Characteristics of Neonatal Pneumothorax in Saudi Arabia: Three Years’ Experience

Matary, Abdulrahman Al; Munshi, Humariya H; Abozaid, Sameh; Qaraqei, Mostafa; Wani, Tariq Ahmad; Abu-Shaheen, Amani

doi:10.5001/omj.2017.24

Cited by 19 publications

(30 citation statements)

References 13 publications

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“…NP in our patients, mostly occurred in the second day of life, which corresponded with literature (11). Mechanical ventilation increases incidence of neonatal pneumothorax, referring NP in ventilated neonates from 2-4% (12, 14) to nearly 25% (15), and commonly it is about 10% of total ventilated neonates (16, 17). In our study, from total 604 intensively treated neonates, 265 of them required mechanical ventilation, whereas 8 of them had a pneumothorax (3%).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors and Outcome of Neonatal Pneumothorax in Tuzla Canton

et al. 2019

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Aim: The aim of this study was to analyze risk factors and outcome of neonatal pneumothorax in Tuzla Canton. Methods: Neonates with chest X-ray confirmed pneumothorax in University Clinical Center of Tuzla, within a three-year period, from January 2015 to December 2017, were retrospectively studied. Participants were evaluated for baseline characteristics, predisposing factors of neonatal pneumothorax, accompanying disorders and mortality. Results: During the observed three-year period 11425 neonates were born in Tuzla Canton, with 7.33 % of preterm births, and 604 neonates were treated in NICU, with 265 neonates who required mechanical ventilation. Neonatal pneumothorax (NP) was diagnosed in 22 patients (9 term, 13 preterm), 12 (54.5%) were male. The incidence was 0.20% of total births, respectively 3.64% of those treated in NICU. The mean gestational age were 35.1 ± 3.0 weeks and birth weight 2 506.8 ± 727.7 grams. NP was mostly unilateral (72.7%) and right-sided. The most commonly associated diseases were: respiratory distress syndrome, intracranial haemorrhage, pneumonia, transient tachypnea and sepsis. In 8 (36.4%) neonates, the underlying cause of NP could be mechanical ventilation (secondary), whereas in 14 (63.6%) NP was spontaneous, without previous mechanical ventilation, although 11 of them required mechanical ventilation after pneumothorax. Conclusion: All perinatal risk factors were investigate, and significant differences in two observed groups related to mechanical ventilation were found for birth weight, gestational age, Caesarean section, length of mechanical ventilation, surfactant replacement therapy and outcome. Three (13.64%) neonates with NP died, and among risk factors with poor outcome, significant was only Apgar score in the first minute ≤ 5.

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Section: Discussionmentioning

confidence: 99%

Risk Factors and Outcome of Neonatal Pneumothorax in Tuzla Canton

et al. 2019

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“…Apiliogullari et al reported that aggregate mortality was as high as 30% in PTX patients while survivors also had an increased rate of bronchopulmonary dysplasia (4.28x vs. controls) 9 . Therefore, early and accurate diagnosis followed by adequate treatment is imperative 3,4,5,6,7,8,9,10,11,12,13,14 . Lately, less expensive US imaging systems have become readily available, and non-ionizing, fast, and repeatable LUS represents an ideal tool for the diagnosis of neonatal PTX.…”

Section: Introductionmentioning

confidence: 99%

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Liu¹,

Kurepa

Feletti

et al. 2020

JoVE

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Pneumothorax (PTX) represents accumulation of the air in the pleural space. A large or tension pneumothorax can collapse the lung and cause hemodynamic compromise, a life-threatening disorder. Traditionally, neonatal pneumothorax diagnosis has been based on clinical images, auscultation, transillumination, and chest X-ray findings. This approach may potentially lead to a delay in both diagnosis and treatment. The use of lung US in diagnosis of PTX together with US-guided thoracentesis results in earlier and more precise management. The recommendations presented in this publication are aimed at improving the application of lung US in guiding neonatal PTX diagnosis and management.

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“…Previous studies have noted that the rate of chest drainage was 59% and factors potentially influencing the need for drainage were nasal continuous positive airway pressure treatment, oxygen treatment, maximal oxygen percentage, and mechanical ventilation (3). Similarly, Al Matary et al (4) reported 86 neonatal pneumothorax, and concluded that needle aspiration, chest tube insertion, and ventilator support should be considered if the patient presents with respiratory distress and poor blood gas changes. However, Kitsommart et al (5) reported a case series in which massive pneumothorax with mediastinal shift was successfully managed without chest drainage.…”

Section: Introductionmentioning

confidence: 99%

Predictors of chest drainage of pneumothorax in neonates

Tan

Zhan

Geng³

et al. 2020

Braz J Med Biol Res

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This is a retrospective, single-center observational study to explore the predictors of chest drainage for neonatal pneumothorax. A total of 183 neonates (age p28 days) who presented to the Children's Hospital of Soochow University between January 1, 2015 and December 31, 2018 for pneumothorax or developed pneumothorax during a hospital stay were included. Demographic data, clinical presentation, and imaging characteristics of neonatal pneumothorax were collected and analyzed. We used univariate and multivariate logistic regression analyses to determine significant predictors of chest drainage of pneumothorax in neonates. Pneumothorax occurred within 24 h after birth in 131 (71.6%) cases, between 24 and 48 h after birth in 41 (22.4%) cases, and 48 h after birth in 11 (6.0%) cases. Univariate and multivariate logistic regression analyses revealed that lung collapse X1/3 on initial chest X-ray (OR 4.99, 95%CI 2.25-11.07), chest retractions (OR 8.12, 95%CI 2.88-22.89), cyanosis (OR 2.25, 95%CI 1.08-4.66), and frothing from mouth (OR 2.49, 95%CI 1.12-5.49) (Po0.05 for all) were significant predictors of the need for chest drainage due to pneumothorax. In conclusion, the thorough evaluation of the above predictive factors can guide treatment and improve patient outcome.

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Characteristics of Neonatal Pneumothorax in Saudi Arabia: Three Years’ Experience

Abstract: This study highlights the extent of NP problems among hospitalized neonates and the most common predisposing factors of NP.

Cited by 19 publications

References 13 publications

Risk Factors and Outcome of Neonatal Pneumothorax in Tuzla Canton

Risk Factors and Outcome of Neonatal Pneumothorax in Tuzla Canton

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Predictors of chest drainage of pneumothorax in neonates

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