A retrospective multi-institutional survey of characteristics of surgically treated spontaneous hemopneumothorax patients.
Multi-institutional survey
Spontaneous hemopneumothorax
Surgery
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
30
07
2022
accepted:
28
09
2022
medline:
28
3
2023
pubmed:
19
10
2022
entrez:
18
10
2022
Statut:
ppublish
Résumé
The Japan Society for Pneumothorax and Cystic Lung Disease conducted a nationwide retrospective survey to identify correlations between the timing of surgical intervention and the incidence of transfusion, and to examine the factors contributing to the need for transfusion among clinical features in surgically treated spontaneous hemopneumothorax (SHP) patients. We analyzed the characteristics and perioperative results of patients with SHP who underwent thoracoscopy or thoracotomy between April 2009 and March 2019. From 17 institutions, 171 cases were enrolled in this study. Receiver-operating characteristic curve analyses for the incidence of transfusion and waiting time before the operation revealed an area under the curve of 0.54 (95% confidence interval [CI] 0.44-0.64). Therefore, we did not compare the clinical features using a cutoff value of waiting time before the operation. More than 80% of the patients underwent surgical treatment within 24 h from admission. Multivariate analysis revealed that the total volume of hemorrhage was the only significant factor contributing to the incidence of transfusion (p = 0.00011, odds ratio: 0.03, 95% CI 0.0051-0.18). Moreover, multivariate analyses revealed that the waiting time before the operation was a contributing factor for prolonged total hospitalization (p < 0.0001, estimated regression coefficient: 0.036, 95% CI 0.027-0.045). In SHP patients, a reduction in the waiting time before the operation significantly contributed to not the avoidance of transfusion but a reduction in total hospitalization time. In addition, transfusion was performed depending on the volume of blood loss.
Identifiants
pubmed: 36258063
doi: 10.1007/s11748-022-01879-3
pii: 10.1007/s11748-022-01879-3
doi:
Types de publication
Multicenter Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
240-250Informations de copyright
© 2022. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.
Références
Kim ES, Kang JY, Pyo CH, Jeon EY, Lee WB. 12-year experience of spontaneous hemopneumothorax. Ann Thorac Cardiovasc Surg. 2008;14:149–53.
pubmed: 18577892
Onuki T, Goto Y, Kuramochi M, Inagaki M, Sato Y. Spontaneous hemopneumothorax: epidemiological details and clinical features. Surg Today. 2014;44:2022–7.
doi: 10.1007/s00595-013-0746-7
pubmed: 24132683
Hsu NY, Shih CS, Hsu CP, Chen PR. Spontaneous hemopneumothorax revisited: clinical approach and systemic review of the literature. Ann Thorac Surg. 2005;80:1859–63.
doi: 10.1016/j.athoracsur.2005.04.052
pubmed: 16242469
Tay CK, Yee YC, Asmat A. Spontaneous hemopneumothorax: our experience with surgical management. Asian Cardiovasc Thorac Ann. 2015;23:308–10.
doi: 10.1177/0218492314561502
pubmed: 25409674
Wu YC, Lu MS, Yeh CH, Liu YH, Hsieh MJ, Lu HI, et al. Justifying video-assisted thoracic surgery for spontaneous hemopneumothorax. Chest. 2002;122:1844–7.
doi: 10.1378/chest.122.5.1844
pubmed: 12426291
Kakaris S, Athanassiadi K, Vassilikos K, Skottis I. Spontaneous hemopneumothorax: a rare but life-threatening entity. Eur J Cardiothoracic Surg. 2004;25:856–8.
doi: 10.1016/j.ejcts.2004.02.002
Hwong TM, Ng CS, Lee TW, Wan S, Sihoe AD, Wan IY, et al. Video-assisted thoracic surgery for primary spontaneous hemopneumothorax. Eur J Cardiothoracic Surg. 2004;26:893–6.
doi: 10.1016/j.ejcts.2004.05.014
Deaton WR Jr, Johnston FR. Spontaneous hemopneumothorax. J Thorac Cardiovasc Surg. 1962;43:413–5.
