Risk factors for recurrent spontaneous pneumothorax: A population level analysis
| Autor: | Douglas J. Mathisen, David C. Chang, Michael Lanuti, Brooks V. Udelsman, Ashok Muniappan |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Discharge data Population level Cohort Studies 03 medical and health sciences 0302 clinical medicine Primary outcome Recurrence Risk Factors Internal medicine medicine Humans In patient Recurrent pneumothorax 030212 general & internal medicine Pleurodesis Proportional hazards model business.industry Pneumothorax General Medicine respiratory system medicine.disease respiratory tract diseases surgical procedures operative 030228 respiratory system Surgery business Cohort study |
| Zdroj: | The American Journal of Surgery. 223:404-409 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2021.05.017 |
| Popis: | We sought to determine the rate and risk factors of recurrent spontaneous pneumothorax in a diverse population.Cohort study using the California Public Discharge Data file (1995-2010). We identified patients with first-time spontaneous pneumothorax. The primary outcome was recurrent pneumothorax. Associations with clinical, patient, and hospital characteristics were assessed using Cox regression analysis.Among 14,609 patients with a first-time episode of spontaneous pneumothorax, 26.2% developed a recurrence. Risk factors included age35 (Hazard Ratio [HR] 1.24 95%-Confidence Interval [CI] 1.14-1.36), Asian race (HR 1.24, CI 1.13-1.37), and tube thoracostomy (HR 1.2, CI 1.15-1.31). Mechancial pleurodesis (HR 0.37 CI 0.31-0.45) was superior to chemical pleurodesis (HR 0.71 CI 0.58-0.86) in reducing recurrence risk.The risk of recurrent pneumothorax is greatest in patients age35, Asians, and those requiring a tube thoracostomy. The risks of operative intervention should be balanced against patient risk for recurrence. |
| Databáze: | OpenAIRE |
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