{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:31:41Z","timestamp":1762867901885,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Critical Care Research and Practice"],"published-print":{"date-parts":[[2019,9,2]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. An occult pneumothorax is identified by computed tomography but not visualized by a plain film chest X-ray. The optimal management remains unclear.<jats:italic>Methods<\/jats:italic>. A retrospective review of an urban level I trauma center\u2019s trauma registry was conducted to identify patients with occult pneumothorax over a 2-year period. Factors predictive of chest tube placement were identified using univariate and multivariate logistic regression analysis.<jats:italic>Results<\/jats:italic>. A total of 131 patients were identified, of whom 100 were managed expectantly with an initial period of observation. Ultimately, 42 (32.0%) patients received chest tubes and 89 did not. The patients who received chest tubes had larger pneumothoraces at initial assessment, a higher incidence of rib fractures, and an increased average number of rib fractures, of which significantly more were displaced.<jats:italic>Conclusions<\/jats:italic>. Displaced rib fractures and moderate-sized pneumothoraces are significant factors associated with chest tube placement in a victim of blunt trauma with occult pneumothorax. The optimal timing for the first follow-up chest X-ray remains unclear.<\/jats:p>","DOI":"10.1155\/2019\/9274697","type":"journal-article","created":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T23:31:45Z","timestamp":1567467105000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Factors Associated with Chest Tube Placement in Blunt Trauma Patients with an Occult Pneumothorax"],"prefix":"10.1155","volume":"2019","author":[{"given":"Michael","family":"Paplawski","sequence":"first","affiliation":[{"name":"Department of Surgery, Nassau University Medical Center, East Meadow, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6382-482X","authenticated-orcid":true,"given":"Swapna","family":"Munnangi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nassau University Medical Center, East Meadow, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jody C.","family":"Digiacomo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nassau University Medical Center, East Meadow, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edwin","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nassau University Medical Center, East Meadow, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Modica","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of South Florida Morsani School of Medicine, Tampa, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawndeep S.","family":"Tung","sequence":"additional","affiliation":[{"name":"Banner MD Anderson Cancer Center, Sun City West, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Ko","sequence":"additional","affiliation":[{"name":"Doctors Center, Bridgeport, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0b013e3181f6f525"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-2897-4-12"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000174663.46453.86"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0b013e318213f727"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2015.06.003"},{"key":"6","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1177\/000313481007601008","volume":"76","year":"2010","journal-title":"The American Surgeon"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1148\/rg.286085510"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198204000-00005"},{"key":"9","first-page":"249","volume":"175","year":"1992","journal-title":"Surgery, Gynecology & Obstetrics"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivu397"},{"issue":"10","key":"11","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1177\/000313480807401016","volume":"74","year":"2008","journal-title":"The American Surgeon"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2010.04.017"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-012-0210-1"},{"issue":"4","key":"14","first-page":"257","volume":"173","year":"1991","journal-title":"Surgery, Gynecology & Obstetrics"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.141.5.919"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.143.5.987"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.183.1.1549671"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2017074"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.04.005"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1308\/003588414x14055925061559"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1269837"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-016-0645-x"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2015.01.010"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.04.030"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0b013e3182827158"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199906000-00001"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/859130"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-017-0368-y"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1097\/01.mej.0000228439.87286.ed"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.oa.12.02212"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.04.009"}],"container-title":["Critical Care Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ccrp\/2019\/9274697.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ccrp\/2019\/9274697.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ccrp\/2019\/9274697.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T00:03:44Z","timestamp":1610928224000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ccrp\/2019\/9274697\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,2]]},"references-count":31,"alternative-id":["9274697","9274697"],"URL":"https:\/\/doi.org\/10.1155\/2019\/9274697","relation":{},"ISSN":["2090-1305","2090-1313"],"issn-type":[{"type":"print","value":"2090-1305"},{"type":"electronic","value":"2090-1313"}],"subject":[],"published":{"date-parts":[[2019,9,2]]}}}