Is a Chest Radiograph After Thoracostomy Tube Removal Necessary? A Cost-Effective Analysis

Worldwide traumatic injury costs an estimated $518 billion [1]. With thoracic injury occurring in approximately 60% of polytrauma patients [2] and penetrating thoracic injuries accounting for up to 13% of trauma admissions [3], thoracic injury represents a significant economic impact on the healthcare system. Pneumothorax (PTX) and hemothorax (HTX) are common pathologies in thoracic trauma patients. The placement of a thoracostomy tube (TT) to evacuate the chest following these injuries has been used since World War II and the Korean war [4], remaining the standard of care for evacuation and initial management of most traumatic hemothoraces and pneumothoraces (HPTX).
Source: Injury - Category: Orthopaedics Authors: Source Type: research