This journal only 2014, Number 4 Neumol Cir Torax 2014; 73 (4) Chest drain in non-surgical thoracic trauma. Experience in a level I trauma center Pérez Cantú-Sacal A, Trueba-Lozano D, García-Esqueda J, Vázquez-Minero JC Full text How to cite this article 10.35366/55377 × DOI DOI: 10.35366/55377 URL: https://dx.doi.org/10.35366/55377 Language: Spanish References: 24 Page: 229-235 PDF size: 684.93 Kb. Key words: Chest drain, chest trauma, pneumothorax, hemothorax. ABSTRACT Introduction: One third of thoracic injuries require hospitalization and the insertion of a chest drain is the only invasive procedure needed most of the times ( › 85%). Between 7.6-30% of patients undergoing this procedure experience some complication. Material and methods: A retrospective, descriptive, observational study was conducted at the Central Hospital of the Mexican Red Cross with the review of the records of all patients admitted during the period of February 2007 to December 2013 with history of blunt or penetrating trauma and whose injuries required the insertion of a chest drain. Results: 812 patients were included —758 men and 54 women—, between 18-45 years old; 68 had history of blunt chest trauma and 744 of penetrating trauma. The frequency of the injuries that were considered as an indication to insert a chest drain was: 206 pneumothorax, 249 hemothorax and 357 hemopneumothorax. The average dwelling time of the drains was 4.53 days and there were 13 (1.60%) complications recorded, 8 residual pneumothorax needing drain reinsertion and 5 retained hemothorax requiring thoracotomy for resolution. Discussion: Thoracic injuries predominated among males with a ratio of 14:1, most (91.62%) with penetrating mechanism. 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