Outcome of spontaneous pneumothorax patients admitted to thoracic division at King Hussein Medical Center

Abstract EN

Objectives: To show the outcome and management modalities of patients diagnosed with spontaneous pneumothorax admitted within a 5 years period to thoracic division ward at King Hussein Medical Center (K.H.M.C) Amman.

Jordan.

Methods: This is retrospective descriptive study conducted at King Hussein Medical Center.

Patients admitted to the thoracic division ward with the diagnosis of spontaneous pneumothorax in a 5 years period between 2007 and 2012 were included in this study.

Traumatic and post interventional pneumothorax cases as well as patients below age of (14) were excluded from analysis.

Data were retrieved from prospective data base and imaging studies retrieved from the PACS imaging system.

Data analysis included age, gender, side and type of spontaneous pneumothorax, outcome and treatment modalities.

Outpatient follow up was available up to 36 months for all patients.

Results: A total of (89) patients (8) females and (81) males median age was (50) years) were admitted to King Hussein Medical Center with the diagnosis of primary spontaneous pneumothorax (n=73, 82.1%, median age 24years) or secondary spontaneous pneumothorax (n=16, 17.9%, median age 57years).

There was a predominance of right-side spontaneous pneumothorax (n=51, 57.3%) and (2) patients were identified with bilateral spontaneous pneumothorax .All patients received chest tube management as the initial intervention, which was the definitive therapy for (50) patients, while at (39) patients required further operative treatment.

Patients with primary spontaneous pneumothorax required hospitalization for (3-12) days in contrast to (5-32) days with secondary spontaneous pneumothorax .There was no mortality observed in patients in this study.

Conclusion: In accordance with international guidelines, tube thoracostomy conservative management of spontaneous pneumothorax patients represents the first line of treatment.

In case of persistence or recurrence, minimally invasive surgical treatment of spontaneous pneumothorax offers excellent success rates