Iatrogenic pneumothorax: etiology, incidence and risk factors
| Autor: | Aydin Nadir, Ekber Şahin, Melih Kaptanoglu, Burçin Çelik |
|---|---|
| Přispěvatelé: | Ondokuz Mayıs Üniversitesi, [Celik, B.] Ondokuz Mayis Univ, Sch Med, Dept Thorac Surg, TR-55139 Kurupelit, Turkey -- [Sahin, E. -- Nadir, A. -- Kaptanoglu, M.] Cumhuriyet Univ, Sch Med, Sivas, Turkey |
| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Catheterization Central Venous Time Factors Adolescent pneumothorax etiology medicine.medical_treatment Iatrogenic Disease Hospital Departments Thoracentesis Risk Assessment Hospitals University Young Adult Risk Factors medicine risk factors Humans Child Aged Retrospective Studies Mechanical ventilation Aged 80 and over business.industry Incidence (epidemiology) Incidence iatrogenic Infant Pneumothorax Retrospective cohort study Middle Aged Thoracic Surgical Procedures medicine.disease Respiration Artificial Surgery Child Preschool incidence Etiology Female Clinical Competence Cardiology and Cardiovascular Medicine Risk assessment business Complication |
| Zdroj: | The Thoracic and cardiovascular surgeon. 57(5) |
| ISSN: | 1439-1902 0002-6921 |
| Popis: | WOS: 000269215800006 PubMed ID: 19629891 Background: We discuss the etiology and incidence of iatrogenic pneumothorax (IPnx) which can develop after invasive procedures performed for diagnostic and/or therapeutic purposes, and the efforts to prevent this complication and its consequences. Methods: The records of patients who were treated for the diagnosis of IPnx between December 1998 and December 2006 were retrospectively reviewed. The patients were evaluated according to their age, gender, the procedure which caused IPnx, the department which performed the procedure, the treatment and its consequences. Results: 12010 invasive procedures were performed in our hospital during the period and 164 patients (1.36%) developed IPnx. Their mean age was 49.27 (range: 8 months -93 years). Of the patients, 101 (61%) were male and 63 (39%) were female. The 56.7% of the invasive procedures which caused IPnx were performed under emergency conditions and 43.3% were performed under elective conditions. In 69 patients (42%) the procedures were performed due to underlying lung diseases and in 95 patients (58%) for diseases other than lung diseases. The most frequent procedure type causing IPnx was central venous catheterization, with 72 patients (43.8%). The other frequent causes were thoracentesis with 33 patients (20.1%) and barotrauma due to mechanical ventilation with 15 patients (9.1%). Conclusion: At training hospitals the incidence of IPnx will increase in parallel to the increase in invasive procedures. Invasive procedures should be performed by experienced personnel or under their supervision when risk factors are involved. |
| Databáze: | OpenAIRE |
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