The Evolving Epidemiology and Management of Spontaneous Pneumothorax

Savitsky, Eric; Oh, Scott; Lee, Jay M.

doi:10.1001/jama.2018.12878

Cited by 12 publications

(14 citation statements)

References 24 publications

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“…The incidence rate of pneumothorax in the general population is 17-24 per 100,000 person-years in men and 1-6 per 100,000 person-years in women [3]. Our figure (153.8 per 100,000 person-years in male adolescents and 16.7 per 100,000 person-years in female adolescents) is surprisingly…”

Section: Discussioncontrasting

confidence: 44%

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Correlation of Primary Spontaneous Pneumothorax and Air Pollution in Adolescents

Joon

et al. 2021

J Chest Surg

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Background We aimed to investigate the characteristics of primary spontaneous pneumothorax (PSP) in adolescents and to analyze the relationship between the occurrence of PSP and air pollutants. Methods Data pertaining to age, sex, body mass index, smoking status, initial pneumothorax volume, presence of bullae, treatment methods, and city of residence were retrospectively obtained from January 2010 to December 2014. We investigated the association between short-term exposure to air pollutants (SO 2 , NO 2 , O 3 , CO, and PM 10 ) and the occurrence of PSP using a case-crossover design with conditional logistic regression. Results We collected information from 598 patients who were admitted for PSP, with a mean follow-up duration of 62.9 months. The majority (91.1%) of the patients were male. In the case-crossover design, conditional logistic regression showed that no air pollutant was associated with the occurrence of pneumothorax. The results were consistent across all city subgroups (Anyang, Gunpo, Uiwang, and Gwacheon). Conclusion In our study, the incidence rate of pneumothorax was 153.8 per 100,000 person-years in male adolescents and 16.7 per 100,000 person-years in female adolescents. The case-crossover design showed that PSP in adolescents is unlikely to be related to air pollution.

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Section: Discussioncontrasting

confidence: 44%

“…It is well known from these studies that PSP occurs more frequently in younger people with a low body mass index (BMI), and it shows a clear male predilection [2]. The incidence rate is slightly different in each country, ranging from 17 to 24 to per 100,000 person-years in men and from 1 to 6 per 100,000 person-years in women [3].…”

Section: Introductionmentioning

confidence: 99%

Correlation of Primary Spontaneous Pneumothorax and Air Pollution in Adolescents

Joon

et al. 2021

J Chest Surg

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“…Other risk factors include smoking, having a weak and long body structure. 1,2 As stated in the British…”

Section: Introductionmentioning

confidence: 91%

Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases

Kapıcıbaşı

2019

Pak J Med Sci

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Objective: In the treatment of primary spontaneous pneumothorax (PSP), the influence of safety and applicability of uniportal video assisted thoracoscopic surgery (VATS) bullectomy/blebectomy and pleurectomy method were evaluated in 46 patients. Methods: Between November 2010 and January 2019, 46 patients (36 males, 10 females; mean age 24.2 years; range 16-36 years) undergoing uniportal video thoracoscopic bullectomy/blebectomy and apical pleurectomy for primary spontaneous pneumothorax were evaluated retrospectively at Canakkale Onsekiz Mart University (COMU). One patient underwent surgery for the second time after three months for contralateral pneumothorax and counted as two different patients, hence forty seven operations were performed in total. The cases were evaluated in terms of age, gender, comorbidity, duration of hospital stay, histopathological diagnosis, postoperative morbidity and mortality. Results: Right surgical intervention was performed in 20 cases (42.6%) and left surgical intervention in 27 cases (57.6%). A total of 15 (31.9%) surgical operations were performed during the first attack, 30 (63.8%) during the second attack and 2 (4.3%) during third and more attacks. There was prolonged air leakage in all patients operated during the first episode. All cases underwent wedge resection and pleurectomy with endoscopic stapes. None of the patients required thoracotomy. Postoperative drainage period was between 2-7 days (mean: 4.1) and the duration of hospitalization was between three to eight days. Postoperative pain and paraesthesia were observed in eight cases. Prolonged air leakage was observed in five cases. Conclusion: With video thoracoscopic uniportal technique, not only lung biopsy and resection but also bullectomy/blebectomy and pleurectomy operations can be performed safely in the treatment of PSP. In view of this information, minimally invasive techniques are seen as more advantageous than conventional techniques. doi: https://doi.org/10.12669/pjms.36.2.1556 How to cite this:Kapicibasi HO. Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1556 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…SP is further subdivided clinically based on the absence or presence of underlying lung disease into primary SP (PSP) and secondary SP (SSP). SP is a prevalent diagnosis; its estimated incidence ranges from 17-24/100,000 and 1-6/100,000 among males and females, respectively, and recurrence rates ranging from 17% to 54% within 1-6 years [1,2].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of 30-day readmission in spontaneous pneumothorax in the United States: a nationwide retrospective study

Mukhtar

Shrestha

Khalid

et al. 2019

Journal of Community Hospital Internal Medicine Perspectives

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Objective : Our study aimed to determine the national estimates of the 30-day all-cause readmission rate among patients with spontaneous pneumothorax and to investigate the burden of these readmissions in terms of mortality, length of stay and hospitalization costs in the USA. Methods : We utilized the Nationwide Readmission Database for 2013–2014 and identified adults with a primary diagnosis of spontaneous pneumothorax. We analyzed and reported patient- and hospital-level variables of the study cohort. Our primary outcome was 30-day readmission rate, including the reasons for readmission. Our secondary outcomes included all-cause mortality, resources utilization and predictors of readmissions. Results : We identified 47,108 index admissions with spontaneous pneumothorax. The 30-day readmission rate was 13.6%. The most common reason for admission was recurrent pneumothorax. In index admissions, the in-hospital mortality rate was 3.1%; whereas, in readmissions, the mortality was higher (4.6%, p < 0.001). Both age group 45–64 ( HR : 1.31, 95% CI : [1.15–1.49], p < 0.001) and history of cancer ( HR : 1.34, 95% CI : [1.17–1.53], p < 0.001) were found to predict the risk of 30-day readmission. Conclusion : The 30-day readmission rate in patients with spontaneous pneumothorax was 13.6%, and a recurrent event was the most likely cause. The 30-day readmissions were associated with higher mortality and hospitalization charges. Middle age and history of cancer increase likelihood of 30-day readmission.

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The Evolving Epidemiology and Management of Spontaneous Pneumothorax

Cited by 12 publications

References 24 publications

Correlation of Primary Spontaneous Pneumothorax and Air Pollution in Adolescents

Correlation of Primary Spontaneous Pneumothorax and Air Pollution in Adolescents

Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases

Characteristics of 30-day readmission in spontaneous pneumothorax in the United States: a nationwide retrospective study

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