Spontaneous pneumothorax in chronic obstructive pulmonary disease: complications, treatment and recurrences. European journal of respiratory diseases. [Eur J Respir Dis] Journal article | | Title | Spontaneous pneumothorax in chronic obstructive pulmonary disease: complications, treatment and recurrences. | | Author(s) | Videm V, Pillgram-Larsen J, Ellingsen O, Andersen G, Ovrum E | | Institution | Department of Surgery, Ullevaal Hospital, University of Oslo, Norway. | | Source | Eur J Respir Dis 1987 Nov; 71(5):365-71. | | MeSH | Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Bacterial Infections
Catheterization
Comparative Study
Drainage
Female
Humans
Lung Diseases, Obstructive
Male
Middle Aged
Pneumothorax
Recurrence
Thoracotomy
| | Abstract | Data from 303 patients with 389 admissions for spontaneous pneumothorax from 1970 to 1980 at Ullevaal Hospital, Oslo, Norway, were reviewed. Spontaneous pneumothorax carried a significantly higher complication and mortality rate in patients suffering chronic obstructive pulmonary disease (COPD). Their higher median age compared to non-COPD patients contributed to this, but did not account for the increased mortality. The risk of developing wound infection and/or pneumonia was significantly higher after 7 days of chest tube treatment in both patient groups, independent of age. There was no association between recurrence rate and COPD/non-COPD, age or duration of chest tube treatment (1-7 days, 8 days or more). Complications were not more frequent after thoracotomies performed in COPD patients. Therefore operative treatment for both primary and COPD-related spontaneous pneumothorax should be considered if tube treatment is not successful after 1 week and there are no contraindications. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 3443160 |
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