Health Condition 1: S272- Traumatic hemopneumothorax Health Condition 2: S224- Multiple fractures of ribs Health Condition 3: S229- Fracture of bony thorax, part unspecified Health Condition 4: S270- Traumatic pneumothorax Health Condition 5: S271- Traumatic hemothorax Health Condition 6: S273- Other and unspecified injuries oflung Health Condition 7: S222- Fracture of sternum Health Condition 8: S225- Flail chest
Conditions
Interventions
Intervention1: No Serial Chest Radiographs: After confirmation of ICD placement by chest radiograph these patients will have no further follow up X-rays for monitoring and chest x-ray will be ordered
Sponsors
Dr Piyush Khatkar
Dr Pratyusha Priyadarshini
Eligibility
Inclusion criteria
Inclusion criteria: Patients of all ages and genders with thoracic trauma reporting to our trauma centre and requiring chest tube placement as decided by trauma surgery team will be enrolled
Exclusion criteria
Exclusion criteria: Patients meeting following exclusion criteria will be excluded: 1) placed on mechanical ventilator within 24hrs of arrival 2) requiring ICU admission 3) who were in a state of cardiopulmonary arrest on arrival and died within 24hrs of arrival 4) requiring thoracotomy within first 48hrs of admission 5) with known history of any pulmonary disease 6) with coagulopathy or any history of current use of antiplatelet or anticoagulant therapy 7) with immunocompromised state 8) who have not consented for the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of complications requiring an additional intervention in the form of ICD/pigtail insertion / streptokinase instillation / intrapleural saline irrigation / VATS / thoracotomyTimepoint: 30 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of Chest X-rays doneTimepoint: 30 days;Duration of chest tubeTimepoint: 30 days;Duration of length of hospital stayTimepoint: 30 days;Readmission rates on follow upTimepoint: 30 days | — |
Countries
India
Contacts
Public ContactDr Pratyusha Priyadharshini
Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi
Outcome results
None listed