Thoracic Ultrasound Utility in Pulmonary Pathologies Following Blunt Chest Trauma: A Cross-Sectional Study From Barcelona, Venezuela.

Autor:	Uzcategui-Gutierrez J; Department of Surgery, Universidad de Oriente, Núcleo Anzoátegui, Barcelona, VEN., Rivero-Moreno Y; Department of Surgery, Universidad de Oriente, Núcleo Anzoátegui, Barcelona, VEN., Mendez-Meneses G; Department of Surgery, Universidad de Oriente, Núcleo Anzoátegui, Barcelona, VEN., Salcedo YE; Department of Surgery, Universidad Iberoamericana, Santo Domingo, DOM., Garcia-Cazorla W; Department of Surgery, Universidad de Cuenca, Cuenca, ECU., Tarabey-Yunis L; Department of Surgery, Universidad Centroccidental Lisandro Alvarado, Lara, VEN., Garcia-Sánchez E; Department of Surgery, Hospital Regional Dr Franco Ravera Zunino, Rancagua, CHL., Machado-Paled D; Department of Surgery, Universidad Católica de Honduras, Tegucigalpa, HND., Estrella-Gaibor C; Department of Surgery, Ministerio de Salud Pública, Hospital Esmeraldas sur Delfina Torres de Concha, Quito, ECU., Rodriguez-Rugel T; Department of Surgery, Universidad Católica de Santiago de Guayaquil, Guayaquil, ECU., Mejías-Caraballo L; Department of Surgery, Universidad de Oriente, Núcleo Anzoátegui, Barcelona, VEN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Apr 03; Vol. 16 (4), pp. e57520. Date of Electronic Publication: 2024 Apr 03 (Print Publication: 2024).
DOI:	10.7759/cureus.57520
Abstrakt:	Background The thoracic ultrasound (TUS) is a monitoring tool that has gained worldwide popularity in various scenarios, offering the opportunity for dynamic, bedside evaluations. Recent studies indicate that the use of TUS enables the diagnosis of pathologies resulting from blunt chest trauma (BCT), yielding favorable outcomes. This study aimed to compare the utility of TUS versus chest radiography (CXR) in diagnosing pulmonary pathologies resulting from closed-chest traumas. Methodology A prospective cross-sectional study was conducted with a sample of 58 patients diagnosed with BCT who sought emergency care at the "Dr. Luis Razetti" University Hospital in Barcelona, Venezuela, from November 2023 to January 2024. Results Of the patients, 75.9% (n = 44) were male, with an average age of 37.8 years (standard deviation = 18.4 years). Injuries were reported in 8.6% (n = 5) of the patients, including 60% (n = 3) pneumothorax and 40% (n = 2) hemothorax. Ultrasound results coincided with CXR in 94.8% (n = 55) of the cases, with a Cohen's kappa coefficient of 0.9 (95% confidence interval (CI) = 0.642-1.0). TUS demonstrated higher sensitivity than CXR (100% vs. 60%) for detecting hemothorax and pneumothorax in patients with BCT, with an area under the receiver operating characteristic curve of 0.991 (95% CI = 0.968-1.013). Conclusions BCT predominantly occurred in young males, resulting primarily in pneumothorax and hemothorax lesions, detectable with higher sensitivity through TUS compared to CXR. The use of TUS should be considered an essential component of the initial assessment for individuals with BCT. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Uzcategui-Gutierrez et al.)
Databáze:	MEDLINE
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