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Open Access 01-12-2013 | Research article

Risk factors for the development of reexpansion pulmonary edema in patients with spontaneous pneumothorax

Authors: Jeong-Seob Yoon, Jong-Hui Suh, Si Young Choi, Jong Bum Kwon, Bae Young Lee, Sang Haak Lee, Chi Kyung Kim, Chan Beom Park

Published in: Journal of Cardiothoracic Surgery | Issue 1/2013

Abstract

Background

Reexpansion pulmonary edema (REPE) is known as a rare and fatal complication after tube thoracostomy.

Objectives

We investigated the risk factors for the development of REPE in patients with spontaneous pneumothorax.

Methods

We selected patients who were diagnosed with spontaneous pneumothorax and were initially treated with tube thoracostomy between August 1, 2003 and December 31, 2011. The patients’ electronic medical records, including operative notes and chest x-ray and computed tomography scans, were reviewed.

Results

REPE developed in 49 of the 306 patients (16.0%). REPE was more common in patients with diabetes (14.3% vs 3.9%, P = 0.004) or tension pneumothorax (46.8% vs 16.2%, P = 0.000). The pneumothorax was larger in patients with REPE than without REPE (57.0 ± 16.0% vs 34.2 ± 17.6%, P = 0.000), and the incidence of REPE increased with the size of pneumothorax. On multivariate analysis, diabetes mellitus [(odds ratio (OR) = 9.93, P = 0.003), and the size of pneumothorax (OR = 1.07, P = 0.000) were independent risk factors of REPE.

Conclusions

The presence of diabetes increases the risk of REPE development in patients with spontaneous pneumothorax. The risk of REPE also increases significantly with the size of pneumothorax.

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Title: Risk factors for the development of reexpansion pulmonary edema in patients with spontaneous pneumothorax
Authors: Jeong-Seob Yoon
Jong-Hui Suh
Si Young Choi
Jong Bum Kwon
Bae Young Lee
Sang Haak Lee
Chi Kyung Kim
Chan Beom Park
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2013
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-8-164

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for the development of reexpansion pulmonary edema in patients with spontaneous pneumothorax

Abstract

Background

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objectives

Methods

Results

Conclusions

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