Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
The initial treatment regime for primary spontaneous pneumothorax (PSP) is generic and non-personalised, often involving a long hospital stay waiting for air leak to cease. This prospective study of 81 patients with PSP, who required drain insertion, captured daily digital air leak measurements and...
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| Veröffentlicht in: | Thorax 2019-04, Vol.74 (4), p.410-412 |
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| creator | Hallifax, Rob J Laskawiec-Szkonter, Magda Rahman, Najib M |
| description | The initial treatment regime for primary spontaneous pneumothorax (PSP) is generic and non-personalised, often involving a long hospital stay waiting for air leak to cease. This prospective study of 81 patients with PSP, who required drain insertion, captured daily digital air leak measurements and assessed failure of medical management against prespecified criteria. Patients with higher air leak at day 1 or 2 had significantly longer hospital stay. If air leak was ≥100 mL/min on day 1, the adjusted OR of treatment failure was 5.2 (95% CI 1.2 to 22.6, p=0.03), demonstrating that early digital air leak measurements could potentially predict future medical treatment failure.Trial registration number ISRCTN79151659. |
| doi_str_mv | 10.1136/thoraxjnl-2018-212116 |
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This prospective study of 81 patients with PSP, who required drain insertion, captured daily digital air leak measurements and assessed failure of medical management against prespecified criteria. Patients with higher air leak at day 1 or 2 had significantly longer hospital stay. If air leak was ≥100 mL/min on day 1, the adjusted OR of treatment failure was 5.2 (95% CI 1.2 to 22.6, p=0.03), demonstrating that early digital air leak measurements could potentially predict future medical treatment failure.Trial registration number ISRCTN79151659.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thoraxjnl-2018-212116</identifier><identifier>PMID: 30355640</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Thoracic Society</publisher><subject>Adult ; Body mass index ; Brief Communication ; Chest Tubes ; Epidemiology ; Female ; Hospitalization ; Hospitals ; Humans ; Information sharing ; Length of Stay - statistics & numerical data ; Male ; Monitoring, Physiologic - methods ; Patients ; pleural disease ; Pneumothorax - diagnosis ; Pneumothorax - therapy ; Predictive Value of Tests ; Prognosis ; Prospective Studies ; respiratory measurement ; Risk Factors ; Suctioning ; Systematic review ; Thoracic surgery ; Thorax ; Treatment Outcome ; Young Adult</subject><ispartof>Thorax, 2019-04, Vol.74 (4), p.410-412</ispartof><rights>Author(s) (or their employer(s)) 2019. 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This prospective study of 81 patients with PSP, who required drain insertion, captured daily digital air leak measurements and assessed failure of medical management against prespecified criteria. Patients with higher air leak at day 1 or 2 had significantly longer hospital stay. If air leak was ≥100 mL/min on day 1, the adjusted OR of treatment failure was 5.2 (95% CI 1.2 to 22.6, p=0.03), demonstrating that early digital air leak measurements could potentially predict future medical treatment failure.Trial registration number ISRCTN79151659.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Thoracic Society</pub><pmid>30355640</pmid><doi>10.1136/thoraxjnl-2018-212116</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-9467-668X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Body mass index Brief Communication Chest Tubes Epidemiology Female Hospitalization Hospitals Humans Information sharing Length of Stay - statistics & numerical data Male Monitoring, Physiologic - methods Patients pleural disease Pneumothorax - diagnosis Pneumothorax - therapy Predictive Value of Tests Prognosis Prospective Studies respiratory measurement Risk Factors Suctioning Systematic review Thoracic surgery Thorax Treatment Outcome Young Adult |
| title | Predicting outcomes in primary spontaneous pneumothorax using air leak measurements |
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