Evidence map›Paper›PMID 38154466›Full record

Observational studyAmerican journal of perinatology2024

Incidence and Management of Neonatal Pneumothorax in a 10-Hospital Regional Perinatal Network in Switzerland: A Retrospective Observational Study.

Julie Baudat-Nguyen, Juliane Schneider, Matthias Roth-Kleiner, Laureline Barrielle, Patrick Diebold, Gilles Duvoisin, Ikbel El Faleh, Silke Grupe, Benedikt M Huber, Anne-Sophie Morel and 5 more

Open access · hybridAbstract readObservational StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in American journal of perinatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Pneumothorax in newborns: a cohort study from three NICUs.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Julie Baudat-NguyenDepartment Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Juliane SchneiderDepartment Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Matthias Roth-KleinerDepartment Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Laureline BarrielleDepartment Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Patrick DieboldDepartment of Pediatrics, Riviera-Chablais Hospital, Rennaz, Switzerland.
Gilles DuvoisinDepartment of Pediatrics, Riviera-Chablais Hospital, Rennaz, Switzerland.
Ikbel El FalehDepartment of Pediatrics, Neuchâtel Hospital, Neuchâtel, Switzerland.
Silke GrupeDepartment of Pediatrics, Yverdon Hospital, Yverdon, Switzerland.
Benedikt M HuberDepartment of Pediatrics, Fribourg Cantonal Hospital, Fribourg, Switzerland.
Anne-Sophie MorelUnit of Pediatrics, Nyon Hospital, Nyon, Switzerland.
Yan PaccaudClinic of Pediatrics, Hospital Center of Valais Romand, Hospital of Valais, Sion, Switzerland.
Anais TorregrossaDepartment Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Dany YounesDepartment of Pediatrics, De la Broye Intercantonal Hospital, Payerne, Switzerland.
Jean-François TolsaDepartment Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Anita C TruttmannDepartment Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
University of Lausanne · CHFribourg Development Agency · CHHôpital Riviera-Chablais · CHHôpital du Valais · CHHôpital intercantonal de la Broye · CHHospital Neuchâtel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePneumothorax (PTX) is a potentially life-threatening condition that affects neonates, with an incidence of 0.05 to 2%. Its management includes conservative treatment, chest tube (CT) drainage, and needle aspiration (NA). Aims were to evaluate the incidence of PTX in a 10-hospital perinatal network, its clinical characteristics and risk factors, and to compare the different treatment options. STUDY

designAll neonates diagnosed with PTX and hospitalized in the network were included in this retrospective observational trial over a period of 30 months. Primary outcome was the incidence of PTX. Secondary outcomes were the treatment modality, the length of stay (LOS), and the number of chest X-rays.

resultsAmong the 173 neonates included, the overall incidence of PTX was 0.56 per 100 births with a large range among the hospitals (0.12-1.24). Thirty-nine percent of pneumothoraces were treated conservatively, 41% by CT drainage, 13% by NA, and 7% by combined treatment. Failure rate was higher for NA (37%) than for CT drainage (9%). However, the number of X-rays was lower for patients treated by NA, with a median of 6 (interquartile range [IQR] 4-6.25), than by CT drainage, with a median of 9 (IQR 7-12). LOS was shorter for NA than for CT drainage, with a median of 2 (IQR 1-4.25) and 6 days (IQR 3-15), respectively. Complications, including apnea and urinary retention, occurred in 28% of patients managed with CT drainage, whereas none was observed with NA.

conclusionHigh variability of PTX incidence was observed among the hospitals within the network, but these values correspond to the literature. NA showed to reduce the number of X-rays, the LOS, and complications compared with CT drainage, but it carries a high failure rate. This study helped provide a new decisional management algorithm to harmonize and improve PTX treatment within our network. KEY POINTS: · Neonatal PTX is a frequent pathology with a high incidence requiring urgent management.. · We report a large variability of PTX incidence between different hospitals of the same network.. · Needle aspiration carries higher failure rate, shorter hospital stay duration without complications reported..

Indexed as

Chest TubesDrainageLength of StayPneumothoraxConservative TreatmentFemaleHumansIncidenceInfant, NewbornMaleRetrospective StudiesRisk FactorsSwitzerland

Identifiers

PMID38154466
PMCPMC11150061
OpenAlexW4390314599

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.