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Journals / The Journal of Pediatric Research / 2020 / Cilt: 7 - Sayı: 2

Neonatal Pneumothorax - 10 Years of Experience From a Single Center

Mustafa OKUMUŞ
Adil Umut ZÜBARİOĞLU
Pages
163–167
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The overall mortality rate was found to be 21%.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Pneumothorax is detected in approximately 1-2% of all term newborns and this rate can reach 15-20% in neonatal intensive care unit(NICU)’s; tube thoracostomy (TT) is the traditional treatment in symptomatic newborns.
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Key Findings & Data:The management of neonatal pneumothorax, andetiologies, and risk factors related to mortality were evaluated in this study.Materials and Methods: A total of 6.647 newborns who were treated in the NICU during the last ten years were evaluated retrospectively.Newborns with pneumothorax were included in the study.
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Conclusion & Impact:The overall mortality rate was found to be 21%.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Aim: Pneumothorax is detected in approximately 1-2% of all term newborns and this rate can reach 15-20% in neonatal intensive care unit(NICU)’s; tube thoracostomy (TT) is the traditional treatment in symptomatic newborns. The management of neonatal pneumothorax, andetiologies, and risk factors related to mortality were evaluated in this study.Materials and Methods: A total of 6.647 newborns who were treated in the NICU during the last ten years were evaluated retrospectively.Newborns with pneumothorax were included in the study. Demographic characteristics, treatment modalities, and outcomes were evaluated.Results: Pneumothorax was diagnosed in 124 (1.9%) newborns. The mean gestational age was 33.3±5.1 weeks and the mean birth weight was2,163.7±899.4 grams; 101 (81%) were preterm and 40 (32%) were very low birth weight newborns. Seventy-four (58%) newborns were diagnosedas having Respiratory Distress syndrome, the diagnosis was transient tachypnea of the newborn in 43 (35%), Meconium Aspiration syndromein 3 (2.5%) and pneumonia in 4 (3%). One hundred nineteen newborns were treated with TT. Spontaneous resolution was observed in fivenewborns with close follow-up. A total of 129 (bilateral pneumothorax in 20 newborns) tube thoracostomies were performed at the bedsidewith no major complication. The overall mortality rate was found to be 21%. Gestational ages were 33 weeks or less in 25 of the 26 deaths.Conclusion: Very low birth weight and prematurity in neonatal pneumothorax are associated with mechanical ventilation necessity andmortality. TT with small-bore chest drains is safe and effective in the management.

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Cite This Article

OKUMUŞ, M., ZÜBARİOĞLU, A. U. (2020). Neonatal Pneumothorax - 10 Years of Experience From a Single Center. The Journal of Pediatric Research, Cilt: 7 - Sayı: 2, 163–167. https://ajindex.com/articles/362719

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