Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital
Objectives: To determine the frequency and causal relationship of Pneumothorax in prematurely born neonates in a tertiary care hospital. Study Design: Prospective longitudinal study Place and Duration of Study: Department of Paediatrics, Pak Emirates Military Hospital, Rawalpindi Pakistan, fro...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-10-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/PAFMJ/article/view/5395 |
| _version_ | 1797341007910535168 |
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| author | Aamir Aslam Awan Qudratullah Malik Faisal Basheer Ammara Iftikhar Hafiz Abdul Quddus Hafiz Murtaza Sabir |
| author_facet | Aamir Aslam Awan Qudratullah Malik Faisal Basheer Ammara Iftikhar Hafiz Abdul Quddus Hafiz Murtaza Sabir |
| author_sort | Aamir Aslam Awan |
| collection | DOAJ |
| description |
Objectives: To determine the frequency and causal relationship of Pneumothorax in prematurely born neonates in a tertiary
care hospital.
Study Design: Prospective longitudinal study
Place and Duration of Study: Department of Paediatrics, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Aug 2017 to Jul 2019.
Methodology: A total of 510 premature neonates fulfilling the inclusion criteria were enrolled in the study. In suspected cases,Pneumothorax was confirmed on a chest radiograph. Hemodynamically stable neonates were closely observed for
spontaneous resolution, whereas unstable neonates were managed by needle thoracocentesis or thoracostomy with or without ventilator support. The outcome of the study was either death of the neonate or discharge from the NICU (Neonatal Intensive Care Unit).
Results: Of 510 included premature neonates, 43(8.4%) developed Pneumothorax. Pneumothorax was more common in late pre-term (51.2%) and moderate pre-term (46.5%) infants. Underlying diseases causing Pneumothorax were respiratory distress syndrome (RDS) 21(48.8%), meconium aspiration syndrome (MAS) 8(18.6%), transient tachypnoea of the newborn (TTN) 5(11.6%), birth asphyxia syndrome (BAS) 6(14%) and Pneumonia 3(7%). 34(79.1%) patients required thoracostomy, whereas 7(16.3%) required only needle thoracocentesis. Spontaneous resolution occurred in only 2(4.7%) patients. Of 43 patients, 35(81.39%) were discharged, and 8 (18.60%) died.
Conclusion: Pneumothorax is not an uncommon complication, especially in premature neonates. A high index of suspicion is required for early recognition and timely management of Pneumothorax, as delay is associated with significant mortality.
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| first_indexed | 2024-03-08T10:11:40Z |
| format | Article |
| id | doaj.art-4e119c55b09a4d7793a9e257a52a6606 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-08T10:11:40Z |
| publishDate | 2023-10-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-4e119c55b09a4d7793a9e257a52a66062024-01-29T08:27:32ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-10-0173510.51253/pafmj.v73i5.5395Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care HospitalAamir Aslam Awan0Qudratullah Malik1Faisal Basheer2Ammara Iftikhar3Hafiz Abdul Quddus4Hafiz Murtaza Sabir5Department of Paeds, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) PakistanDepartment of Paeds, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Paeds, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) PakistanDepartment of Paeds, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) PakistanDepartment of Paeds, Combined Military Hospital Multan/National University of Medical Sciences (NUMS) PakistanDepartment of Paeds, Combined Military Hospital Multan/National University of Medical Sciences (NUMS) Pakistan Objectives: To determine the frequency and causal relationship of Pneumothorax in prematurely born neonates in a tertiary care hospital. Study Design: Prospective longitudinal study Place and Duration of Study: Department of Paediatrics, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Aug 2017 to Jul 2019. Methodology: A total of 510 premature neonates fulfilling the inclusion criteria were enrolled in the study. In suspected cases,Pneumothorax was confirmed on a chest radiograph. Hemodynamically stable neonates were closely observed for spontaneous resolution, whereas unstable neonates were managed by needle thoracocentesis or thoracostomy with or without ventilator support. The outcome of the study was either death of the neonate or discharge from the NICU (Neonatal Intensive Care Unit). Results: Of 510 included premature neonates, 43(8.4%) developed Pneumothorax. Pneumothorax was more common in late pre-term (51.2%) and moderate pre-term (46.5%) infants. Underlying diseases causing Pneumothorax were respiratory distress syndrome (RDS) 21(48.8%), meconium aspiration syndrome (MAS) 8(18.6%), transient tachypnoea of the newborn (TTN) 5(11.6%), birth asphyxia syndrome (BAS) 6(14%) and Pneumonia 3(7%). 34(79.1%) patients required thoracostomy, whereas 7(16.3%) required only needle thoracocentesis. Spontaneous resolution occurred in only 2(4.7%) patients. Of 43 patients, 35(81.39%) were discharged, and 8 (18.60%) died. Conclusion: Pneumothorax is not an uncommon complication, especially in premature neonates. A high index of suspicion is required for early recognition and timely management of Pneumothorax, as delay is associated with significant mortality. https://www.pafmj.org/PAFMJ/article/view/5395PneumothoraxPrematurityNeonateThoracostomyThoracocentesis |
| spellingShingle | Aamir Aslam Awan Qudratullah Malik Faisal Basheer Ammara Iftikhar Hafiz Abdul Quddus Hafiz Murtaza Sabir Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital Pakistan Armed Forces Medical Journal Pneumothorax Prematurity Neonate Thoracostomy Thoracocentesis |
| title | Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital |
| title_full | Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital |
| title_fullStr | Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital |
| title_full_unstemmed | Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital |
| title_short | Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital |
| title_sort | frequency and causal relationship of pneumothorax in premature neonates in a tertiary care hospital |
| topic | Pneumothorax Prematurity Neonate Thoracostomy Thoracocentesis |
| url | https://www.pafmj.org/PAFMJ/article/view/5395 |
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