Predicting outcomes in primary spontaneous pneumothorax using air leak measurements

The initial treatment regime for primary spontaneous pneumothorax (PSP) is generic and non-personalised, often involving a long hospital stay waiting for air leak to cease. This prospective study of 81 patients with PSP, who required drain insertion, captured daily digital air leak measurements and...

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Bibliografski detalji
Glavni autori: Hallifax, R, Laskawiec-Szkonter, M, Rahman, N, Rampp Trial Collaborators
Format: Journal article
Jezik:English
Izdano: BMJ Publishing Group 2018
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author Hallifax, R
Laskawiec-Szkonter, M
Rahman, N
Rampp Trial Collaborators
author_facet Hallifax, R
Laskawiec-Szkonter, M
Rahman, N
Rampp Trial Collaborators
author_sort Hallifax, R
collection OXFORD
description The initial treatment regime for primary spontaneous pneumothorax (PSP) is generic and non-personalised, often involving a long hospital stay waiting for air leak to cease. This prospective study of 81 patients with PSP, who required drain insertion, captured daily digital air leak measurements and assessed failure of medical management against prespecified criteria. Patients with higher air leak at day 1 or 2 had significantly longer hospital stay. If air leak was ≥100 mL/min on day 1, the adjusted OR of treatment failure was 5.2 (95% CI 1.2 to 22.6, p=0.03), demonstrating that early digital air leak measurements could potentially predict future medical treatment failure.
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spelling oxford-uuid:be6e9b37-c52b-4f1e-89c9-f87014b64d392022-03-27T05:39:23ZPredicting outcomes in primary spontaneous pneumothorax using air leak measurementsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:be6e9b37-c52b-4f1e-89c9-f87014b64d39EnglishSymplectic Elements at OxfordBMJ Publishing Group2018Hallifax, RLaskawiec-Szkonter, MRahman, NRampp Trial CollaboratorsThe initial treatment regime for primary spontaneous pneumothorax (PSP) is generic and non-personalised, often involving a long hospital stay waiting for air leak to cease. This prospective study of 81 patients with PSP, who required drain insertion, captured daily digital air leak measurements and assessed failure of medical management against prespecified criteria. Patients with higher air leak at day 1 or 2 had significantly longer hospital stay. If air leak was ≥100 mL/min on day 1, the adjusted OR of treatment failure was 5.2 (95% CI 1.2 to 22.6, p=0.03), demonstrating that early digital air leak measurements could potentially predict future medical treatment failure.
spellingShingle Hallifax, R
Laskawiec-Szkonter, M
Rahman, N
Rampp Trial Collaborators
Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
title Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
title_full Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
title_fullStr Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
title_full_unstemmed Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
title_short Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
title_sort predicting outcomes in primary spontaneous pneumothorax using air leak measurements
work_keys_str_mv AT hallifaxr predictingoutcomesinprimaryspontaneouspneumothoraxusingairleakmeasurements
AT laskawiecszkonterm predictingoutcomesinprimaryspontaneouspneumothoraxusingairleakmeasurements
AT rahmann predictingoutcomesinprimaryspontaneouspneumothoraxusingairleakmeasurements
AT rampptrialcollaborators predictingoutcomesinprimaryspontaneouspneumothoraxusingairleakmeasurements