Clinical profile and outcome of neonatal pneumothorax in resource-limited neonatal intensive care unit

Basheer, Faisal; Aatif, Muhammad; Saeed, Muhammad; Jalil, Jawad

doi:10.1080/14767058.2020.1818220

Cited by 6 publications

(7 citation statements)

References 9 publications

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“…In this study, we found that the mean drainage time was 4.1±2.13 days and there was no statistically significant difference between groups. Additionally, Basheer et al noted the mean duration of hospital stay as 10.5±5.85 days and chest tube duration as 4.82±1.88 days in their series, which required chest tube placement in approximately 90% of participants (22). Similarly, Silva et al noted that the median hospitalization was 9.5 (1-167) days in their pneumothorax cases group (23).…”

Section: Discussionmentioning

confidence: 94%

Evaluation of pneumothorax in the neonatal intensive care unit

MELEKOĞLU¹,

SİNANOĞLU²,

BERK³

2022

Mustafa Kemal Üniversitesi Tıp Dergisi

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Evaluation of pneumothorax in the neonatal intensive care unitObjective: Pneumothorax is one of the most common pulmonary air leak syndromes and appears more often in the newborn period than at any other time of life. In this study, we aimed to determine and compare the demographic characteristics, clinical courses and outcomes of newborns with primary and secondary pneumothorax. Method: In this single-centre retrospective study, maternal and neonatal data were collected from medical records at Turgut Ozal University Hospital between January 2020 to July 2021. Results: Twenty-nine newborns diagnosed with pneumothorax, and of these, 16 were male (55.2%), 19 (65.5%) were born by cesarean section, and six (20.7%) were premature. The mean gestational age was 37.5±2.6 weeks, and birth weight was 3063.4±53 grams. The median age at diagnosis was 5 h (1-96), and the mean hospital stay was 9.55±4.38 days. The mean drainage time was 4.1±2.13 days. 13 (44.8%) neonates were classified as primary, while 16 patients (55.2%) had an underlying pulmonary disease or predisposing factor. Our study showed a statistically significant difference between groups regarding Apgar score 5th min and SNAP-II scores (p < 0.05). The occurence of pneumothorax was significantly earlier in the primary group (p<0.05). Our study revealed significantly longer total oxygen, continuous positive airway pressure and mechanical ventilation durations in the secondary pneumothorax group (p<0.05). Conclusion:Neonatal pneumothorax is still associated with significant morbidity and mortality, and primary pneumothorax had more favorable outcomes than secondary pneumothorax.

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Section: Discussionmentioning

confidence: 94%

Evaluation of pneumothorax in the neonatal intensive care unit

MELEKOĞLU¹,

SİNANOĞLU²,

BERK³

2022

Mustafa Kemal Üniversitesi Tıp Dergisi

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“…The mortality rate varied from 4.5 to 29.1% in comparative studies, including ours. 4,28,[30][31][32][33][34] In our study, we observed the mortality rate to be 15%. Analogous to our study, Kim et al 33 reported that the mortality rate was 16.7% in late preterm and term neonates diagnosed with pneumothorax within 48 hours after birth.…”

Section: Discussionmentioning

confidence: 88%

“…Male gender and cesarian delivery were identified as risk factors for pneumothorax development in most studies, which was confirmed in our study. 3,5,[27][28][29][30][31][32][33][34] Studies report that 51 to 77% of pneumothorax involve the right lung 3,5,31,32,34 and 11 to 24% are bilateral. 5,[30][31][32][33] Consistent with these studies, 65% of our patients had a right pneumothorax, and 25% had a bilateral pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that the need for chest thoracostomy varies between 55 and 96%, 4,6,27,28,31,33 and the duration of mean drainage varies between 2.7 and 4.8 days in newborns with pneumothorax. 5,6,16,28,31 In congruence with these researchers, [4][5][6]16,27,28,31,33 our observations revealed that majority of patients needed chest thoracostomy (75%), and the median drainage time was 4 days. However, drainage time was significantly shorter in newborns who developed pneumothorax within 24 hours after birth; we attributed this significant difference to the fact that all three neonates who were performed chest tube placement died within the first day of life.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Respiratory Support Methods and Characteristics of Pneumothorax in Late Preterm and Term Newborns within the First 48 hours of Life

Aksır,

Ilhan,

Baska

et al. 2023

J Pediatr Intensive Care

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This study aims to evaluate risk factors, respiratory support procedures, and characteristics of pneumothorax in late preterm and term newborns diagnosed with pneumothorax within the first 48 hours of life. The study included late preterm and term newborns diagnosed with pneumothorax within the first 48 hours of life. The neonates diagnosed with pneumothorax within the first 24 hours of life (Group 1) and those diagnosed between 24 and 48 hours (Group 2) were analyzed in terms of risk factors, respiratory support procedures, and characteristics of pneumothorax. Twenty newborns, 11 in Group 1 and 9 in Group 2, with a mean gestational age of 37.9 ± 1.2 weeks and birth weight of 3,133 ± 464 g, were included the study. The resuscitation rate in the delivery room was insignificantly higher in Group 1. There was no significant difference between the two groups in terms of respiratory support methods (mechanical ventilation [MV], noninvasive ventilation, oxygen) on admission and at the time of diagnosis. The rate of receiving MV during treatment was significantly higher in Group 2 (p = 0.014). Although duration of MV and chest drainage were significantly shorter in Group 1 (p = 0.026 and p = 0.026, respectively), when we considered only survivors (all three deceased newborns died within the first day of life), these durations were still shorter; however, the difference was no longer significant. Pneumothorax should be suspected in late preterm and term newborns with respiratory distress within the first 2 days of life, especially in the presence of risk factors.

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