{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:47:25Z","timestamp":1790898445185,"version":"4.1.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2013,12,1]],"date-time":"2013-12-01T00:00:00Z","timestamp":1385856000000},"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":["Respir Care"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Prolonged chest tube duration is less well studied in patients who are supported by mechanical ventilation and have acquired pneumothorax. We investigated the impact of prolonged chest tube duration on patient outcomes and the risk factors associated with prolonged chest tube duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This retrospective observational study included 106 ventilated subjects who had been treated with thoracostomy for pneumothorax between May 2004 and December 2011. We analyzed 61 subjects and 63 events. The subjects were divided into a prolonged chest tube duration group (&gt; 18 d) and a non-prolonged group (\u2264 18 d).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Subjects with prolonged chest tube duration had significantly higher ICU mortality (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .006), longer ICU stay (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001), longer hospitalization (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .004), longer mechanical ventilation after development of pneumothorax (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .003), higher maximum peak inspiratory pressure (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .03), and a higher rate of surgical emphysema (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .009). High peak inspiratory pressure and surgical emphysema remained independent predictors of prolonged chest tube duration after multivariate logistic regression analysis. The probability of chest tube removal within 28 days was significantly lower in subjects with both high peak inspiratory pressure and surgical emphysema, compared to subjects without any risk factors (log rank\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>High peak inspiratory pressure and surgical emphysema are independent predictors of prolonged chest tube duration and negatively impact clinical outcomes in this patient group. These findings may provide information for better chest tube management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.02273","type":"journal-article","created":{"date-parts":[[2013,5,8]],"date-time":"2013-05-08T04:16:39Z","timestamp":1367986599000},"page":"2093-2100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact and Predictors of Prolonged Chest Tube Duration in Mechanically Ventilated Patients with Acquired Pneumothorax"],"prefix":"10.1177","volume":"58","author":[{"given":"Jiann-Hwa","family":"Kao","sequence":"first","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsin-Kuo","family":"Kao","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yen-Wen","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Kuang","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng-Wei","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia-Horng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Te-Cheng","family":"Lien","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Ing","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Taipei Veterans General Hospital, Taipei, Taiwan"},{"name":"Institute of Physiology and the Institute of Emergency and Critical Care Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Ru","family":"Kou","sequence":"additional","affiliation":[{"name":"Institute of Physiology and the Institute of Emergency and Critical Care Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,12,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-1691"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0885066602239120"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00063198-200307000-00006"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-6-39"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2009.087759"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1843.2001.00317.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)00055-E"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/emj.17.2.111"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(97)90127-3"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2010.01913.x"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2009.01.033"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2006.04.006"},{"issue":"4","key":"e_1_3_3_14_2","first-page":"818","article-title":"Impact of positive pressure ventilation on thoracostomy tube removal","volume":"68","author":"Tawil I","year":"2010","unstructured":"Tawil I, , Gonda JM, , King RD, , Marinaro JL, , Crandall CS. Impact of positive pressure ventilation on thoracostomy tube removal. J Trauma, 2010; 68(4):818-821.","journal-title":"J Trauma"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200104000-00013"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.2.678"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.58.suppl_2.ii39"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-197503000-00004"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313481207800824"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.2.590"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1984.00350190143024"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.144.5.901"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-2897-4-12"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(97)80271-1"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.73.871.11089474"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.02273","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.02273","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.02273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:07:18Z","timestamp":1777615638000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.02273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.4187\/respcare.02273"],"URL":"https:\/\/doi.org\/10.4187\/respcare.02273","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2013,12]]}}}