caa a22 4500 606207155 CHVBK 20210128101015.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10353-015-0333-9 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0333-9 High correlation of lung ultrasound and chest X-ray after tube drainage in patients with primary spontaneous pneumothorax: can we omit X-rays for tube management? [Elektronische Daten] [V. Constantin, A. C. Carap, L. Zaharia, S. Bobic, A. Ciudin, E. Brătilă, V. Vlădăreanu, B. Socea] Summary: Background: Primary spontaneous pneumothorax (PSP) is a common medical condition in the emergency department. Clinically stable patients with large pneumothoraces usually undergo chest tube drainage. During the course of hospital stay, several chest X-rays are ordered at various time points. Because the number of chest X-rays during diagnosis and management of PSP can be quite high and lung ultrasound has a proven efficacy for the assessment of lung re-expansion, we decided to investigate the use of lung ultrasound for the management and decision-making regarding chest drains for PSP. Material and methods: A total of 25 patients with PSP were evaluated. A comparison between chest X-rays and lung ultrasound was made at four different time points during patient hospitalization (T1—immediately after drainage, T2-third or fourth post-drainage day, T3—before chest tube removal, T4—after chest tube removal). The rate of agreement between the two investigations was analyzed, as their result impacts decision-making regarding chest tube management and removal. Results: Overall, positive and negative agreements were high in all time points, except time point 3. Calculated p values using Fisher's and Barnard's test were also good for time points 1, 2, and 4 (< 0.05). Conclusions: For all time points except the third, we can safely reject the null hypothesis, thereby arriving at the conclusion that lung ultrasound can substitute chest X-rays after tube drainage of PSP. Springer-Verlag Wien, 2015 Primary spontaneous pneumothorax nationallicence Lung ultrasonography nationallicence Constantin V. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut Carap A. C. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut Zaharia L. Surgery Department, Sfântul Pantelimon Emergency Clinical Hospital, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut Bobic S. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut Ciudin A. Urology Department, Hospital Clinic, Barcelona, Spain aut Brătilă E. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut Vlădăreanu V. Institute of Solid Mechanics, Bucharest, Romania aut Socea B. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut European Surgery Springer Vienna 47/4(2015-08-01), 175-180 1682-8631 47:4<175 2015 47 10353 https://doi.org/10.1007/s10353-015-0333-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0333-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Constantin V. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut NATIONALLICENCE 700 1- Carap A. C. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut NATIONALLICENCE 700 1- Zaharia L. Surgery Department, Sfântul Pantelimon Emergency Clinical Hospital, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut NATIONALLICENCE 700 1- Bobic S. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut NATIONALLICENCE 700 1- Ciudin A. Urology Department, Hospital Clinic, Barcelona, Spain aut NATIONALLICENCE 700 1- Brătilă E. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut NATIONALLICENCE 700 1- Vlădăreanu V. Institute of Solid Mechanics, Bucharest, Romania aut NATIONALLICENCE 700 1- Socea B. Surgery Department, Carol Davila University of Pharmacy, Pantelimon street, no. 340-342, 1st floor, Bucharest, Romania aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/4(2015-08-01), 175-180 1682-8631 47:4<175 2015 47 10353