doi: 10.1016/S0022-5223(20)31623-8
pubmed: 13884637
Haciibrahimoglu G, Cansever L, Kocaturk CL, Aydogmus U, Bedirhan MA. Spontaneous hemopneumothorax: is conservative treatment enough? Thorac Cardiovasc Surg. 2005;53:240–2.
doi: 10.1055/s-2005-837647
pubmed: 16037871
de Perrot M, Deleaval J, Robert J, Spiliopoulos A. Spontaneous hemopneumothorax: results of conservative treatment. Swiss Surg. 2000;6:62–4.
doi: 10.1024/1023-9332.6.2.62
pubmed: 10786105
Chang YT, Dai ZK, Kao EL, Chuang HY, Cheng YJ, Chou SH, et al. Early video-assisted thoracic surgery for primary spontaneous hemopneumothorax. World J Surg. 2007;31:19–25.
doi: 10.1007/s00268-006-0354-4
pubmed: 17180561
Ng CS, Wong RH, Wan IY, Lau RW, Hsin MK, Yeung EC, et al. Underwood MJ Spontaneous hemopneumothorax current management. Postgrad Med J. 2011;87:630–5.
doi: 10.1136/pgmj.2010.114827
pubmed: 21690254
Ohmori K, Ohata M, Narata M, Iida M, Nakaoka Y, Irako M, et al. 28 cases of spontaneous hemopneumothorax. Nihon Kyobu Geka Gakkai Zasshi. 1988;36:1059–64.
pubmed: 3183435
Plesen WH, Titlestad IL, Anderson PE, Lindahl-Jacobsen R, Licht PB. Incidence of primary spontaneous pneumothorax: a validated, register-based nationwide study. ERJ Open Res. 2019;5:00022–2019.
Hiyama N, Sasabuchi Y, Jo T, Hirata T, Osuga Y, Nakajima J, et al. The three peaks in age distribution of females with pneumothorax: a nationwide database study in Japan. Eur J Cardiothorac Surg. 2018;54:572–8.
doi: 10.1093/ejcts/ezy081
pubmed: 29596692
Bobbio A, Dechartres A, Bouam S, Damotte D, Rabbat A, Regnard JF, et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax. 2015;70:653–8.
doi: 10.1136/thoraxjnl-2014-206577
pubmed: 25918121
Gupta D, Hansell A, Nicholas T, Duong T, Ayres JG, Strachan D. Epidemiology of pneumothorax in England. Thorax. 2000;55:666–71.
doi: 10.1136/thorax.55.8.666
pubmed: 10899243
pmcid: 1745823
Kim D, Jung B, Jang BH, Chung SH, Lee YJ, Ha IH. Epidemiology and medical service use for spontaneous pneumothorax: a 12-year study using nationwide cohort data in Korea. BMJ Open. 2019;9: e028624. https://doi.org/10.1136/bmjopen-2018-028624 .
doi: 10.1136/bmjopen-2018-028624
pubmed: 31662355
pmcid: 6830684
Yoshikawa R, Matsuura N, Igai H, Yazawa T, Ohsawa F, Kamiyoshihara M. Uniportal approach as an alternative to the three-portal approach to video-assisted thoracic surgery for primary spontaneous pneumothorax. J Thorac Dis. 2021;13:927–34.
doi: 10.21037/jtd-20-2928
pubmed: 33717565
pmcid: 7947474
Masmoudi H, Etienne H, Sylvestre R, Evrard D, Ouede R, Rioux ML, et al. Three hundred fifty-one patients with pneumothorax undergoing uniportal (single port) video-assisted thoracic surgery. Ann Thorac Surg. 2017;104:254–60.
doi: 10.1016/j.athoracsur.2017.01.054
pubmed: 28410634
Aljehani YM, Almusairii J. Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax. Int J Surg Case Rep. 2019;55:47–9.
doi: 10.1016/j.ijscr.2019.01.007
pubmed: 30685628
pmcid: 6351394