The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax

The aim of this study was to present our experience in management of neonatal pneumothorax and factors contributing to persistent pneumothorax and mortality. Forty-two newborns were analyzed according to gestational age, birth weight, Apgar score, age of admittance, type of delivery, mother&#...

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Main Authors: Hidir Esme, Omer Doğru, Sevval Eren, Mevlüt Korkmaz, Okan Solak
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2008-06-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2422
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author Hidir Esme
Omer Doğru
Sevval Eren
Mevlüt Korkmaz
Okan Solak
author_facet Hidir Esme
Omer Doğru
Sevval Eren
Mevlüt Korkmaz
Okan Solak
author_sort Hidir Esme
collection DOAJ
description The aim of this study was to present our experience in management of neonatal pneumothorax and factors contributing to persistent pneumothorax and mortality. Forty-two newborns were analyzed according to gestational age, birth weight, Apgar score, age of admittance, type of delivery, mother's age, side of pneumothorax, causes of pneumothorax, accompanying disorders, tube thoracostomy and mechanical ventilation durations, mean hospital stay, and deaths. Sixteen patients (38%) weighed less than 2500 g and 28 (66%) were preterm. The mean Apgar score at 5th minute was 6.2 (2-10). The pneumothorax was bilateral in 9 patients (21%). There was a defined underlying lung pathology in 26 (61%) patients and accompanying disorder in 14 (33%). Mean tube thoracostomy duration was 5 days (2-12). Twenty-five patients (59%) needed mechanical ventilation. Overall 10 babies died. Our findings indicated that underlying primary lung pathology, need for mechanical ventilation, and bilateral pneumothorax were major determinants of persistent pneumothorax and mortality in newborns.
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publishDate 2008-06-01
publisher Hacettepe University Institute of Child Health
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series The Turkish Journal of Pediatrics
spelling doaj-art-497f87f190eb427fbae5e96c39af81b22025-08-20T03:16:23ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212008-06-01503The factors affecting persistent pneumothorax and mortality in neonatal pneumothoraxHidir Esme0Omer DoğruSevval ErenMevlüt KorkmazOkan SolakDepartment of Thoracic Surgery, Afyon Kocatepe University Faculty of Medicine, Afyon, Turkey. The aim of this study was to present our experience in management of neonatal pneumothorax and factors contributing to persistent pneumothorax and mortality. Forty-two newborns were analyzed according to gestational age, birth weight, Apgar score, age of admittance, type of delivery, mother's age, side of pneumothorax, causes of pneumothorax, accompanying disorders, tube thoracostomy and mechanical ventilation durations, mean hospital stay, and deaths. Sixteen patients (38%) weighed less than 2500 g and 28 (66%) were preterm. The mean Apgar score at 5th minute was 6.2 (2-10). The pneumothorax was bilateral in 9 patients (21%). There was a defined underlying lung pathology in 26 (61%) patients and accompanying disorder in 14 (33%). Mean tube thoracostomy duration was 5 days (2-12). Twenty-five patients (59%) needed mechanical ventilation. Overall 10 babies died. Our findings indicated that underlying primary lung pathology, need for mechanical ventilation, and bilateral pneumothorax were major determinants of persistent pneumothorax and mortality in newborns. https://turkjpediatr.org/article/view/2422
spellingShingle Hidir Esme
Omer Doğru
Sevval Eren
Mevlüt Korkmaz
Okan Solak
The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax
The Turkish Journal of Pediatrics
title The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax
title_full The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax
title_fullStr The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax
title_full_unstemmed The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax
title_short The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax
title_sort factors affecting persistent pneumothorax and mortality in neonatal pneumothorax
url https://turkjpediatr.org/article/view/2422
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