{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:47:06Z","timestamp":1785739626137,"version":"3.56.0"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":213,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp;amp; Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>It remains controversial whether the lateral or the anterior approach is optimal for chest tube insertion in patients with traumatic pneumothorax (PTH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate the incidence of functional malpositioning of chest tubes inserted via the lateral versus anterior approach in patients with traumatic pneumothorax (PTH) and\/or hemopneumothorax (HPTH), with or without a preceding CT examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a two\u2010center, retrospective, observational study of consecutive patients treated with a chest tube for traumatic PTH\/HPTH between August 2012 and September 2021. Patients were divided into two groups according to the presence or absence of CT examination before chest tube insertion: CT(+) or CT(\u2212) group. In each group, the risk of functional malpositioning was compared between the lateral and anterior approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 388 patients, 271 patients were analyzed. The CT(+) group comprised 200 (74%) patients, while the CT(\u2212) group comprised 71 (26%) patients. The adjusted odds ratio of functional malpositioning with the lateral approach was 1.38 (95% confidence interval 0.64\u20132.98,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.41) in the CT(+) group and 9.24 (95% confidence interval 1.49\u201357.50,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) in the CT(\u2212) group. There was a trend suggesting that the risk of functional malposition of chest tubes associated with the lateral approach, compared with the anterior approach, was modified by the presence or absence of a preceding CT examination (\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sub>interaction<\/jats:sub>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The occurrence of functional malpositioning of the chest tube in patients with traumatic PTH\/HPTH was higher with the lateral approach in patients without a preceding CT examination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ams2.70154","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:22:29Z","timestamp":1785738149000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Preceding Chest\n                    <scp>CT<\/scp>\n                    on Functional Malpositioning of Chest Tubes in Traumatic Pneumothorax and Hemopneumothorax"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8431-292X","authenticated-orcid":false,"given":"Yuki","family":"Mitani","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2342-7245","authenticated-orcid":false,"given":"Mitsuaki","family":"Nishikimi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"},{"name":"Crisis Medical Center Hiroshima University Hospital  Hiroshima Japan"},{"name":"Department of Emergency and Critical Care Medicine Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9661-3693","authenticated-orcid":false,"given":"Junki","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2559-6440","authenticated-orcid":false,"given":"Michihito","family":"Kyo","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"},{"name":"Department of Radiation Disaster Medicine, Research Institute for Radiation Biology and Medicine Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5295-2407","authenticated-orcid":false,"given":"Satoshi","family":"Yamaga","sequence":"additional","affiliation":[{"name":"Center for Immunology and Inflammation The Feinstein Institutes for Medical Research  Manhasset New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1119-3322","authenticated-orcid":false,"given":"Shinichiro","family":"Ohshimo","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9113-6151","authenticated-orcid":false,"given":"Nobuaki","family":"Shime","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Trauma","author":"Mattox K. L.","year":"2021"},{"key":"e_1_2_12_3_1","volume-title":"Advanced Trauma Life Support (ATLS) for Doctors; Student Course Manual","author":"Trauma ACoSCo","year":"2018"},{"issue":"1","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.ajem.2014.10.042","article-title":"Chest Tube Insertion Direction: Is It Always Necessary to Insert a Chest Tube Posteriorly in Primary Trauma Care?","volume":"33","author":"Matsumoto S.","year":"2015","journal-title":"American Journal of Emergency Medicine"},{"issue":"2","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/TA.0000000000000479","article-title":"Does Chest Tube Location Matter? An Analysis of Chest Tube Position and the Need for Secondary Interventions","volume":"78","author":"Benns M. V.","year":"2015","journal-title":"Journal of Trauma and Acute Care Surgery"},{"issue":"2","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.resuscitation.2006.06.038","article-title":"Emergency Chest Tube Placement in Trauma Care \u2010 Which Approach Is Preferable?","volume":"72","author":"Huber\u2010Wagner S.","year":"2007","journal-title":"Resuscitation"},{"issue":"2","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamasurg.2019.5085","article-title":"Association of Prehospital Plasma Transfusion With Survival in Trauma Patients With Hemorrhagic Shock When Transport Times Are Longer Than 20 Minutes: A Post Hoc Analysis of the PAMPer and COMBAT Clinical Trials","volume":"155","author":"Pusateri A. 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N.","year":"2016","journal-title":"PLoS One"},{"issue":"12","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"184","DOI":"10.4329\/wjr.v10.i12.184","article-title":"Management of Computed Tomography Scan Detected Hemothorax in Blunt Chest Trauma: What Computed Tomography Scan Measurements Say?","volume":"10","author":"Malekpour M.","year":"2018","journal-title":"World Journal of Radiology"},{"issue":"3","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1097\/00005373-199903000-00003","article-title":"Prospective Randomized Trial of Thoracostomy Removal Algorithms","volume":"46","author":"Martino K.","year":"1999","journal-title":"Journal of Trauma"},{"issue":"7","key":"e_1_2_12_11_1","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1177\/0003134820956343","article-title":"Outcomes in Delayed Drainage of Hemothorax","volume":"87","author":"Weaver J. L.","year":"2021","journal-title":"American Surgeon"}],"container-title":["Acute Medicine &amp; Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.70154","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ams2.70154","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.70154","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:22:32Z","timestamp":1785738152000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.70154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ams2.70154"],"URL":"https:\/\/doi.org\/10.1002\/ams2.70154","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"value":"2052-8817","type":"print"},{"value":"2052-8817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-07-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70154"}}