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Management of primary spontaneous pneumothorax: Our single-center, five-year experience

BACKGROUND: In this study, we aimed to analyze the effects of admission time to the hospital and different variables on the treatment efficiency and to evaluate the recurrence during the clinical management process in patients with the diagnosis of primary spontaneous pneumothorax. METHODS: A total...

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Autores principales: Tülüce, Kerim, Türüt, Hasan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8990153/
https://www.ncbi.nlm.nih.gov/pubmed/35444856
http://dx.doi.org/10.5606/tgkdc.dergisi.2022.21242
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author Tülüce, Kerim
Türüt, Hasan
author_facet Tülüce, Kerim
Türüt, Hasan
author_sort Tülüce, Kerim
collection PubMed
description BACKGROUND: In this study, we aimed to analyze the effects of admission time to the hospital and different variables on the treatment efficiency and to evaluate the recurrence during the clinical management process in patients with the diagnosis of primary spontaneous pneumothorax. METHODS: A total of 149 patients with primary spontaneous pneumothorax (131 males, 18 females; mean age: 24.8±6.8 years; range, 17 to 35 years) treated in our clinic between January 2015 and December 2019 were retrospectively analyzed. Time from symptom onset to hospital admission (admission time) was classified as three periods: <24 h, between 24 and 72 h, and >72 h. Data including admission time, demographic and clinical characteristics, smoking history, body mass index, the use of pleurectomy or pleural abrasion during surgery were collected from the charts of the patients. RESULTS: Admission time had no statistically significant effect on the length of hospital stay, recurrence, and the need for surgery. Male sex, smoking history, and lower body mass index had no significant effect on the recurrence. Recurrence and length of hospital stay did not significantly differ between the patients in whom pleurectomy or pleural abrasion added to the procedure during the operation. CONCLUSION: A longer interval between symptom onset and hospital admission and lower body mass index have no adverse effect on treatment outcomes and the recurrence in patients with primary spontaneous pneumothorax. Despite the fact that surgical treatment significantly decreases the recurrence rate, pleurectomy and pleural abrasion techniques have no significant difference on the clinical influence and recurrence of these patients.
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spelling pubmed-89901532022-04-19 Management of primary spontaneous pneumothorax: Our single-center, five-year experience Tülüce, Kerim Türüt, Hasan Turk Gogus Kalp Damar Cerrahisi Derg Original Article BACKGROUND: In this study, we aimed to analyze the effects of admission time to the hospital and different variables on the treatment efficiency and to evaluate the recurrence during the clinical management process in patients with the diagnosis of primary spontaneous pneumothorax. METHODS: A total of 149 patients with primary spontaneous pneumothorax (131 males, 18 females; mean age: 24.8±6.8 years; range, 17 to 35 years) treated in our clinic between January 2015 and December 2019 were retrospectively analyzed. Time from symptom onset to hospital admission (admission time) was classified as three periods: <24 h, between 24 and 72 h, and >72 h. Data including admission time, demographic and clinical characteristics, smoking history, body mass index, the use of pleurectomy or pleural abrasion during surgery were collected from the charts of the patients. RESULTS: Admission time had no statistically significant effect on the length of hospital stay, recurrence, and the need for surgery. Male sex, smoking history, and lower body mass index had no significant effect on the recurrence. Recurrence and length of hospital stay did not significantly differ between the patients in whom pleurectomy or pleural abrasion added to the procedure during the operation. CONCLUSION: A longer interval between symptom onset and hospital admission and lower body mass index have no adverse effect on treatment outcomes and the recurrence in patients with primary spontaneous pneumothorax. Despite the fact that surgical treatment significantly decreases the recurrence rate, pleurectomy and pleural abrasion techniques have no significant difference on the clinical influence and recurrence of these patients. Bayçınar Medical Publishing 2022-01-28 /pmc/articles/PMC8990153/ /pubmed/35444856 http://dx.doi.org/10.5606/tgkdc.dergisi.2022.21242 Text en Copyright © 2022, Turkish Society of Cardiovascular Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Article
Tülüce, Kerim
Türüt, Hasan
Management of primary spontaneous pneumothorax: Our single-center, five-year experience
title Management of primary spontaneous pneumothorax: Our single-center, five-year experience
title_full Management of primary spontaneous pneumothorax: Our single-center, five-year experience
title_fullStr Management of primary spontaneous pneumothorax: Our single-center, five-year experience
title_full_unstemmed Management of primary spontaneous pneumothorax: Our single-center, five-year experience
title_short Management of primary spontaneous pneumothorax: Our single-center, five-year experience
title_sort management of primary spontaneous pneumothorax: our single-center, five-year experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8990153/
https://www.ncbi.nlm.nih.gov/pubmed/35444856
http://dx.doi.org/10.5606/tgkdc.dergisi.2022.21242
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