Demographics, clinical characteristics, and recurrence rate of patients with primary spontaneous pneumothorax at a tertiary care center in Qatar.

Content Provider	Europe PMC
Author	Ahmad Khan, Adeel Zahid, Muhammad Ahmad Alhiyari, Mousa Ahmad Al-Andulmalek, Abdulrahman Ekpuk Jumbo, Unwam Naser Kloub, Mohammad Muslim, Muhammad Naeem, Muhammad Yousaf, Zohaib Mazhar, Rashid Sharif, Muhammad
Copyright Year	2022
Abstract	Introduction: Primary spontaneous pneumothorax (PSP) is a common medical emergency. Its treatment includes simple observation, needle thoracentesis, pleural catheter, video-assisted thoracoscopy (VATS), and open surgery. We aimed to establish the demographic, clinical characteristics, and 12-month recurrence rate of patients with PSP in four hospitals of the Hamad Medical Corporation, Qatar.Materials and methods: We conducted a retrospective analysis of patients >14 years old who were admitted with PSP from January 1, 2017 to December 31, 2019. The patients were followed up for 12 months for the recurrence of PSP.Results: Out of 246 patients enrolled in this study, 223 (90.7%) were males and 23 (9.3%) were females. Their mean age was 29.1 ± 9.59 years and their mean body mass index (BMI) was 21.7 ± 4.22 kg/m2. Of these, 123 (51.2%) patients were smokers. Chest pain was the most common presenting complaint (82.5%). A total of 59 (23.98%) patients had a small pneumothorax, whereas 187 (76.01%) patients had a large pneumothorax.Among the patients with small pneumothorax, 16 (28.33%) were managed through observation alone, 2 (3.33%) required needle aspiration, 15 (25%) required pleural catheter insertion, and 26 (44.06%) underwent surgical intervention for management. Out of 187 patients with large pneumothorax, 16 (8.6%) were managed through observation, 7 (3.76%) required needle aspiration, 73 (38.1%) required pleural catheter insertion, and 91 (48.6%) underwent surgery.During the 12-month follow-up, 58 patients were lost to follow-up and 5 patients (5/188; 2.66%) presented with a recurrence of PSP. Out of 108 patients who underwent VATS, 2 (1.85%) had a recurrence of PSP.Conclusion: PSP is more common in males than in females, with a tendency for younger age onset. The recurrence rate of PSP in our study was 2.66%. Furthermore, the recurrence rate in our patients who underwent VATS was 1.85%. Prospective studies are warranted to compare the success rates of different treatment interventions.
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ISSN	02538253
Journal	Qatar Medical Journal [Qatar Med J]
Volume Number	2022
DOI	10.5339/qmj.2022.56
PubMed Central reference number	PMC9676946
Issue Number	4
PubMed reference number	36466437
e-ISSN	22270426
Language	English
Publisher	HBKU Press
Publisher Date	2022-11-16
Publisher Place	Qatar
Access Restriction	Open
Rights License	This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. © 2022 Khan, Zahid, Alhiyari, Al-Andulmalek, Jumbo, Kloub, Muslim, Naeem, Yousaf, Mazhar, Sharif, licensee HBKU Press.
Subject Keyword	Pneumothorax Primary Spontaneous Pneumothorax Recurrence Video-Assisted Thoracoscopic Surgery VATS
Content Type	Text
Resource Type	Article
Subject	Medicine