{
  "abstract": "Background: Blunt chest trauma is common, but reported management practices may differ across clinical settings. This international cross-sectional survey evaluated self-reported practice patterns in the diagnosis and management of blunt chest trauma. Methods: We distributed a self-administered web-based questionnaire to healthcare professionals involved in chest trauma care between November 2024 and August 2025. Responses were analyzed descriptively, and exploratory comparisons were performed between Italian respondents and respondents from other participating countries. Results: A total of 509 responses were included, comprising 225 Italian and 284 international respondents. Within the participating sample, differences between Italian respondents and respondents from other participating countries were observed in institutional protocol availability, diagnostic imaging choices, pain management organization, adjunctive therapies, and factors guiding rib-fracture management. Greater consistency was observed in chest tube placement and escalation of respiratory support. Conclusions: Substantial heterogeneity in self-reported blunt chest trauma management was observed among participating clinicians, particularly regarding institutional protocols, diagnostic strategies, pain management, adjunctive therapies, and rib-fracture management. Greater consistency was observed in core interventions such as chest tube placement and escalation of respiratory support. Given the voluntary sampling strategy and unequal geographic representation, these findings should be interpreted as patterns within the participating sample rather than as representative estimates of national or global practice.",
  "abstract_shown": true,
  "affiliations": [
    "Emergency Surgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20141 Milan, Italy",
    "Intensive Care Unit and ECMO Center, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy",
    "International School of Doctorate, EIDUM, University of Murcia, 30100 Murcia, Spain",
    "Intensive Care Unit, Hospital Morales Meseguer NIV-ICU Group, Biomedical Research Institute Pascual Parrilla–IMIB, 30008 Murcia, Spain",
    "Pediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, Italy",
    "Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20141 Milan, Italy",
    "Department of Thoracic Surgery, Ibni Sina Hospital, Ankara University School of Medicine, Ankara 06230, Turkey",
    "Department of Neurorehabilitation Sciences, Casa di Cura Igea, 20144 Milan, Italy",
    "Department of Traumatology, University Clinical Center Ljubljana, 1000 Ljubljana, Slovenia",
    "Department of Anesthesiology and Critical Care, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt",
    "Respiratory Therapy Department, 22 May Hospital, Sana’a, Yemen",
    "Mexican Society of Pulmonology and Thoracic Surgery, Mexico City 03810, Mexico",
    "Kasr Al Ainy School of Medicine, Cairo University, Cairo 11562, Egypt",
    "Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow 226010, India",
    "Inflammatory Lung Disease Research Center, Department of Internal Medicine, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht 41448-95655, Iran",
    "Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran 19569-44413, Iran",
    "Respiratory Medicine Unit, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy",
    "Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, Italy",
    "Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, Italy",
    "Department of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy",
    "Respiratory Medicine Unit, AOU Policlinico “G. Rodolico–San Marco”, 95124 Catania, Italy",
    "Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20141 Milan, Italy",
    "SC Rianimazione e Anestesia, ASST Ovest Milanese, Ospedale Civile di Legnano, 20025 Legnano, MI, Italy",
    "Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, Italy",
    "Pediatric Allergy and Respiratory Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, Italy",
    "Respiratory Pathophysiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy",
    "Department of Translational Medical Sciences, Federico II University, 80131 Naples, Italy",
    "Division of Pulmonary, Critical Care and Sleep Medicine, Northwell Health, New York, NY 11040, USA",
    "Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA",
    "Department of Health Sciences, University of Milan, 20122 Milan, Italy",
    "Respiratory Unit and Department of Organ Failure and Transplantation, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy"
  ],
  "article_type": "research article",
  "arxiv": null,
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        0
      ],
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      "orcid": "0000-0003-0838-964X"
    },
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        1,
        2
      ],
      "name": "Salvatore Notaro",
      "orcid": "0000-0001-5966-2891"
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        3
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      "name": "Antonio M. Esquinas",
      "orcid": "0000-0003-0571-2050"
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        4
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      "name": "Marina Attanasi",
      "orcid": "0000-0001-6513-3160"
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      "name": "Michela Leone"
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        6
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      "name": "Yusuf Kahya",
      "orcid": "0000-0002-0766-7946"
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      ],
      "name": "Giulia Michela Pellegrino"
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      "name": "Matjaž Groznik",
      "orcid": "0000-0003-1828-5166"
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        9
      ],
      "name": "Adel Mohamad Alansary"
    },
    {
      "affs": [
        10
      ],
      "name": "Abdullah Ali Al-Bishari"
    },
    {
      "affs": [
        11
      ],
      "name": "Jose Luis Sandoval Gutierrez"
    },
    {
      "affs": [
        12
      ],
      "name": "Mostafa Elshazly",
      "orcid": "0000-0002-5965-7619"
    },
    {
      "affs": [
        13
      ],
      "name": "Sanjay Singhal",
      "orcid": "0000-0003-0786-9107"
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    {
      "affs": [
        14,
        15
      ],
      "name": "Mohsen Sadeghi"
    },
    {
      "affs": [
        16
      ],
      "name": "Federico Raimondi"
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    {
      "affs": [
        17,
        18
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      "name": "Emanuele Voulaz",
      "orcid": "0000-0002-9091-6797"
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    {
      "affs": [
        19,
        20
      ],
      "name": "Claudia Crimi",
      "orcid": "0000-0002-9088-5214"
    },
    {
      "affs": [
        21
      ],
      "name": "Marianna Porzio"
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        22
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      "name": "Michele Umbrello",
      "orcid": "0000-0003-4356-3543"
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        23,
        24
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      "name": "Daniele Russo",
      "orcid": "0000-0002-6740-4558"
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    {
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        0
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      "name": "Hayato Kurihara",
      "orcid": "0000-0002-8826-9631"
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    {
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        25,
        26
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      "name": "Giuseppe Fiorentino"
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    {
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        27,
        28
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      "name": "Bushra Mina",
      "orcid": "0000-0001-8796-9591"
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    {
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        30
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      "name": "Fabiano Di Marco",
      "orcid": "0000-0002-1743-0504"
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    {
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        6
      ],
      "name": "Giuseppe Francesco Sferrazza Papa",
      "orcid": "0000-0002-5245-4843"
    },
    {
      "name": "on behalf of the Chest Trauma Study"
    }
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  "doi": "10.3390/jcm15197668",
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  "licence_label": "CC BY",
  "licence_source": "article",
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  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13666495/pdf/?tool=EBI",
  "pmcid": "PMC13666495",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/3zh50h9pwtsjc.ris",
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  "subjects": [
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      "origin": "openalex:2746|Trauma Management and Diagnosis",
      "subfield": "surgery"
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  "title": "Heterogeneity in Self-Reported Management of Blunt Chest Trauma: An International Cross-Sectional Survey",
  "title_text": "Heterogeneity in Self-Reported Management of Blunt Chest Trauma: An International Cross-Sectional Survey",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:00Z",
  "url": "https://research.draconitic.com/paper/3zh50h9pwtsjc",
  "venue": "Journal of clinical medicine",
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