Clinical prediction rule for delayed hemothorax after minor thoracic injury: a multicentre derivation and validation study.

ABSTRACT:

Background

About 75% of patients with minor thoracic injury are discharged after an emergency department visit. However, complications such as delayed hemothorax can occur. We sought to derive and validate a clinical decision rule to predict hemothorax in patients discharged from the emergency department.

Methods

We conducted a 6-year prospective cohort study in 4 university-affiliated emergency departments. Patients aged 16 years or older presenting with a minor thoracic injury were assessed at 5 time points (initial visit and 7, 14, 30 and 90 d after the injury). Radiologists' reports were reviewed for the presence of hemothorax. We used log-binomial regression models to identify predictors of hemothorax.

Results

A total of 1382 patients were included: 830 in the de

SUBMITTER: Emond M 

PROVIDER: S-EPMC5498437 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature