ArticleWorld journal of surgery2020
Severity of Pectus Excavatum is a Risk Factor for Primary Spontaneous Pneumothorax.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Buffalo chest after minimally invasive repair of pectus excavatum for pectus excavatum: results of the Chest Wall International Group (CWIG) survey.Journal of thoracic disease · 2025Article
- Postoperative pneumothorax occurrence in patients with Marfan syndrome.General thoracic and cardiovascular surgery · 2025Article
- Prevalence and incidence of chest wall deformities in children below 18 years old: the first systematic review and meta-analysis.Archives of medical science : AMS · 2025Review
- Radiographic chest wall abnormalities in primary spontaneous pneumothorax identified by artificial intelligence.Heliyon · 2024Article
- Diverse clinical presentation of primary spontaneous pneumothorax in patients with pectus excavatum.Frontiers in surgery · 2023Article
- Bilateral tension pneumothoraxes in buffalo chest several months after Nuss procedure for pectus excavatum.Journal of cardiothoracic surgery · 2022Article
- Prevalence of comorbidities in a surgical pectus excavatum population.Journal of thoracic disease · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveThis study aimed to investigate the relationship between bleb formation, primary spontaneous pneumothorax (PSP) and pectus excavatum (PE).
methodsFrom July 2005 to December 2016, the records of 514 patients with PE who underwent the Nuss procedure were obtained from a prospectively collected database and reviewed. Clinical features, images and treatments were analyzed retrospectively.
resultsThe incidence rate of bleb formation was 26.5% in PE patients. The bleb group had a greater body height (174.4 cm vs. 170.4 cm, p < 0.001), a higher Haller index (HI; 4.2 vs. 3.43, p < 0.001) and a higher risk of developing PSP than the non-bleb group (risk ratio 9.8, p = 0.002). HI values larger than 3.615 had good discriminatory power for predicting bleb formation in patients with PE. With each increase in the HI, PE patients had a 2.2-fold greater odds ratio of bleb formation (odds ratio 2.221, CI 1.481-3.330, p < 0.001).
conclusionWe discovered that a high percentage of PE patients have bleb formation and a higher risk of PSP, especially those with an HI >3.615. High-resolution computed tomography of the chest may be useful for evaluating both the HI and the presence of blebs in the lungs before performing a corrective surgical procedure.
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