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Disorders of the Pleura |

Evaluation of Spontaneous Pneumothorax in Eastern Part of India

Aparup Dhua, MD; Sourin Bhuniya, MD; Arunabha Datta Chaudhuri, MD; Sumit Raytapadar, MD; Tapan Das Bairagya, MD
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All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Bhubaneswar, India


Chest. 2014;145(3_MeetingAbstracts):284A. doi:10.1378/chest.1832452
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Abstract

SESSION TITLE: Pleural Disease/Pneumothorax Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: Pneumothorax continues to be a major cause of morbidity and mortality among the respiratory patients but there is paucity of data regarding aetiology, clinical profile, management and outcome of Spontaneous Pneumothorax (SP) from this part of the world. Therefore, this study was carried out to determine the aetiology, clinical presentation, management and outcomes of Spontaneous pneumothorax in a tertiary care Hospital from eastern India.

METHODS: All adult patients of Spontaneous Pneumothorax attending the department of Pulmonary Medicine of a tertiary care hospital during the period from April 2010 to March 2011 and complying with the inclusion and exclusion criteria were prospectively studied. Detailed history, clinical examination, radiological and other relevant investigations and interventions like pleural aspirations and intercostal tube thoracostomy were carried out. Data were recorded and statistically analysed (P value < 0.05 considered significant).

RESULTS: Sixty patients were included in the study. Among them 10 were Primary spontaneous pneumothorax (PSP) and 50 were Secondary spontaneous pneumothorax (SSP). Mean age of PSP was 26.3 + 2.19 years whereas that of SSP was 53.42 + 2.07 years. Seventy per cent of patients were smokers. The commonest clinical manifestation with PSP was chest pain (80%) in contrast to dyspnoea (96%) in SSP. Commonest cause of SSP was found to be chronic obstructive pulmonary diseases (COPD) (42%) followed by Pulmonary Tuberculosis (30%)and Bronchial Asthma (8%). Cases were managed with intercostal tube drainage (85%), simple aspiration (8.33%) and conservative observation (6.67%). Full expansion of lung was observed in 91.67% cases.

CONCLUSIONS: COPD has surpassed tuberculosis as the leading cause of Secondary Spontaneous Pneumothorax in our country. However, the results are good with prompt intercostal tube drainage.

CLINICAL IMPLICATIONS: Smoking cessation programmes and strict anti-smoking laws should be geared up to prevent COPD from being the leading killer in coming years. Nationwide coverage of Revised National Tuberculosis Control Programme has significantly brought down the morbidity and mortality due to tuberculosis in a high burden country like ours.

DISCLOSURE: The following authors have nothing to disclose: Aparup Dhua, Sourin Bhuniya, Arunabha Datta Chaudhuri, Sumit Raytapadar, Tapan Das Bairagya

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