Primary and Secondary Spontaneous Pneumothorax: Prevalence, Clinical Features, and In-Hospital Mortality

Abstract EN

Background.

Optimal treatment practices and factors associated with in-hospital mortality in spontaneous pneumothorax (SP) are not fully understood.

We evaluated prevalence, clinical characteristics, and in-hospital mortality among Japanese patients with primary or secondary SP (PSP/SSP).

Methods.

We retrospectively reviewed and stratified 938 instances of pneumothorax in 751 consecutive patients diagnosed with SP into the PSP and SSP groups.

Factors associated with in-hospital mortality in SSP were identified by multiple logistic regression analysis.

Results.

In the SSP group (n=327; 34.9%), patient age, requirement for emergency transport, and length of stay were greater (all, p<0.001), while the prevalence of smoking (p=0.023) and number of surgical interventions (p<0.001) were lower compared to those in the PSP group (n=611; 65.1%).

Among the 16 in-hospital deceased patients, 12 (75.0%) received emergency transportation and 10 (62.5%) exhibited performance status (PS) of 3-4.

In the SSP group, emergency transportation was an independent factor for in-hospital mortality (odds ratio 16.37; 95% confidence interval, 4.85–55.20; p<0.001).

Conclusions.

The prevalence and clinical characteristics of PSP and SSP differ considerably.

Patients with SSP receiving emergency transportation should receive careful attention.