Differences in Possible Risk Factors, Treatment Strategies, and Outcomes of Neonatal Pneumothorax in Preterm and Term Infants

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dc.contributor.authorTandircioglu, Umit Ayse
dc.contributor.authorKoral, Umran
dc.contributor.authorGuzoglu, Nilufer
dc.contributor.authorAlan, Serdar
dc.contributor.authorAliefendioglu, Didem
dc.date.accessioned2025-01-21T16:34:14Z
dc.date.available2025-01-21T16:34:14Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: The study aimed to compare the risk factors, treatment strategies, and early outcomes of symptomatic neonatal pneumothorax (NP) between preterm and term newborns. Materials and Methods: This retrospective cross-sectional study was conducted in a neonatal intensive care unit between 2015 and 2022, consisting of hospitalized neonates with symptomatic NP. The cases were divided into three groups according to their gestational ages: <34(0/7 )(group 1), 34(0/7)-36(6/7) (group 2), and >= 37(0/7) weeks (group 3). Risk factors, treatment strategies, and mortality rates of the study groups were compared using Kruskal-Wallis analysis. Results: Fifty-nine infants with a diagnosis of symptomatic NP were included in the study. The number of participants was as follows: 25 (42.3%) in group 1, 18 (30.5%) in group 2, and 16 (27.1%) in group 3. The need of delivery room (DR) resuscitation was significantly higher in group 1 (40%, P = .003). The surfactant administration rate was significantly higher in group 1 when compared to group 2 and group 3 (68% vs. 22% and 19%, respectively), P < .001. Similarly, the invasive mechanical ventilation percentage was significantly higher in group 1 than group 2 and group 3, P = .014. However, compared to group 3 (63%), the percentage of chest drain insertion (CDI) need was significantly higher in group 1 (96%) and group 2 (89%) (P = .014). Conclusion: Exposure to DR resuscitation and the need for surfactant are the most common risk factors for NP in preterm infants. Although oxygen and/or needle aspiration treatments are less invasive in symptomatic NP, the improvement rate without CDI is very low in preterm infants born before 34 weeks of gestational age.
dc.identifier.doi10.5152/TurkArchPediatr.2024.23124
dc.identifier.issn2757-6256
dc.identifier.issue1
dc.identifier.pmid38454265
dc.identifier.scopus2-s2.0-85181923035
dc.identifier.scopusqualityQ3
dc.identifier.trdizinid1283082
dc.identifier.urihttps://doi.org/10.5152/TurkArchPediatr.2024.23124
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay1283082
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23917
dc.identifier.volume59
dc.identifier.wosWOS:001186143300019
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAves
dc.relation.ispartofTurkish Archives of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectChest drain insertion; needle aspiration; newborn; premature; pneumothorax
dc.titleDifferences in Possible Risk Factors, Treatment Strategies, and Outcomes of Neonatal Pneumothorax in Preterm and Term Infants
dc.typeArticle

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