Early risk factors of operative management for hospitalization children with spontaneous pneumothorax
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In brief
In brief
Retrospective study of 39 pediatric patients with primary spontaneous pneumothorax found 38.5% required surgical intervention after initial chest tube management. Patients requiring thoracoscopic surgery had significantly longer chest tube duration (8 vs 3 days) and hospital stays (9 vs 4 days) compared to those managed non-operatively.
Written by the GCMD Library team from the article.
Background
The optimal timing of operative management in children with primary spontaneous pneumothorax (PSP) remains controversial. This study sought to determine early risk factors for failure of chest tube non-operative management during the initial hospitalization in adolescents with PSP.
Methods
A retrospective review was conducted for children (aged ≤18 years) admitted to a single tertiary care referral center for their first presentation of a PSP managed with at least 48 hours of chest tube decompression (CTD) alone. Patient outcomes and early risk factors for operative management were analyzed by multivariate regression.
Results
Of the 39 patients who met inclusion criteria, 15 (38.5%) patients failed non-operative treatment while 24 (61.5%) patients were managed with CTD therapy alone. Progression to thoracoscopic surgery was associated with longer CTD of 8 vs 3 days and hospital length of stay of 9 vs 4 days when compared to non-operative management (p