Influence of Atmospheric Pressure on the Incidence of Spontaneous Pneumothorax

Dı́az, Raúl; Díez, Mercedes Díaz de Cerio; Medrano, María; Vera, Cristina; Guillamot, Paloma; Sánchez, Ana; Ratia, T; Granell, Javier

doi:10.1016/j.cireng.2013.02.016

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…The mean age was 28 ± 17.11 years and the most represented age group was between 21 and 40 years old (58%). Similar results have been found in the literature [20, 21, 25–27, 32].…”

Section: Discussionsupporting

confidence: 92%

Influence of Weather Conditions on the Onset of Spontaneous Pneumothorax in the Region of Sousse (Tunisia): Analysis of Time Series

Aissa

Maoua

Salsabil

et al. 2019

BioMed Research International

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Introduction. Weather conditions were implicated in the onset of spontaneous pneumothorax (SP). Aim. Investigate the influence of weather conditions on the onset of SP. Methods. A total of 200 patients with SP in Sousse (Tunisia) were enrolled in the study between January 2010 and December 2014. An analysis of two time series (meteorological data and pneumothorax cases) was performed. Data on weather conditions were collected daily throughout the 5-year period. Results. A comparison of the mean temperature between days with and without SP showed significantly higher temperatures during the days with SP. A decrease of 1% in the relative humidity one day lag (D-1) was associated with an increase in the risk of SP by 1.6% (p=0,02). The occurrence of clusters was associated significantly with higher temperature averages on the same days. This same observation was made regarding the mean duration of sunshine two days before the cluster onset (p = 0.05). The occurrence of storms two days before clusters was also significantly associated with a risk multiplied by 1.96. Conclusion. There was a correlation between clusters of spontaneous pneumothorax and weather conditions in the region of Sousse-Tunisia.

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“…The mean age was 28 ± 17.11 years and the most represented age group was between 21 and 40 years old (58%). Similar results have been found in the literature [20, 21, 25–27, 32].…”

Section: Discussionsupporting

confidence: 92%

Influence of Weather Conditions on the Onset of Spontaneous Pneumothorax in the Region of Sousse (Tunisia): Analysis of Time Series

Aissa

Maoua

Salsabil

et al. 2019

BioMed Research International

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“…Atmospheric pressure variations were supposed to act on transpleuric pressure gradient, thus making it easier the breaking of pre-existing blebs, and ultimately leading to development of SP [22,35,[37][38][39]. In particular, some scientists put forward the hypothesis that air pressure variations (e.g., >10 milliBar) could contribute to influence some predisposing conditions of SP [40,41]. Unlike this assumption, only increases of atmospheric pressure were thought to be effective to trigger SP [42].…”

Section: Discussionmentioning

confidence: 99%

Incidence of primary spontaneous pneumothorax is not associated with microclimatic variations. Results of a seven-year survey in a temperate climate area

Comelli

Bologna

Ticinesi

et al. 2017

Monaldi Arch Chest Dis

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Some diseases, such as renal colic and atrial fibrillation, display an association with microclimatic variations. In particular, despite a correlation has been reported between incidence of primary spontaneous pneumothorax (PSP) and meteorological variations, the evidence remains poor and conflictual. The aim of this study was to assess the influence of day-by-day meteorological variations on the number of visits for PSP in the Emergency Department (ED). All PSP cases were retrieved from the hospital database from January 2008 to December 2014. For all the observational days, meteorological data about the Parma Province were obtained from the Environment and Climate Regional Agency. The correlation between ED visits for PSP and variation of air temperature (T°), atmospheric pressure (hPa) and humidity (%) was then tested. The chronological data of all the visits for PSP were correlated with climate data by univariate linear regressions analysis. A total number of 608.215 ED visits were recorded during the observational period, with an average of 238 patients per day. Overall, 257 PSP cases were observed (mean age 37±21 years), 79% males and 21% females. No significant correlation between average daily visits for PSP and daily change of average temperature, humidity, or atmospheric pressure was observed throughout the observational period (p>0.05 for all). The results of the study show that the incidence of PSP is not significantly associated with changes of microclimatic variables.

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“…Interestingly, increasing data support a relationship between sudden atmospheric pressure changes and clusters of PSP. More anecdotic reports suggest a relationship with air pollution or exposure to loud music …”

Section: Epidemiology and Risk Factors For Pspmentioning

confidence: 99%

New insights and improved strategies for the management of primary spontaneous pneumothorax

Plojoux

Froudarakis

Janssens

et al. 2019

Clinical Respiratory J

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The pathophysiology and management of primary spontaneous pneumothorax (PSP) are a subject of debate. Despite advances in the understanding of its etiopathogenesis and improvements in its management, implementation in clinical practice is suboptimal. In this manuscript, we review the recent literature with a focus on PSP pathophysiology and management. Blebs and emphysema‐like changes (ELC) are thought to contribute to the pathophysiology of PSP but cannot explain all cases. Recent studies emphasize the role of a diffuse porosity of the visceral pleura. Others found a relationship between smoking, occurrence of a PSP and bronchiolitis, which could be the initial pathological process leading to ELC development. Recent or ongoing studies challenge the need to systematically remove air from the pleural cavity of stable patients, introducing conservative management as a valuable therapeutic option. Evidence is growing in favour of needle aspiration instead of chest tube insertion, when air evacuation is needed. In addition, ambulatory management is considered as a successful approach in meta‐analyses and is under exploration in a large randomized study. Because of a high recurrence rate of PSP, the benefit of performing a pleurodesis at first occurrence is under evaluation with interesting but not generalizable results. Better identification of ‘at risk patients’ is needed to improve the investigation strategy. Finally, recent publications confirm the efficacy, security and cost‐effectiveness of graded talc poudrage pleurodesis to prevent PSP recurrence. In conclusion, PSP pathophysiology and management are still under investigation. The results of recently published and ongoing studies should be more widely implemented in clinical practice.

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Influence of Atmospheric Pressure on the Incidence of Spontaneous Pneumothorax

Cited by 6 publications

References 12 publications

Influence of Weather Conditions on the Onset of Spontaneous Pneumothorax in the Region of Sousse (Tunisia): Analysis of Time Series

Influence of Weather Conditions on the Onset of Spontaneous Pneumothorax in the Region of Sousse (Tunisia): Analysis of Time Series

Incidence of primary spontaneous pneumothorax is not associated with microclimatic variations. Results of a seven-year survey in a temperate climate area

New insights and improved strategies for the management of primary spontaneous pneumothorax

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