RT Journal Article
SR Electronic
T1 Predicting outcomes in primary spontaneous pneumothorax using air leak measurements
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 410
OP 412
DO 10.1136/thoraxjnl-2018-212116
VO 74
IS 4
A1 Rob J Hallifax
A1 Magda Laskawiec-Szkonter
A1 Najib M Rahman
A1 ,
YR 2019
UL http://thorax.bmj.com/content/74/4/410.abstract
AB 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.Trial registration number ISRCTN79151659.