Factors associated with proceeding to surgical intervention and recurrence of primary spontaneous pneumothorax in adolescent patients

Chiu, Chih‐Yung; Chen, Tzu-Ping; Wang, Chia‐Jung; Tsai, Ming‐Han; Wong, Kin-Sun

doi:10.1007/s00431-014-2352-0

Cited by 51 publications

(43 citation statements)

References 26 publications

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“…Males predominated over females in our cohort by a ratio of 4:1, which is consistent, albeit slightly lower, than ratios of 9:1 reported in two Asian cohorts [13, 16]. Our univariate analysis identified height, weight, BMI, size of pneumothorax, and treatment modality as significant prognostic factors, which is consistent with other studies in European and Asian cohorts [11, 13, 17].…”

Section: Discussionsupporting

confidence: 91%

Association Between BMI and Recurrence of Primary Spontaneous Pneumothorax

et al. 2016

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BackgroundWhether body mass index (BMI) is a significant risk factor for recurrence of primary spontaneous pneumothorax (PSP) remains controversial. The purpose of this study was to examine whether BMI and other factors are linked to risk of PSP recurrence.MethodsA consecutive cohort of 273 patients was retrospectively evaluated. Patients were divided into those who experienced recurrence (n = 81) and those who did not (n = 192), as well as into those who had low BMI (n = 75) and those who had normal or elevated BMI (n = 198). The two pairs of groups were compared in terms of baseline data, and Cox proportional hazards modeling was used to identify predictors of PSP recurrence.ResultsRates of recurrence among all 273 patients were 20.9% at 1 year, 23.8% at 2 years, and 28.7% at 5 years. Univariate analysis identified the following significant predictors of PSP recurrence: height, weight, BMI, size of pneumothorax, and treatment modality. Multivariate analyses identified several risk factors for PSP recurrence: low BMI, pneumothorax size ≥50%, and non-surgical treatment. Kaplan–Meier survival analysis indicated that patients with low BMI showed significantly lower recurrence-free survival than patients with normal or elevated BMI (P < 0.001).ConclusionsLow BMI, pneumothorax size ≥50%, and non-surgical treatment were risk factors for PSP recurrence in our cohort. Low BMI may be a clinically useful predictor of PSP recurrence.

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Section: Discussionsupporting

confidence: 91%

Association Between BMI and Recurrence of Primary Spontaneous Pneumothorax

et al. 2016

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“…This coincides with the classical rate of recurrence of 20-60% (13). Several studies (14,15) have chosen to treat patients with spontaneous pneumothorax with upfront thoracoscopic blebectomy/ bullectomy and/or pleural abrasion/pleurectomy without inserting a chest drain. This practice is well established in patients with recurrent spontaneous pneumothorax or patients at considerable risk like patients with occupational hazards (divers, pilots etc.).…”

Section: Editorialsupporting

confidence: 58%

Is chest tube drainage losing ground in management of patients with spontaneous pneumothorax?

Elsayed

2017

J. Thorac. Dis.

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“…According to the American College of Chest Physicians (21) and BTS guidelines (4), the preferred approach for prevention of recurrent pneumothorax is still surgical because of lower recurrence rates compared with instillation of sclerosing agents through a chest tube. However, the recurrence rate is still high at 5.9% to 24.5%, even after thoracoscopic stapled bullectomy (Table 5) (18,(22)(23)(24)(25)(26)(27). Therefore, Lee at al.…”

Section: Discussionmentioning

confidence: 99%

Postoperative predictors of ipsilateral and contralateral recurrence in patients with primary spontaneous pneumothorax

Chen¹,

Huang²,

Chang³

et al. 2016

J. Thorac. Dis.

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IntroductionPrimary spontaneous pneumothorax (PSP) usually occurs in young, tall, and lean men, especially smokers with no obvious underlying lung disease. It arguably results from rupture of subpleural blebs or bullae. The most frequent complication of PSP is recurrence, which is estimated to occur in 20% to 60% after conservative treatment (1,2). More than 50% of patients with PSP have contralateral blebs/bullae and about a quarter will develop contralateral pneumothorax (3). The British Thoracic Society (BTS) guidelines include first recurrence of contralateral pneumothorax and synchronous bilateral PSP as the only indications for surgery of the contralateral lung (4). However, surgery of the contralateral lung to prevent possible complications remains controversial (5-7). To date, only few studies on small populations have discussed both ipsilateral and contralateral recurrences of PSP. The purpose of our study was to identify the predictors of ipsilateral and contralateral recurrences of PSP and to review literatures on the association of blebs/bullae on high resolution computed tomography (HRCT) of the chest with PSP recurrence. Knowing the risk factors for PSP recurrence may enable us to optimize patient selection to avoid further recurrence and complications.

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Factors associated with proceeding to surgical intervention and recurrence of primary spontaneous pneumothorax in adolescent patients

Cited by 51 publications

References 26 publications

Association Between BMI and Recurrence of Primary Spontaneous Pneumothorax

Association Between BMI and Recurrence of Primary Spontaneous Pneumothorax

Is chest tube drainage losing ground in management of patients with spontaneous pneumothorax?

Postoperative predictors of ipsilateral and contralateral recurrence in patients with primary spontaneous pneumothorax

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