Risk factors associated with neonatal pneumothorax in the neonatal intensive care unit: 10 years of experience in a single-center
Pediatric Surgery International, cilt.41, sa.1, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 41 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.1007/s00383-024-05939-y
- Dergi Adı: Pediatric Surgery International
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
- Anahtar Kelimeler: Neonatal pneumothorax, Premature, Mechanical ventilator, Tube thoracostomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: We aimed to evaluate the epidemiological characteristics, risk factors and prognostic factors affecting the clinical follow-up of patients who underwent tube thoracostomy due to pneumothorax in the neonatal intensive care unit of our hospital. Methods: In our study; 54 cases with neonatal pneumothorax underwent tube thoracostomy followed up in the neonatal intensive care unit between April 2014 and March 2023 were retrospectively analyzed. Results: The gestational age of the cases was between 28 and 38 weeks; 24 (44.4%) were premature and 30 (55.6%) were 36 weeks and above. Of the cases included in the study, 35 (64.8%) had primary lung disease and 19 (35.2%) had other anomalies accompanying pneumothorax. Mechanical ventilation was needed in 35 (64.8%) of the 54 cases included in the study. While all patients who did not require mechanical ventilation recovered, 10 of 35 patients (28.6%) who required mechanical ventilation died. The body weight of 10 of these 35 cases (28.6%) was 2500 g or less. Conclusion: It was determined that accompanying primary lung disease, the need to connect to a ventilator, and bilateral pneumothorax significantly affected mortality and prognosis in premature babies, especially those weighing less than 2500 g, who were followed in the neonatal intensive care unit.