{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T01:44:34Z","timestamp":1793670274859,"version":"4.5.1"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T00:00:00Z","timestamp":1609977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T00:00:00Z","timestamp":1609977600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T00:00:00Z","timestamp":1609977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Traditional management of traumatic hemothorax\/hemopneumothorax (HTX\/HPTX) has been insertion of large\u2010bore 32\u201340 French (Fr) chest tubes (CTs). Retrospective studies have shown 14Fr percutaneous pigtail catheters (PCs) are equally effective as CTs. Our aim was to compare effectiveness between PCs and CTs by performing the first randomized controlled trial (RCT). We hypothesize PCs work equally as well as CTs in management of traumatic HTX\/HPTX.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective RCT comparing 14Fr PCs to 28\u201332Fr CTs for management of traumatic HTX\/HPTX from 07\/2015 to 01\/2018. We excluded patients requiring emergency tube placement or who refused. Primary outcome was failure rate defined as retained HTX or recurrent PTX requiring additional intervention. Secondary outcomes included initial output (IO), tube days and insertion perception experience (IPE) score on a scale of 1\u20135 (1\u2009=\u2009tolerable experience, 5\u2009=\u2009worst experience). Unpaired Student's <jats:italic>t<\/jats:italic>\u2010test, chi\u2010square and Wilcoxon rank\u2010sum test were utilized with significance set at <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010three patients were enrolled. Baseline characteristics between PC patients (<jats:italic>N<\/jats:italic>\u2009=\u200920) and CT patients (<jats:italic>N<\/jats:italic>\u2009=\u200923) were similar. Failure rates (10% PCs vs. 17% CTs, <jats:italic>P<\/jats:italic>\u2009=\u20090.49) between cohorts were similar. IO (median, 650\u00a0milliliters[ml]; interquartile range[IR], 375\u20131087; for PCs vs. 400\u00a0ml; IR, 240\u2013700; for CTs, <jats:italic>P<\/jats:italic>\u2009=\u20090.06), and tube duration was similar, but PC patients reported lower IPE scores (median, 1, \u201cI can tolerate it\u201d; IR, 1\u20132) than CT patients (median, 3, \u201cIt was a bad experience\u201d; IR, 3\u20134, <jats:italic>P<\/jats:italic>\u2009=\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In patients with traumatic HTX\/HPTX, 14Fr PCs were equally as effective as 28\u201332Fr CTs with no significant difference in failure rates. PC patients, however, reported a better insertion experience.<\/jats:p><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.ClinicalTrials.gov\">www.ClinicalTrials.gov<\/jats:ext-link> Registration ID: NCT02553434<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05852-0","type":"journal-article","created":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T22:17:28Z","timestamp":1610057848000},"page":"880-886","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Randomized Clinical Trial of 14\u2010French (14F) Pigtail Catheters <i>versus<\/i> 28\u201332F Chest Tubes in the Management of Patients with Traumatic Hemothorax and Hemopneumothorax"],"prefix":"10.1002","volume":"45","author":[{"given":"Zachary M.","family":"Bauman","sequence":"first","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Nebraska Omaha NE USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narong","family":"Kulvatunyou","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Arizona 1501 N. Campbell Ave., Room 5411, PO Box 245063 85724\u20105063 Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bellal","family":"Joseph","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Arizona 1501 N. Campbell Ave., Room 5411, PO Box 245063 85724\u20105063 Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Gries","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Arizona 1501 N. Campbell Ave., Room 5411, PO Box 245063 85724\u20105063 Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terence","family":"O'Keeffe","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Arizona 1501 N. Campbell Ave., Room 5411, PO Box 245063 85724\u20105063 Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew L.","family":"Tang","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery University of Arizona 1501 N. Campbell Ave., Room 5411, PO Box 245063 85724\u20105063 Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Surgery New York Medical College Valhalla NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,7]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Advanced trauma life support for doctors: student course manual","author":"American College of Surgeons Committee of Trauma","year":"2012"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(97)00082\u20109"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010017\u20104168\u20103"},{"key":"e_1_2_8_5_1","first-page":"468","volume-title":"Trauma","author":"Dubose JA","year":"2013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103158\u20106"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31822dd130"},{"issue":"3","key":"e_1_2_8_8_1","first-page":"292","article-title":"Efficacy of percutaneous pigtail catheters for thoracostomy at bedside","volume":"4","author":"Aziz F","year":"2012","journal-title":"J Thorac Dis"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2009.04.041"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9377"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2018.01.048"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318271c1c7"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318242e368"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182452444"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.06.021"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/021849230601400311"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000693"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.02.028"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31820b5c31"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010010\u20100064\u20103"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05852-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-020-05852-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05852-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-020-05852-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T16:16:36Z","timestamp":1703348196000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-020-05852-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,7]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1007\/s00268-020-05852-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-020-05852-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,7]]},"assertion":[{"value":"23 October 2020","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"No authors have any conflicts of interest or funding to disclose at this time. No source of funding was utilized for this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}