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- Title
Differences in Possible Risk Factors, Treatment Strategies, and Outcomes of Neonatal Pneumothorax in Preterm and Term Infants.
- Authors
Tandırcıoğlu, Ümit Ayşe; Koral, Ümran; Güzoğlu, Nilüfer; Alan, Serdar; Aliefendioğlu, Didem
- Abstract
Objective: The study aimed to compare the risk factors, treatment strategies, and early outcomes of symptomatic neonatal pneumothorax (NP) between preterm and term newborns. Materials and Methods: This retrospective cross-sectional study was conducted in a neonatal intensive care unit between 2015 and 2022, consisting of hospitalized neonates with symptomatic NP. The cases were divided into three groups according to their gestational ages: <340/7 (group 1), 340/7-366/7 (group 2), and ≥370/7 weeks (group 3). Risk factors, treatment strategies, and mortality rates of the study groups were compared using Kruskal–Wallis analysis. Results: Fifty-nine infants with a diagnosis of symptomatic NP were included in the study. The number of participants was as follows: 25 (42.3%) in group 1, 18 (30.5%) in group 2, and 16 (27.1%) in group 3. The need of delivery room (DR) resuscitation was significantly higher in group 1 (40%, P = .003). The surfactant administration rate was significantly higher in group 1 when compared to group 2 and group 3 (68% vs. 22% and 19%, respectively), P < .001. Similarly, the invasive mechanical ventilation percentage was significantly higher in group 1 than group 2 and group 3, P = .014. However, compared to group 3 (63%), the percentage of chest drain insertion (CDI) need was significantly higher in group 1 (96%) and group 2 (89%) (P = .014). Conclusion: Exposure to DR resuscitation and the need for surfactant are the most common risk factors for NP in preterm infants. Although oxygen and/or needle aspiration treatments are less invasive in symptomatic NP, the improvement rate without CDI is very low in preterm infants born before 34 weeks of gestational age.
- Subjects
KRUSKAL-Wallis Test; NEONATAL intensive care; STRATEGIC planning; DURATION of pregnancy; CROSS-sectional method; MEDICAL suction; RETROSPECTIVE studies; ACQUISITION of data; GESTATIONAL age; HOSPITAL birthing centers; SURFACE active agents; FISHER exact test; TREATMENT effectiveness; RISK assessment; COMPARATIVE studies; HOSPITAL mortality; ARTIFICIAL respiration; CHEST tubes; MEDICAL records; DESCRIPTIVE statistics; OXYGEN therapy; CHI-squared test; RESUSCITATION; DATA analysis software; PNEUMOTHORAX; NEEDLE biopsy; DISEASE risk factors
- Publication
Turkish Archives of Pediatrics, 2024, Vol 59, Issue 1, p87
- ISSN
2757-6256
- Publication type
Article
- DOI
10.5152/TurkArchPediatr.2024.23124