The outcome and risk factors for recurrence and extended hospitalization of secondary spontaneous pneumothorax
| Autor: | Yohei Suzuki, Ryo Demura, Hideki Kawai, Yoshitaro Saito |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Mediastinal Shift Pulmonary disease 030204 cardiovascular system & hematology Pulmonary Disease Chronic Obstructive 03 medical and health sciences 0302 clinical medicine Recurrence Risk Factors Surgical oncology medicine Humans Secondary spontaneous pneumothorax Significant risk Aged Retrospective Studies Aged 80 and over Emphysema Hyperbaric Oxygenation business.industry Pneumothorax General Medicine Odds ratio Length of Stay Middle Aged Prognosis Confidence interval Surgery Hospitalization 030228 respiratory system Multivariate Analysis Female Radiography Thoracic Lung Diseases Interstitial business |
| Zdroj: | Surgery Today. 48:320-324 |
| ISSN: | 1436-2813 0941-1291 |
| Popis: | Secondary spontaneous pneumothorax (SSP) is difficult to treat by itself and due to its association with serious underlying diseases. It has a high rate of recurrence and often requires extended hospitalization. Therefore, we evaluated the outcome and risk factors associated with recurrence and extended hospitalization. We retrospectively examined 61 patients with SSP, and evaluated the patients’ characteristics, underlying diseases, introduction of home oxygen therapy, Brinkman index, and X-ray imaging findings to determine the risk factors for recurrence and extended hospitalization. There were 28 patients (46.0%) with chronic obstructive pulmonary disease, 8 (13.1%) with interstitial pneumonia, 16 (26.2%) with massive emphysema, and 9 (14.8%) with other diseases. Adhesion and mediastinal shift visualized by X-ray imaging were observed in 37 (37.9%) and 25 patients (40.1%), respectively. Recurrence occurred in 25 patients (40.9%) and the average hospitalization duration was 14.5 days (±11.2). A multivariate analysis showed that adhesion on X-ray imaging was a significant risk factor for recurrence (odds ratio 4.90, 95% confidence interval 1.38–21.44) and mediastinal shift on X-ray imaging was a significant risk factor for extended hospitalization (odds ratio 6.05, 95% confidence interval 1.44–31.06). Findings from X-ray imaging, and not underlying diseases, are risk factors for recurrence and extended hospitalization. |
| Databáze: | OpenAIRE |
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