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Peer-reviewedCC BYJournal of clinical medicine

Heterogeneity in Self-Reported Management of Blunt Chest Trauma: An International Cross-Sectional Survey

  • Matteo Cimino1
  • Salvatore Notaro2,3
  • Antonio M. Esquinas4
  • Marina Attanasi5
  • Michela Leone6
  • Yusuf Kahya7
  • Giulia Michela Pellegrino8
  • Matjaž Groznik9
  • Adel Mohamad Alansary10
  • Abdullah Ali Al-Bishari11
  • Jose Luis Sandoval Gutierrez12
  • Mostafa Elshazly13
14 more authors
  • Sanjay Singhal14
  • Mohsen Sadeghi15,16
  • Federico Raimondi17
  • Emanuele Voulaz18,19
  • Claudia Crimi20,21
  • Marianna Porzio22
  • Michele Umbrello23
  • Daniele Russo24,25
  • Hayato Kurihara1
  • Giuseppe Fiorentino26,27
  • Bushra Mina28,29
  • Fabiano Di Marco30,31
  • Giuseppe Francesco Sferrazza Papa7
  • on behalf of the Chest Trauma Study
31 affiliations
  1. 1Emergency Surgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20141 Milan, Italy
  2. 2Intensive Care Unit and ECMO Center, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy
  3. 3International School of Doctorate, EIDUM, University of Murcia, 30100 Murcia, Spain
  4. 4Intensive Care Unit, Hospital Morales Meseguer NIV-ICU Group, Biomedical Research Institute Pascual Parrilla–IMIB, 30008 Murcia, Spain
  5. 5Pediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, Italy
  6. 6Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20141 Milan, Italy
  7. 7Department of Thoracic Surgery, Ibni Sina Hospital, Ankara University School of Medicine, Ankara 06230, Turkey
  8. 8Department of Neurorehabilitation Sciences, Casa di Cura Igea, 20144 Milan, Italy
  9. 9Department of Traumatology, University Clinical Center Ljubljana, 1000 Ljubljana, Slovenia
  10. 10Department of Anesthesiology and Critical Care, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt
  11. 11Respiratory Therapy Department, 22 May Hospital, Sana’a, Yemen
  12. 12Mexican Society of Pulmonology and Thoracic Surgery, Mexico City 03810, Mexico
  13. 13Kasr Al Ainy School of Medicine, Cairo University, Cairo 11562, Egypt
  14. 14Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow 226010, India
  15. 15Inflammatory Lung Disease Research Center, Department of Internal Medicine, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht 41448-95655, Iran
  16. 16Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran 19569-44413, Iran
  17. 17Respiratory Medicine Unit, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy
  18. 18Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, Italy
  19. 19Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, Italy
  20. 20Department of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy
  21. 21Respiratory Medicine Unit, AOU Policlinico “G. Rodolico–San Marco”, 95124 Catania, Italy
  22. 22Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20141 Milan, Italy
  23. 23SC Rianimazione e Anestesia, ASST Ovest Milanese, Ospedale Civile di Legnano, 20025 Legnano, MI, Italy
  24. 24Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, Italy
  25. 25Pediatric Allergy and Respiratory Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, Italy
  26. 26Respiratory Pathophysiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy
  27. 27Department of Translational Medical Sciences, Federico II University, 80131 Naples, Italy
  28. 28Division of Pulmonary, Critical Care and Sleep Medicine, Northwell Health, New York, NY 11040, USA
  29. 29Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA
  30. 30Department of Health Sciences, University of Milan, 20122 Milan, Italy
  31. 31Respiratory Unit and Department of Organ Failure and Transplantation, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy
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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.

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Cite

BibTeXRIS
BibTeX
@article{cimino2026heterogeneity,
  title = {{Heterogeneity in Self-Reported Management of Blunt Chest Trauma: An International Cross-Sectional Survey}},
  author = {Matteo Cimino and Salvatore Notaro and Antonio M. Esquinas and Marina Attanasi and Michela Leone and Yusuf Kahya and Giulia Michela Pellegrino and Matjaž Groznik and Adel Mohamad Alansary and Abdullah Ali Al-Bishari and Jose Luis Sandoval Gutierrez and Mostafa Elshazly and Sanjay Singhal and Mohsen Sadeghi and Federico Raimondi and Emanuele Voulaz and Claudia Crimi and Marianna Porzio and Michele Umbrello and Daniele Russo and Hayato Kurihara and Giuseppe Fiorentino and Bushra Mina and Fabiano Di Marco and Giuseppe Francesco Sferrazza Papa and on behalf of the Chest Trauma Study},
  journal = {Journal of clinical medicine},
  year = {2026},
  month = oct,
  doi = {10.3390/jcm15197668},
  url = {https://europepmc.org/article/PMC/PMC13666495},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Heterogeneity in Self-Reported Management of Blunt Chest Trauma: An International Cross-Sectional Survey
AU  - Matteo Cimino
AU  - Salvatore Notaro
AU  - Antonio M. Esquinas
AU  - Marina Attanasi
AU  - Michela Leone
AU  - Yusuf Kahya
AU  - Giulia Michela Pellegrino
AU  - Matjaž Groznik
AU  - Adel Mohamad Alansary
AU  - Abdullah Ali Al-Bishari
AU  - Jose Luis Sandoval Gutierrez
AU  - Mostafa Elshazly
AU  - Sanjay Singhal
AU  - Mohsen Sadeghi
AU  - Federico Raimondi
AU  - Emanuele Voulaz
AU  - Claudia Crimi
AU  - Marianna Porzio
AU  - Michele Umbrello
AU  - Daniele Russo
AU  - Hayato Kurihara
AU  - Giuseppe Fiorentino
AU  - Bushra Mina
AU  - Fabiano Di Marco
AU  - Giuseppe Francesco Sferrazza Papa
AU  - on behalf of the Chest Trauma Study
PY  - 2026
DA  - 2026/10/01
JO  - Journal of clinical medicine
DO  - 10.3390/jcm15197668
UR  - https://europepmc.org/article/PMC/PMC13666495
AB  - 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.
SN  - 2077-0383
ER  -