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We hypothesized that CXRs obtained following removal of pigtail chest tubes would not change management.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients\u2009&lt;\u200918\u00a0years old with pigtail chest tubes placed 2014\u20132019 at a tertiary children\u2019s hospital were reviewed. Exclusion criteria were age\u2009&lt;\u20091\u00a0month, death or transfer with a chest tube in place, or pigtail chest tube replacement by large-bore chest tube. The primary outcome was chest tube reinsertion.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>111 patients underwent 123 pigtail chest tube insertions; 12 patients had bilateral chest tubes. The median age was 5.8\u00a0years old. Indications were pneumothorax (<jats:italic>n<\/jats:italic>\u2009=\u200953), pleural effusion (<jats:italic>n<\/jats:italic>\u2009=\u200954), chylothorax (<jats:italic>n<\/jats:italic>\u2009=\u20096), empyema (<jats:italic>n<\/jats:italic>\u2009=\u20095), and hemothorax (<jats:italic>n<\/jats:italic>\u2009=\u20093). Post-pull CXRs were obtained in 121\/123 cases (98.4%). The two children without post-pull CXRs did not require chest tube reinsertion. Two patients required chest tube reinsertion (1.6%), both for re-accumulation of their chylothorax.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Post-pull chest X-rays are done nearly universally following pigtail chest tube removal but rarely change management. Providers should obtain post-pull imaging based on symptoms and underlying diagnosis, with higher suspicion for recurrence in children with chylothorax.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00383-021-04951-w","type":"journal-article","created":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T19:03:31Z","timestamp":1624647811000},"page":"1447-1451","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Routine chest X-rays after pigtail chest tube removal rarely change management in children"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0365-3053","authenticated-orcid":false,"given":"Christina M.","family":"Theodorou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mennatalla S.","family":"Hegazi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hope Nicole","family":"Moore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alana L.","family":"Beres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,25]]},"reference":[{"key":"4951_CR1","first-page":"1","volume":"12","author":"J Strutt","year":"2015","unstructured":"Strutt J, Kharbanda A (2015) Pediatric chest tubes and pigtails: an evidence-based approach to the management of pleural space diseases. 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