Spontaneous Pneumothorax: A 5-Year Experience

Detalhes bibliográficos
Autor(a) principal: Sousa, C.
Data de Publicação: 2011
Outros Autores: Neves, J., Sa, N., Gonçalves, F., Oliveira, J., Reis, E.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/1358
Resumo: BACKGROUND: Spontaneous pneumothorax (SP) is defined by the presence of air in the pleural space without history of trauma. It is classified as secondary if coexisting with underlying pulmonary disease. Its an entity with considerable incidence and treatment particularities which give reason for a reflection on the subject. We present a 5-year casuistry, characterizing the SP epidemiology, clinical presentation, investigation and therapeutic choices. METHODS: Sixty-six patients were included in the study, corresponding to 93 episodes of SP. RESULTS: We have found male predominance and the mean age was 34.5 years old. In 60.6% of cases there was history of tobacco use; 36.4% of cases were classified as secondary; 30.1% of patients with secondary SP and 21.7% with primary SP recurred; 89.2% had an acute presentation. The most frequent initial symptom was chest pain (90.3%) and 81.7% had diminished breath sounds. In 17.3% it was documented a physical strain associated. We did not identify statistically significant association between the SP occurrence and the variation of the atmospheric pressure, on the first day of symptoms. In 12.9% of episodes the initial treatment option was observation. In most of the episodes the lung totally expanded. However, in 29.1% of the episodes surgical treatment was needed. CONCLUSIONS: Our results are similar to the literature. Some clinical records are incomplete, demanding the implementation of rules to improve knowledge about this matter.
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spelling Spontaneous Pneumothorax: A 5-Year ExperienceSpontaneous pneumothoraxPrimary spontaneous pneumothoraxSecondary spontaneous pneumothoraxEpidemiologyBACKGROUND: Spontaneous pneumothorax (SP) is defined by the presence of air in the pleural space without history of trauma. It is classified as secondary if coexisting with underlying pulmonary disease. Its an entity with considerable incidence and treatment particularities which give reason for a reflection on the subject. We present a 5-year casuistry, characterizing the SP epidemiology, clinical presentation, investigation and therapeutic choices. METHODS: Sixty-six patients were included in the study, corresponding to 93 episodes of SP. RESULTS: We have found male predominance and the mean age was 34.5 years old. In 60.6% of cases there was history of tobacco use; 36.4% of cases were classified as secondary; 30.1% of patients with secondary SP and 21.7% with primary SP recurred; 89.2% had an acute presentation. The most frequent initial symptom was chest pain (90.3%) and 81.7% had diminished breath sounds. In 17.3% it was documented a physical strain associated. We did not identify statistically significant association between the SP occurrence and the variation of the atmospheric pressure, on the first day of symptoms. In 12.9% of episodes the initial treatment option was observation. In most of the episodes the lung totally expanded. However, in 29.1% of the episodes surgical treatment was needed. CONCLUSIONS: Our results are similar to the literature. Some clinical records are incomplete, demanding the implementation of rules to improve knowledge about this matter.Canada-China Clinical Medicine Study AssociationRepositório Científico do Centro Hospitalar Universitário de Santo AntónioSousa, C.Neves, J.Sa, N.Gonçalves, F.Oliveira, J.Reis, E.2013-01-03T14:51:33Z2011-052011-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/1358engJ Clin Med Res. 2011 May 19;3(3):111-7.1918-3011info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T10:55:37Zoai:repositorio.chporto.pt:10400.16/1358Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:37:46.823066Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Spontaneous Pneumothorax: A 5-Year Experience
title Spontaneous Pneumothorax: A 5-Year Experience
spellingShingle Spontaneous Pneumothorax: A 5-Year Experience
Sousa, C.
Spontaneous pneumothorax
Primary spontaneous pneumothorax
Secondary spontaneous pneumothorax
Epidemiology
title_short Spontaneous Pneumothorax: A 5-Year Experience
title_full Spontaneous Pneumothorax: A 5-Year Experience
title_fullStr Spontaneous Pneumothorax: A 5-Year Experience
title_full_unstemmed Spontaneous Pneumothorax: A 5-Year Experience
title_sort Spontaneous Pneumothorax: A 5-Year Experience
author Sousa, C.
author_facet Sousa, C.
Neves, J.
Sa, N.
Gonçalves, F.
Oliveira, J.
Reis, E.
author_role author
author2 Neves, J.
Sa, N.
Gonçalves, F.
Oliveira, J.
Reis, E.
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
dc.contributor.author.fl_str_mv Sousa, C.
Neves, J.
Sa, N.
Gonçalves, F.
Oliveira, J.
Reis, E.
dc.subject.por.fl_str_mv Spontaneous pneumothorax
Primary spontaneous pneumothorax
Secondary spontaneous pneumothorax
Epidemiology
topic Spontaneous pneumothorax
Primary spontaneous pneumothorax
Secondary spontaneous pneumothorax
Epidemiology
description BACKGROUND: Spontaneous pneumothorax (SP) is defined by the presence of air in the pleural space without history of trauma. It is classified as secondary if coexisting with underlying pulmonary disease. Its an entity with considerable incidence and treatment particularities which give reason for a reflection on the subject. We present a 5-year casuistry, characterizing the SP epidemiology, clinical presentation, investigation and therapeutic choices. METHODS: Sixty-six patients were included in the study, corresponding to 93 episodes of SP. RESULTS: We have found male predominance and the mean age was 34.5 years old. In 60.6% of cases there was history of tobacco use; 36.4% of cases were classified as secondary; 30.1% of patients with secondary SP and 21.7% with primary SP recurred; 89.2% had an acute presentation. The most frequent initial symptom was chest pain (90.3%) and 81.7% had diminished breath sounds. In 17.3% it was documented a physical strain associated. We did not identify statistically significant association between the SP occurrence and the variation of the atmospheric pressure, on the first day of symptoms. In 12.9% of episodes the initial treatment option was observation. In most of the episodes the lung totally expanded. However, in 29.1% of the episodes surgical treatment was needed. CONCLUSIONS: Our results are similar to the literature. Some clinical records are incomplete, demanding the implementation of rules to improve knowledge about this matter.
publishDate 2011
dc.date.none.fl_str_mv 2011-05
2011-05-01T00:00:00Z
2013-01-03T14:51:33Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/1358
url http://hdl.handle.net/10400.16/1358
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv J Clin Med Res. 2011 May 19;3(3):111-7.
1918-3011
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dc.publisher.none.fl_str_mv Canada-China Clinical Medicine Study Association
publisher.none.fl_str_mv Canada-China Clinical Medicine Study Association
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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