Spontaneous pneumothorax—When do we need to intervene?
| Autor: | Daphna Vilozni, Ori Efrati, Moshe Ashkenazi, I. Sarouk, Yael Bezalel, Bat El Bar Aluma, Alon Bak, Adi Dagan |
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| Rok vydání: | 2021 |
| Předmět: |
Lung Diseases
Male Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Adolescent Disease 03 medical and health sciences 0302 clinical medicine Recurrence Risk Factors Humans Immunology and Allergy Medicine 030212 general & internal medicine Secondary spontaneous pneumothorax Child Genetics (clinical) Retrospective Studies Asthma business.industry Pneumothorax medicine.disease Natural history Increased risk 030228 respiratory system Lung disease Female business Complication |
| Zdroj: | The Clinical Respiratory Journal. 15:967-972 |
| ISSN: | 1752-699X 1752-6981 |
| Popis: | Background Pneumothorax can be classified as traumatic, iatrogenic or spontaneous (SP), which can be subdivided into primary spontaneous Pneumothorax (PSP) a condition without preexisting lung disease, or secondary spontaneous Pneumothorax (SSP) a complication of a preexisting lung disease. Recurrence rate of PSP is 30% whereas for SSP rate is unknown. This article explores the experience of a tertiary center over 20 years. Methods A retrospective case review of patients hospitalized with pneumothorax to investigate the natural history and treatment of SP in a young population in a single tertiary center was conducted. A search of the digital archive (going back to 01/01/1995) of Sheba Medical Center identified hospitalized patients below the age of 40. Results The database was composed of the records of 750 patients (612 males, 138 females) that were hospitalized. The recurrence risk for SP after non-operative treatment was significantly higher. Women were found to have an increased risk of SSP when having SP (OR 2.78). Asthma was the most prevalent disease causing SSP in young people. Conclusions In this large cohort we found that operative procedure has clear protective effect from recurrence in SP, so surgery should be positively considered when treating SP in hospitalized patients. Among young people and particularly in pediatric patients, when females have a SP, we strongly recommend looking for primary lung disease. More studies are needed to determine the risk factors and produce clear guidelines regarding surgery as first treatment. |
| Databáze: | OpenAIRE |
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