KASMEJ
Kastamonu Medical Journal

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

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Original Article
Is routine chest X-ray necessary after thorax tube removal?
Abstract
Aims: The aim of our study was to investigate whether routine control chest radiography is necessary after chest tube removal.
Methods: The study was conducted on patients with chest tube insertion at Kastamonu Training and Research Hospital. It was designed as a retrospective and descriptive study. Patients who had a chest tube inserted between the ages of 18 and 90, from 2017 and 2022, were included in the study. In the patients included in the study, abnormal findings observed in the control X-Ray after the chest tube removal, repeated X-Ray and computed tomography images, additional hospitalization periods, and additional medical procedures, if any, were determined. The findings obtained were discussed in light of the current literature and the necessity of control X-Ray application.
Results: A total of 351 patients who had chest tubes inserted during the specified dates were evaluated. 177 patients [126 men (71.1%), 51 women (28.9%)] were included in the study. Repeat X-Rays were required in 18 (10.1%) patients. Additional CT was required in only 3 (1.7%) patients. Of the 177 patients included, 160 (90.4%) did not require additional hospitalization. Additional hospitalization and clinical follow-up were performed in 17 patients. None of the 177 patients required additional intervention.
Conclusion: Our study showed that routine control X-Rays are not necessary after chest tube removal. We recommend that control X-Rays be reserved for symptomatic patients only.

Keywords : Pneumothorax, X-Ray, chest tube

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1. Miller KS, Sahn SA. Chest tubes. Indications, technique, management and complications. Chest. 1987;91(2):258-264. doi:10.1378/chest.91.2.258
2. Kinney MR, Kirchhoff KT, Puntillo KA. Chest tube removal practices in critical care units in the United States. Am J Crit Care. 1995;4(6):419-424.
3. Zukowski M, Haas A, Schaefer EW, et al. Are routine chest radiographs after chest tube removal in thoracic surgery patients necessary? J Surg Res. 2022;276:160-167. doi:10.1016/j.jss.2022.02.046
4. Beattie G, Cohan CM, Chomsky-Higgins K, Tang A, Senekjian L, Victorino GP. Is a chest radiograph after thoracostomy tube removal necessary? A cost-effective analysis. Injury. 2020;51(11):2493-2499. doi: 10.1016/j.injury.2020.07.055
5. Adrales G, Huynh T, Broering B, et al. A thoracostomy tube guideline improves management efficiency in trauma patients. J Trauma. 2002; 52(2):210-216. doi:10.1097/00005373-200202000-00002
6. Worede F, Elsingergy M, Ferrigno S, Cahill AM, Acord MR. Impact of routine chest radiographs after removal of pigtail chest tubes placed by pediatric interventional radiology. Pediatr Radiol. 2022;52(5):971-976. doi:10.1007/s00247-021-05265-8
7. Goodman MD, Huber NL, Johannigman JA, Pritts TA. Omission of routine chest X-Ray after chest tube removal is safe in selected trauma patients. Am J Surg. 2010;199(2):199-203. doi:10.1016/j.amjsurg.2009.03. 011
8. McGrath E, Ranstrom L, Lajoie D, McGlynn L, Mooney D. Is a chest radiograph required after removal of chest tubes in children? J Pediatr Health Care. 2017;31(5):588-593. doi:10.1016/j.pedhc.2017.04.014
9. Heidel JS, Miller J, Donovan E, et al. Routine chest radiography after thoracostomy tube removal and during postoperative follow-up is not necessary after lung resection. J Thorac Cardiovasc Surg. 2024;167(2):517-525.e2. doi:10.1016/j.jtcvs.2023.05.017
10. Kwiatt M, Tarbox A, Seamon MJ, et al. Thoracostomy tubes: a comprehensive review of complications and related topics. Int J Crit Illn Inj Sci. 2014;4(2):143-155. doi:10.4103/2229-5151.134182
11. Soon YQA, Tan KWA, Kumar L, Pua U. Is routine chest radiography necessary after ultrasonography-guided catheter thoracostomy? Singapore Med J. 2021;62(1):16-19. doi:10.11622/smedj.2019154
12. Kingma BF, Marges OM, Van Hillegersberg R, Ruurda JP. Routine chest X-Rays after the removal of chest tubes are not necessary following esophagectomy. J Thorac Dis. 2019;11(Suppl 5):S799-S804. doi:10.21037/jtd.2018.12.74
Article available in :
Volume 5, Issue 1, 2025
Page : 1-3
https://doi.org/10.51271/KMJ-0173
Article Information
Received : 10 Ağu 2024
Accepted : 25 Eyl 2024
Published : 04 Mar 2025
Corresponding Author :

İsmail Dal: Department of Thoracic Surgery, Faculty of Medicine, Kastamonu University, Kastamonu, Turkiye

[email protected]
Citation : Dal İ, Ece B. Is routine chest X-Ray necessary after thorax tube removal? Kastamonu Med J. 2025;5(1):1-3.

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