ArticleJournal of cardiothoracic surgery2012
What factors predict recurrence of a spontaneous pneumothorax?
Article in Journal of cardiothoracic surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 42 citations in OpenAlex.
- Primary Spontaneous Pneumothorax: Results of Surgical Treatment and Analysis of Risk Factors for Post-Operative Recurrence-A Retrospective Cohort Analysis.Journal of clinical medicine · 2026Article
- Age > 50 years and PaO₂ ≤ 90 mmHg are the two dominant predictive factors for secondary spontaneous pneumothorax in male patients: an observational study.BMC pulmonary medicine · 2026Observational
- Prevalence of Smoking Among Spontaneous Pneumothorax Patients and Its Impact on Treatment in Syria Country: A Cross-Sectional Study.Health science reports · 2025Article
- Adhesion is a risk factor for postoperative recurrence of spontaneous pneumothorax.Journal of thoracic disease · 2023Article
- Effect of different mechanical ventilation modes on cerebral blood flow during thoracoscopic surgery in neonates: A randomised controlled trial.Indian journal of anaesthesia · 2022Article
- Male adolescents with contralateral blebs undergoing surgery for primary spontaneous pneumothorax may benefit from simultaneous contralateral blebectomies.BMC pulmonary medicine · 2021Article
- Evaluation of the Relationship Between Primary Spontaneous Pneumothorax and Exercise and Return to Previous Activities in Patients Referring to Hospitals of Rasht during 2015-2017.Ethiopian journal of health sciences · 2021Article
- Recurrence of spontaneous pneumothorax six years after VATS pleurectomy: evidence for formation of neopleura.Journal of cardiothoracic surgery · 2020Article
- Patients with spontaneous pneumothorax have a higher risk of developing lung cancer: A STROBE-compliant article.Medicine · 2020Observational
- Conservative treatment for recurrent secondary spontaneous pneumothorax in patients with a long recurrence-free interval.Journal of thoracic disease · 2020Article
- Primary spontaneous pneumothorax in children: factors predicting recurrence and contralateral occurrence.Pediatric surgery international · 2020Article
- The clinical characteristics and surgical results of smoking-related young pneumothorax.General thoracic and cardiovascular surgery · 2019Article
- What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study.Annals of medicine and surgery (2012) · 2019Article
- Risk factors for recurrence of primary spontaneous pneumothorax after thoracoscopic surgery.Journal of thoracic disease · 2019Article
- Pneumothorax in teenagers: reducing recurrence through resection of superior segment of lower lobe.Journal of thoracic disease · 2018Article
- Recurrence of Spontaneous Pneumothorax Is Not Associated with Allegedly Risk-Prone Lifestyle Conduct.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2018Article
- Outcome and risk factors of recurrence after thoracoscopic bullectomy in young adults with primary spontaneous pneumothorax.Surgery today · 2017Article
- Primary Spontaneous Pneumothorax Admitted in Emergency Unit: Does First Episode Differ from Recurrence? A Cross-Sectional Study.Canadian respiratory journal · 2017Article
- Postoperative predictors of ipsilateral and contralateral recurrence in patients with primary spontaneous pneumothorax.Journal of thoracic disease · 2016Article
- Recurrent Primary Spontaneous Pneumothorax is Common Following Chest Tube and Conservative Treatment.World journal of surgery · 2016Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this retrospective study was to identify the risk factors for postoperative recurrence for the patients with a spontaneous pneumothorax (SP). A total of 214 patients were studied over a period of five years. Of these patients, 189 (88.3%) and 25 (11.7%) underwent video assisted thoracoscopic surgery (VATS) and an open approach for treatment, respectively. There were 35 (16.4%) postoperative recurrences.
methodsThe data on patient characteristics, surgical details, and perioperative outcomes were analyzed. We compared the clinicopathological characteristics between recurrent and non-recurrent cases, and used logistic regression models to predict the risk factors for postoperative recurrence.
resultsThe differences in the age, gender, lesion site, location, ipsilateral SP (ISP), and contralateral SP (CSP) did not reach statistical significance between the two groups. However, the incidence of recurrence was higher in the subjects without any smoking history, and who had comorbidities, and a history of surgery for ISP. Concerning intraoperative factors, there were no significant differences with regard to the approach, buttress stapling, covering, surgeon, or length of the operation. The postoperative recurrence rate was higher in the patients who had been hand-stitched compared to those who had undergone instrument-based repair for blebs. There were no significant differences in the perioperative outcomes. The logistic regression models indicated that non smokers, those with comorbidities, and those who had previously undergone surgery for ISP had a higher rate of postoperative recurrence.
conclusionsWe conclude that a history of no smoking, the existence of comorbidities, previous surgery for ISP, and hand stitching increase the risk of postoperative recurrence. Therefore, surgeons must be aware of these risk factors, and more carefully monitor such patients for recurrence.
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