ArticleEuropean journal of pediatrics2014
Factors associated with proceeding to surgical intervention and recurrence of primary spontaneous pneumothorax in adolescent patients.
Article in European journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 61 citations in OpenAlex.
- Primary spontaneous pneumothorax: reassessing the role of chest CT in surgical decision-making.Indian journal of thoracic and cardiovascular surgery · 2025Article
- Factors Associated With Early Recurrence in Non-Surgically Managed Primary Spontaneous Pneumothorax.World journal of surgery · 2025Article
- Prediction of ipsilateral and contralateral pneumothorax using a simple chest X-ray.Journal of thoracic disease · 2025Article
- Predictors of Contralateral Recurrence in Patients With Primary Spontaneous Pneumothorax.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2025Article
- Article
- Children with large primary spontaneous pneumothoraxes may benefit from early operative intervention.Pediatric surgery international · 2022Article
- Management of Primary Spontaneous Pneumothorax in a Third-Level Pediatric Surgical Center: A Retrospective Study.Frontiers in pediatrics · 2022Article
- Management of primary spontaneous pneumothorax: Our single-center, five-year experience.Turk gogus kalp damar cerrahisi dergisi · 2022Article
- Early Postoperative Pneumothorax Might Not Be 'True' Recurrence.Journal of clinical medicine · 2021Article
- Is surgery a risk factor for contralateral recurrence pneumothorax in adolescent with primary spontaneous pneumothorax?General thoracic and cardiovascular surgery · 2021Article
- Male adolescents with contralateral blebs undergoing surgery for primary spontaneous pneumothorax may benefit from simultaneous contralateral blebectomies.BMC pulmonary medicine · 2021Article
- An evidence-based review of primary spontaneous pneumothorax in the adolescent population.Journal of the American College of Emergency Physicians open · 2021Review
- Histopathologic Findings Associated With Matrix Metalloproteinases Proceeding to Recurrence of Primary Spontaneous Pneumothorax in Adolescents.Frontiers in pediatrics · 2021Article
- Primary Spontaneous Pneumothorax in Typhoid.Cureus · 2020Article
- Primary spontaneous pneumothorax in children: factors predicting recurrence and contralateral occurrence.Pediatric surgery international · 2020Article
- Video-Assisted Thoracic Surgery (VATS) Talc Pleurodesis Versus Pleurectomy for Primary Spontaneous Pneumothorax: A Large Single-Centre Study with No Conversion.World journal of surgery · 2019Observational
- Erythromycin poudrage versus erythromycin slurry in the treatment of refractory spontaneous pneumothorax.Journal of thoracic disease · 2018Article
- Is chest tube drainage losing ground in management of patients with spontaneous pneumothorax?Journal of thoracic disease · 2017Article
- Association Between BMI and Recurrence of Primary Spontaneous Pneumothorax.World journal of surgery · 2017Article
- Postoperative predictors of ipsilateral and contralateral recurrence in patients with primary spontaneous pneumothorax.Journal of thoracic disease · 2016Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledPrimary spontaneous pneumothorax (PSP) is not uncommon, and its recurrence is often a challenging clinical problem. Surgical management and predisposing factors for the recurrence of PSP, however, have not yet been well elucidated in adolescent patients. The major aim of this study was to investigate factors associated with proceeding to surgical intervention and recurrence of PSP in adolescents. Two hundred and nineteen episodes of PSP in 171 adolescent patients were retrospectively reviewed. The clinical and radiological spectrum of PSP and factors for proceeding to surgical intervention were assessed in these 171 patients. Risk factors for the recurrence of PSP were further analyzed in 128 patients with first attack of PSP. The male-to-female ratio of the 171 PSP patients was 9:1, and the mean age was 17.6 ± 1.5 years. The median body mass index (BMI) percentile was 11 (range 2-31), and 45 (34 %) patients had underweight BMI. The incidence of recurrent PSP was high with a total recurrence rate of 21 %. Ipsilateral recurrence rate of PSP after video-assisted thoracoscopic surgery (VATS) was much less than that of the conservative treatment (4 vs. 18 %). A large-size pneumothorax with a persistent air leak was the most significant factor for proceeding to VATS surgery (P = 0.001). In addition, it was a significant factor influencing the recurrence of PSP (P = 0.014). Other factors that did not significantly affect the recurrence rate were BMI, smoking status, and the number of bullae.
conclusionAdolescent PSP has a high recurrence rate of 21 % after a 2-year follow-up. A large-size pneumothorax with a persistent air leak may not only lead to surgical intervention but also the risk of a recurrence of PSP. The initial size of pneumothorax may not only guide the management process but also predict the risk of a recurrence in adolescent patients with PSP.
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