Comparison of Chest X-ray and Clinical Findings in Trauma Patients after Chest Tube RemovalCorrespondence Address :
Assistant Professor, Department of Surgery, Poursina Medical and Educational Center, Guilan University of Medical Sciences, Rasht, Iran.
Introduction: Selective omission of Chest X-ray (CXR) after chest tube removal in asymptomatic patients has an important role in reduction of the consequences of unnecessary radiographies.
Aim: The aim of this study was to compare CXR and clinical findings in traumatic patients after chest tube removal.
Materials and Methods: This was a cross-sectional descriptive study on 130 trauma patients, who required a chest tube. CXR were obtained from all patients after four hours following chest tube removal and were studied by a radiologist. Clinical signs and symptoms were monitored and recorded and compared together. The correlation between CXR findings and clinical findings were analysed and compared with statistical tests.
Results: Among 116 patients with normal CXR, no patient needed an intervention and among 14 patients with abnormal CXR, 5 (35.7%) patients required an intervention, with the difference being statistically significant. Correlation percentage among CXR results and need for an intervention was 50% (Kappa=0.5, p<0.001), and among clinical manifestation and need for an intervention was 79% (Kappa=0.79, p<0.001).
Conclusion: It seems that taking a routine CXR in asymptomatic patients is not economically affordable and can cause unnecessary diagnosis and consequently can lead to unnecessary interventions.
Chest tubes, Haemothorax, Injuries, Pneumothorax, Radiography, Wounds
Ramyar Farzan, Reza Shojaee, Afrooz Haghdoost, Mohammadreza Mobayen. COMPARISON OF CHEST X-RAY AND CLINICAL FINDINGS IN TRAUMA PATIENTS AFTER CHEST TUBE REMOVAL. Journal of Clinical and Diagnostic Research [serial online] 2018 July [cited: 2018 Jul 17 ]; 12:PC19-PC21. Available from
Date of Submission: Jul 29, 2017
Date of Peer Review: Oct 10, 2017
Date of Acceptance: May 21, 2018
Date of Publishing: Jul 01, 2018
FINANCIAL OR OTHER COMPETING INTERESTS: NONE.
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