The predictive value of the Haller index for recurrent pneumothorax risk after primary spontaneous pneumothorax

The predictive value of the Haller index for recurrent pneumothorax risk after primary spontaneous pneumothorax

In this study, we aimed to evaluate the predictive value of the Haller index for recurrence risk in primary spontaneous pneumothorax patients. Between January 2018 and December 2023, a total of 285 patients (260 males, 25 females; median age: 23 years; range, 17 to 35 years) with primary spontaneous...

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Veröffentlicht in:Türk göğüs kalp damar cerrahisi dergisi 2024-10, Vol.32 (4), p.436-444
Hauptverfasser: Buz, Mesut, Özsaray, Yunus Emre, Sesigüzel, Mehmet İlhan, Doğruyol, Mahmut Talha, Çimenoğlu, Rıza Berk, Özdemir, Attila, Demirhan, Recep
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container_issue 4
container_start_page 436
container_title Türk göğüs kalp damar cerrahisi dergisi
container_volume 32
creator Buz, Mesut
Özsaray, Yunus Emre
Sesigüzel, Mehmet İlhan
Doğruyol, Mahmut Talha
Çimenoğlu, Rıza Berk
Özdemir, Attila
Demirhan, Recep
description In this study, we aimed to evaluate the predictive value of the Haller index for recurrence risk in primary spontaneous pneumothorax patients. Between January 2018 and December 2023, a total of 285 patients (260 males, 25 females; median age: 23 years; range, 17 to 35 years) with primary spontaneous pneumothorax who underwent thoracic computed tomography and followed for at least one year were retrospectively analyzed. The patients were divided into two groups as the non-recurrence group (n=170) and recurrence (n=115) group. The Haller index was calculated from computed tomography scans at presentation and its predictive value for recurrent pneumothorax was estimated. The median age was significantly higher in the non-recurrence group than in the recurrence group (p
doi_str_mv 10.5606/tgkdc.dergisi.2024.26856
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Between January 2018 and December 2023, a total of 285 patients (260 males, 25 females; median age: 23 years; range, 17 to 35 years) with primary spontaneous pneumothorax who underwent thoracic computed tomography and followed for at least one year were retrospectively analyzed. The patients were divided into two groups as the non-recurrence group (n=170) and recurrence (n=115) group. The Haller index was calculated from computed tomography scans at presentation and its predictive value for recurrent pneumothorax was estimated. The median age was significantly higher in the non-recurrence group than in the recurrence group (p &lt;0.001). The median time to recurrence was two (IQR 1-3) months. The diagnostic validity of Haller index for predicting recurrence showed an area under the receiver operating characteristic of 0.824 (95% confidence interval [CI]: 0.775-0.866) (p &lt;0.001). The optimal cut-off value of Haller index (&gt;2.4) showed a sensitivity of 70.43% (95% CI: 61.2-78.6) and specificity of 76.47% (95% CI: 69.4-82.6). A high Haller index is associated with increased recurrent pneumothorax risk in primary spontaneous pneumothorax patients. Traditionally used for pectus excavatum severity, incorporating Haller index in the management of these patients may help to identify high-risk patients and guide personalized management strategies.</description><identifier>ISSN: 1301-5680</identifier><identifier>EISSN: 2149-8156</identifier><identifier>DOI: 10.5606/tgkdc.dergisi.2024.26856</identifier><identifier>PMID: 39651043</identifier><language>eng</language><publisher>Turkey: Bayçınar Medical Publishing</publisher><subject>Original</subject><ispartof>Türk göğüs kalp damar cerrahisi dergisi, 2024-10, Vol.32 (4), p.436-444</ispartof><rights>Copyright © 2024, Turkish Society of Cardiovascular Surgery.</rights><rights>Copyright © 2024, Turkish Society of Cardiovascular Surgery 2024 Turkish Society of Cardiovascular Surgery</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c246t-54767a1e04f9e2743383e1189445e9cf827f392d9d69fd22ad3725ce13e11c403</cites><orcidid>0000-0002-9123-8203 ; 0000-0002-4319-1594 ; 0009-0007-7968-5821 ; 0000-0003-0875-8409 ; 0000-0003-4424-5918 ; 0000-0003-1899-8983 ; 0009-0006-7926-865X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620531/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620531/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39651043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buz, Mesut</creatorcontrib><creatorcontrib>Özsaray, Yunus Emre</creatorcontrib><creatorcontrib>Sesigüzel, Mehmet İlhan</creatorcontrib><creatorcontrib>Doğruyol, Mahmut Talha</creatorcontrib><creatorcontrib>Çimenoğlu, Rıza Berk</creatorcontrib><creatorcontrib>Özdemir, Attila</creatorcontrib><creatorcontrib>Demirhan, Recep</creatorcontrib><title>The predictive value of the Haller index for recurrent pneumothorax risk after primary spontaneous pneumothorax</title><title>Türk göğüs kalp damar cerrahisi dergisi</title><addtitle>Turk Gogus Kalp Damar Cerrahisi Derg</addtitle><description>In this study, we aimed to evaluate the predictive value of the Haller index for recurrence risk in primary spontaneous pneumothorax patients. Between January 2018 and December 2023, a total of 285 patients (260 males, 25 females; median age: 23 years; range, 17 to 35 years) with primary spontaneous pneumothorax who underwent thoracic computed tomography and followed for at least one year were retrospectively analyzed. The patients were divided into two groups as the non-recurrence group (n=170) and recurrence (n=115) group. The Haller index was calculated from computed tomography scans at presentation and its predictive value for recurrent pneumothorax was estimated. The median age was significantly higher in the non-recurrence group than in the recurrence group (p &lt;0.001). The median time to recurrence was two (IQR 1-3) months. The diagnostic validity of Haller index for predicting recurrence showed an area under the receiver operating characteristic of 0.824 (95% confidence interval [CI]: 0.775-0.866) (p &lt;0.001). 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The optimal cut-off value of Haller index (&gt;2.4) showed a sensitivity of 70.43% (95% CI: 61.2-78.6) and specificity of 76.47% (95% CI: 69.4-82.6). A high Haller index is associated with increased recurrent pneumothorax risk in primary spontaneous pneumothorax patients. 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title The predictive value of the Haller index for recurrent pneumothorax risk after primary spontaneous pneumothorax
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