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Published in: World Journal of Surgery 11/2015

01-11-2015 | Original Scientific Report

Tube Thoracostomy: A Structured Review of Case Reports and a Standardized Format for Reporting Complications

Authors: Johnathon M. Aho, Raaj K. Ruparel, Phillip G. Rowse, Rushin D. Brahmbhatt, Donald Jenkins, Mariela Rivera

Published in: World Journal of Surgery | Issue 11/2015

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Abstract

Introduction

Although seemingly straightforward, tube thoracostomy (TT) has been associated with complication rates as high as 30 %. A lack of a standardized nomenclature for reporting TT complications makes comparison and evaluation of reports impossible. We aim to develop a classification method in order to standardize the reporting of complications of TT and identify all reported complications of TT and time course in which they occurred to validate the reporting method.

Methods

A systematic search of MEDLINE, Scopus, EMBASE, and Cochrane Central Register of Controlled Trials and Database of Systematic Reviews from each databases inception through November 5, 2013 was conducted. Original articles written in the English language reporting TT complications were searched. This review adhered to preferred reporting items for systematic reviews and meta-analyses (PRISMA) standards. Duplicate reviewers abstracted case reports for inclusion. Cases were then sorted into one of the five complication categories by two reviewers, and in case of disagreements, settled by a third reviewer.

Results

Of 751 papers reporting TT complications, 124 case reports were included for analysis. From these reports, five main categories of TT complications were identified: insertional (n = 65); positional (n = 36); removal (n = 11); infective and immunologic (n = 7); and instructional, educational, or equipment related (n = 5). Placement of TT has occurred in nearly every soft tissue and vascular structure in the thoracic cavity and intra-abdominal organs.

Conclusion

Our classification method provides further clarity and systematic standardization for reporting TT complications.
Appendix
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Metadata
Title
Tube Thoracostomy: A Structured Review of Case Reports and a Standardized Format for Reporting Complications
Authors
Johnathon M. Aho
Raaj K. Ruparel
Phillip G. Rowse
Rushin D. Brahmbhatt
Donald Jenkins
Mariela Rivera
Publication date
01-11-2015
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 11/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-015-3158-6

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