{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:55:41Z","timestamp":1777938941700,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,6,23]],"date-time":"2019-06-23T00:00:00Z","timestamp":1561248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>The purpose of this study was to describe the frequency and types of complications after tube thoracostomy among all patients treated with tube thoracostomy for both traumatic and non-traumatic indications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>Retrospective register-based study of patients treated with tube thoracostomy between the years 2004 and 2014 in a university hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, 1808 patients who had undergone tube thoracostomy were identified, complete data on tube thoracostomy treatment was available for 1169 patients. A total of 233 (19.9%) patients had 289 complications, 284 (98.3%) were positional resulting in tube malfunction. In 84 (7.2%) patients, malposition of the tube resulted in need for non-urgent operative treatment. There were 103 in-hospital deaths, but none due to tube thoracostomy complications. Empyema as a treatment indication was more frequent in patients with complications (15.9% vs 6.8%, p &lt; 0.001) as was diabetes (21.9% vs 13.2%, p = 0.001). The likelihood of complications was lower with CH16 tubes (odds ratio 0.22, p &lt; 0.001) and higher in diabetics (odds ratio 1.86, p = 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Tube thoracostomy is a common procedure and complications occur in 19.9% of patients. Serious complications caused by the chest tube placement, however, are extremely rare. Complications were most common in patients treated for empyema and diabetics. Small CH16 tubes were associated with a lower incidence of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496919857262","type":"journal-article","created":{"date-parts":[[2019,6,24]],"date-time":"2019-06-24T01:59:27Z","timestamp":1561341567000},"page":"314-319","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Complications related to tube thoracostomy in Southwest Finland hospital district between 2004 and 2014"],"prefix":"10.1177","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3400-2659","authenticated-orcid":false,"given":"V. A.","family":"Vilkki","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Turku, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M.","family":"Gunn","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Turku, Turku, Finland"},{"name":"Heart Centre, Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,23]]},"reference":[{"key":"bibr1-1457496919857262","unstructured":"Walcott-Sapp S: A history of thoracic drainage: From ancient Greeks to wound sucking drummers to digital monitoring, 2018. Available at: https:\/\/www.ctsnet.org\/article\/history-thoracic-drainage-ancient-greeks-wound-sucking-drummers-digital-monitoring"},{"key":"bibr2-1457496919857262","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.134182"},{"issue":"6","key":"bibr3-1457496919857262","first-page":"450","volume":"50","author":"Ball CG","year":"2007","journal-title":"Can J Surg"},{"key":"bibr4-1457496919857262","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(80)90107-5"},{"key":"bibr5-1457496919857262","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1995.01430050071012"},{"key":"bibr6-1457496919857262","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001840"},{"key":"bibr7-1457496919857262","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3158-6"},{"key":"bibr8-1457496919857262","unstructured":"Statistics Finland. 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