Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit

Aim: This study aimed to retrospectively evaluate the patients who were followed up in the neonatal intensive care unit of our hospital with the diagnosis of pneumothorax. Methods: The records of patients who were followed up with the diagnosis of pneumothorax in our neonatal intensive care unit...

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Main Authors: Abdulvahit Aşık, Selahattin Akar
Format: Article
Language:English
Published: Izzet Baysal Training and Research Hospital 2025-07-01
Series:Northwestern Medical Journal
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Online Access:https://nwmedj.org/article/view/139
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author Abdulvahit Aşık
Selahattin Akar
author_facet Abdulvahit Aşık
Selahattin Akar
author_sort Abdulvahit Aşık
collection DOAJ
description Aim: This study aimed to retrospectively evaluate the patients who were followed up in the neonatal intensive care unit of our hospital with the diagnosis of pneumothorax. Methods: The records of patients who were followed up with the diagnosis of pneumothorax in our neonatal intensive care unit between September 1, 2016 and December 31, 2022 were retrospectively reviewed. Birth weight, sex, gestational week, mode of delivery, localization of pneumothorax, presence of underlying primary lung disease, and mortality were evaluated. Results: The mean birth weight of 35 patients (19 girls, 16 boys) who developed pneumothorax was 2200±1050 g and the mean gestational age was 33.2±5.1 weeks. Twenty-seven of the patients were delivered by cesarean section and 8 by normal spontaneous vaginal delivery. Pneumothorax was most common on the right side (n:19) and no patient had bilateral pneumothorax. 13 patients had received surfactant treatment before pneumothorax. The primary diagnoses were respiratory distress syndrome (RDS) in 17 patients and transient tachypnea of the newborn (TTN) in 11 patients. 14 patients were resuscitated at birth. A thoracic tube was inserted in 22 patients, while 13 patients were followed up conservatively. Conclusions: The most common predisposing causes in patients with pneumothorax are RDS and TTN. Early diagnosis and treatment of pneumothorax is life-saving. It should be kept in mind that pneumothorax may develop in patients who are followed up in the neonatal intensive care unit due to respiratory distress.
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spelling doaj-art-68d4786e9f31465d9d06f57a6dca22b42025-08-20T03:44:01ZengIzzet Baysal Training and Research HospitalNorthwestern Medical Journal2979-95382025-07-015310.54307/2025.NWMJ.139Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unitAbdulvahit Aşık0https://orcid.org/0000-0002-5508-1181Selahattin Akar1https://orcid.org/0000-0001-5915-8652Department of Pediatrics, Adıyaman University Education and Research Hospital, Adıyaman, TürkiyeDepartment of Neonatology, Faculty of Medicine, Adıyaman University, Adıyaman, Türkiye Aim: This study aimed to retrospectively evaluate the patients who were followed up in the neonatal intensive care unit of our hospital with the diagnosis of pneumothorax. Methods: The records of patients who were followed up with the diagnosis of pneumothorax in our neonatal intensive care unit between September 1, 2016 and December 31, 2022 were retrospectively reviewed. Birth weight, sex, gestational week, mode of delivery, localization of pneumothorax, presence of underlying primary lung disease, and mortality were evaluated. Results: The mean birth weight of 35 patients (19 girls, 16 boys) who developed pneumothorax was 2200±1050 g and the mean gestational age was 33.2±5.1 weeks. Twenty-seven of the patients were delivered by cesarean section and 8 by normal spontaneous vaginal delivery. Pneumothorax was most common on the right side (n:19) and no patient had bilateral pneumothorax. 13 patients had received surfactant treatment before pneumothorax. The primary diagnoses were respiratory distress syndrome (RDS) in 17 patients and transient tachypnea of the newborn (TTN) in 11 patients. 14 patients were resuscitated at birth. A thoracic tube was inserted in 22 patients, while 13 patients were followed up conservatively. Conclusions: The most common predisposing causes in patients with pneumothorax are RDS and TTN. Early diagnosis and treatment of pneumothorax is life-saving. It should be kept in mind that pneumothorax may develop in patients who are followed up in the neonatal intensive care unit due to respiratory distress. https://nwmedj.org/article/view/139Neonatal intensive care unitneonatepneumothorax
spellingShingle Abdulvahit Aşık
Selahattin Akar
Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit
Northwestern Medical Journal
Neonatal intensive care unit
neonate
pneumothorax
title Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit
title_full Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit
title_fullStr Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit
title_full_unstemmed Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit
title_short Retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit
title_sort retrospective evaluation of cases with pneumothorax in our neonatal intensive care unit
topic Neonatal intensive care unit
neonate
pneumothorax
url https://nwmedj.org/article/view/139
work_keys_str_mv AT abdulvahitasık retrospectiveevaluationofcaseswithpneumothoraxinourneonatalintensivecareunit
AT selahattinakar retrospectiveevaluationofcaseswithpneumothoraxinourneonatalintensivecareunit