnwDyCcEhxWPHaXJCVQWlUiUOgNSbZcaTXVebOHiSSpX64-vtruDIyX6aN-9pPiHegjoDBc2nH0opU9Xduf2g4KPSbVG3L8QKrNVVo233Uqz-Wo7FCfNdkbqMX4ljAAu2bcxKPF6PIaKfYxpZ9inLheO4lvcxUKo8c-SZgpw3KXtMjGmKKHnJa8oPck4yRL8eE9PuM22yXw8lCmUc75YciaXvZ8pyopHmXCYlGTfEsyxqGfxrcdT7LdObw3sqfn398vPyW3Xz_er68uKmwrrRc6UBfY09KWO0b9C22hgwXWgDgjK1rY1p0BvdGNu3ttde97bFEFTXWQ2qNqfi_T53yunPUvrdEBlpu_UjpYXdOQDozkIx2r0Rc2LO1Lspx8HnBwfK7bC7Z-xux9QpcM_Y3W3Ze3coWH4PFP5tHTgXw-e9gcqZ95GyY4w0IoWYCWcXUvxPxRN2RJSe</recordid><startdate>20010801</startdate><enddate>20010801</enddate><creator>Freeman, Richard K</creator><creator>Al-Dossari, Ghanam</creator><creator>Hutcheson, Kelley A</creator><creator>Huber, Lynn</creator><creator>Jessen, Michael E</creator><creator>Meyer, Dan M</creator><creator>Wait, Michael A</creator><creator>DiMaio, J.Michael</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010801</creationdate><title>Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma</title><author>Freeman, Richard K ; Al-Dossari, Ghanam ; Hutcheson, Kelley A ; Huber, Lynn ; Jessen, Michael E ; Meyer, Dan M ; Wait, Michael A ; DiMaio, J.Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-21ca4cfe0332a6c58233139d8dc103454336ca32635f85f2a2f58cdd099521043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Diaphragm - injuries</topic><topic>Diaphragm - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Thoracic Injuries - diagnosis</topic><topic>Thoracic Injuries - surgery</topic><topic>Thoracic Surgery, Video-Assisted</topic><topic>Wounds, Gunshot - diagnosis</topic><topic>Wounds, Gunshot - surgery</topic><topic>Wounds, Penetrating - diagnosis</topic><topic>Wounds, Penetrating - surgery</topic><topic>Wounds, Stab - diagnosis</topic><topic>Wounds, Stab - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Freeman, Richard K</creatorcontrib><creatorcontrib>Al-Dossari, Ghanam</creatorcontrib><creatorcontrib>Hutcheson, Kelley A</creatorcontrib><creatorcontrib>Huber, Lynn</creatorcontrib><creatorcontrib>Jessen, Michael E</creatorcontrib><creatorcontrib>Meyer, Dan M</creatorcontrib><creatorcontrib>Wait, Michael A</creatorcontrib><creatorcontrib>DiMaio, J.Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Freeman, Richard K</au><au>Al-Dossari, Ghanam</au><au>Hutcheson, Kelley A</au><au>Huber, Lynn</au><au>Jessen, Michael E</au><au>Meyer, Dan M</au><au>Wait, Michael A</au><au>DiMaio, J.Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>72</volume><issue>2</issue><spage>342</spage><epage>347</epage><pages>342-347</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Background. Video-assisted thoracoscopic surgery (VATS) has been shown to be an accurate method for identifying diaphragmatic injuries (DIs). The purpose of this investigation was to establish specific indications for the use of VATS after penetrating chest trauma.
Methods. A retrospective review of all patients undergoing VATS after penetrating chest trauma at a level 1 trauma center over an 8-year period was performed. Logistic regression was used in an attempt to identify independent predictors of DI.
Results. One hundred seventy-one patients underwent VATS assessment of a hemidiaphragm, and 60 patients (35%) were found to have a DI. Five independent risk factors for DI were identified from analyzing the patient records: abnormal chest radiograph, associated intraabdominal injuries, high-velocity mechanism of injury, entrance wound inferior to the nipple line or scapula, and right-sided entrance wound.
Conclusions. In the largest published series of patients undergoing VATS to exclude a DI, this review identifies five independent predictors of DI after penetrating chest trauma. A diagnostic algorithm incorporating these five factors was designed with the goal of reducing the number of unrecognized DIs after penetrating chest trauma by using VATS for patients at greatest risk for such injuries.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>11515863</pmid><doi>10.1016/S0003-4975(01)02803-X</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Diaphragm - injuries Diaphragm - surgery Female Humans Male Middle Aged Predictive Value of Tests Retrospective Studies Risk Factors Thoracic Injuries - diagnosis Thoracic Injuries - surgery Thoracic Surgery, Video-Assisted Wounds, Gunshot - diagnosis Wounds, Gunshot - surgery Wounds, Penetrating - diagnosis Wounds, Penetrating - surgery Wounds, Stab - diagnosis Wounds, Stab - surgery |
| title | Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma |
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