Management of paediatric spontaneous pneumothorax: a multicentre retrospective case series

ObjectivesPaediatric guidelines are lacking for management of spontaneous pneumothorax. Adult patient-focused guidelines (British Thoracic Society 2003 and 2010) introduced aspiration as first-line intervention for primary spontaneous pneumothorax (PSP) and small secondary spontaneous pneumothoraces...

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Bibliographic Details
Published in:Archives of disease in childhood 2015-10, Vol.100 (10), p.918-923
Main Authors: Robinson, Paul D, Blackburn, Carol, Babl, Franz E, Gamage, Lalith, Schutz, Jacquie, Nogajski, Rebecca, Dalziel, Stuart, Donald, Colin B, Druda, Dino, Krieser, David, Neutze, Jocelyn, Acworth, Jason, Lee, Mark, Ngo, Peter K
Format: Article
Language:English
Subjects:
Adolescent
Analysis
Australia
Care and treatment
Child
Children
Company business management
Disease Management
Female
Health aspects
Humans
Male
Management
New Zealand
Pediatric emergencies
Pneumothorax
Pneumothorax - therapy
Practice guidelines (Medicine)
Retrospective Studies
Treatment Outcome
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Summary:ObjectivesPaediatric guidelines are lacking for management of spontaneous pneumothorax. Adult patient-focused guidelines (British Thoracic Society 2003 and 2010) introduced aspiration as first-line intervention for primary spontaneous pneumothorax (PSP) and small secondary spontaneous pneumothoraces (SSP). Paediatric practice is unclear, and evidence for aspiration success rates is urgently required to develop paediatric-specific recommendations.MethodsRetrospective analysis of PSP and SSP management at nine paediatric emergency departments across Australia and New Zealand (2003–2010) to compare PSP and SSP management.Results219 episodes of spontaneous pneumothorax occurred in 162 children (median age 15 years, 71% male); 155 PSP episodes in 120 children and 64 SSP episodes in 42 children. Intervention in PSP vs SSP episodes occurred in 55% (95% CI 47% to 62%) vs 70% (60% to 79%), p
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2014-306696