Mortality and prognostic factors for spontaneous pneumothorax in older adults

Spontaneous pneumothorax occurs predominantly in young males and older adults, often as a secondary condition, and can be refractory and fatal. This study aimed to investigate the mortality and prognostic factors for pneumothorax in older patients. We retrospectively cohort studied patients with pne...

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Published in:PloS one 2023-09, Vol.18 (9), p.e0291233
Main Authors: Nishizawa, Saori, Tobino, Kazunori, Murakami, Yousuke, Uchida, Kazuki, Kawabata, Takafumi, Ota, Hiroyuki, Hiramatsu, Yuri, Sueyasu, Takuto, Tsuruno, Kosuke
Format: Article
Language:English
Subjects:
Activities of daily living
Adults
Aged
Biology and Life Sciences
Cancer therapies
Care and treatment
Chest tubes
Comorbidity
Emphysema
Ethics
Evaluation
Fatalities
Hazards
Health aspects
Health hazards
Hospitalization
Hospitals
Intensive care
Lung cancer
Lung diseases
Medical prognosis
Medical records
Medicine and Health Sciences
Mortality
Mortality risk
Older people
Oxygen therapy
Patients
People and Places
Pneumonia
Pneumothorax
Prognosis
Regression analysis
Respiratory diseases
Risk factors
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cited_by cdi_FETCH-LOGICAL-c670t-8fa0364abfdef7b82b520a65ea428ceda9a87553797d2cb08054b7bff47361293
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creator Nishizawa, Saori
Tobino, Kazunori
Murakami, Yousuke
Uchida, Kazuki
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Ota, Hiroyuki
Hiramatsu, Yuri
Sueyasu, Takuto
Tsuruno, Kosuke
description Spontaneous pneumothorax occurs predominantly in young males and older adults, often as a secondary condition, and can be refractory and fatal. This study aimed to investigate the mortality and prognostic factors for pneumothorax in older patients. We retrospectively cohort studied patients with pneumothorax aged ≥65 years who visited our department from October 2012 to January 2019. Data on sex, age, medical history, smoking history, underlying lung disease, treatment, and prognosis were extracted from medical records. Cox proportional hazards regression analysis was used to investigate pneumothorax mortality and prognostic factors. In total, 239 patients were included. Among them, 36 (15%) died during hospitalization. Respiratory disease was the direct cause of death in 30 patients (83.3%), and 211 (88.3%) patients had underlying lung disease. The incidence of pneumonia in our hospital was 22.6% (54 cases). On admission, the mortality rate was 33% (18/54) in patients with concomitant pneumonia; univariate analysis showed significant differences in the Charlson Comorbidity Index (CCI), activities of daily living (ADL), and concomitant pneumonia. In the Cox proportional hazards analysis of ADL (p = 0.09), CCI (p = 0.05), and concomitant pneumonia on admission (p = 0.02), concomitant pneumonia on admission was found to be an independent predictor of in-hospital mortality. This study suggests that concomitant pneumonia at admission may be a mortality risk factor for pneumothorax.
doi_str_mv 10.1371/journal.pone.0291233
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subjects Activities of daily living
Adults
Aged
Biology and Life Sciences
Cancer therapies
Care and treatment
Chest tubes
Comorbidity
Emphysema
Ethics
Evaluation
Fatalities
Hazards
Health aspects
Health hazards
Hospitalization
Hospitals
Intensive care
Lung cancer
Lung diseases
Medical prognosis
Medical records
Medicine and Health Sciences
Mortality
Mortality risk
Older people
Oxygen therapy
Patients
People and Places
Pneumonia
Pneumothorax
Prognosis
Regression analysis
Respiratory diseases
Risk factors
title Mortality and prognostic factors for spontaneous pneumothorax in older adults
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