Spontaneous Pneumothorax: A 5-Year Experience
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
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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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 |
format |
article |
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 |
language |
eng |
dc.relation.none.fl_str_mv |
J Clin Med Res. 2011 May 19;3(3):111-7. 1918-3011 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133639163772928 |