Fate of contralateral asymptomatic bullae in patients with primary spontaneous pneumothorax
DC Field | Value | Language |
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dc.contributor.author | Jang, Hyo Jun | - |
dc.contributor.author | Lee, Jun Ho | - |
dc.contributor.author | Nam, Seung Hyuk | - |
dc.contributor.author | Ro, Sun Kyun | - |
dc.date.accessioned | 2022-07-07T17:32:26Z | - |
dc.date.available | 2022-07-07T17:32:26Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2020-08 | - |
dc.identifier.issn | 1010-7940 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/145313 | - |
dc.description.abstract | OBJECTIVES: This retrospective cohort study aimed to analyse the impact of asymptomatic blebs/bullae on the occurrence of primary spontaneous pneumothorax (PSP) by monitoring the natural course of contralateral blebs/bullae in patients with ipsilateral pneumothorax. METHODS: From January 2003 to December 2017, 1055 patients [age 19.63.98years (mean standard deviation), 953 men] experiencing the first episode of unilateral PSP were enrolled in this study, excluding patients aged 30years or more. The presence, number and maximal size of the blebs/bullae were investigated in contralateral asymptomatic lungs based on high-resolution computed tomography. RESULTS: Multiple and single blebs/bullae were noted in contralateral lungs in 425 (40.3%) and 88 (8.3%) patients, respectively. The median follow-up period was 44.0 (interquartile range 71.5) months. The 1-, 3- and 5-year cumulative occurrence rates of PSP in contralateral lungs were 7.9%, 13.7% and 16.7%, respectively. On multivariable analysis, younger age [hazard ratio (HR) 1.19, 95% confidence interval (CI) 1.12-1.27; P<0.001) and multiple bullae (HR 4.42, 95% CI 3.06-6.38; P<0.001) were independent risk factors for spontaneous pneumothorax in the contralateral lung. The 5-year cumulative occurrence rates of PSP were significantly higher in patients with multiple blebs/bullae than in those with no or a single bleb/bulla (28.2% vs 8.5%, respectively; P<0.001). CONCLUSIONS: Asymptomatic blebs/bullae often lead to PSP. If the patient is eligible for surgery for pneumothorax, preemptive surgery for contralateral bullae could be considered, especially in patients with multiple blebs/bullae. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS INC | - |
dc.title | Fate of contralateral asymptomatic bullae in patients with primary spontaneous pneumothorax | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Jang, Hyo Jun | - |
dc.contributor.affiliatedAuthor | Ro, Sun Kyun | - |
dc.identifier.doi | 10.1093/ejcts/ezaa054 | - |
dc.identifier.scopusid | 2-s2.0-85088608715 | - |
dc.identifier.wosid | 000581011700023 | - |
dc.identifier.bibliographicCitation | EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, v.58, no.2, pp.365 - 370 | - |
dc.relation.isPartOf | EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | - |
dc.citation.title | EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | - |
dc.citation.volume | 58 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 365 | - |
dc.citation.endPage | 370 | - |
dc.type.rims | ART | - |
dc.type.docType | Article; Proceedings Paper | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | COMPUTED-TOMOGRAPHY | - |
dc.subject.keywordPlus | CHEST TUBE | - |
dc.subject.keywordPlus | RECURRENCE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | BLEBS | - |
dc.subject.keywordAuthor | Primary spontaneous pneumothorax | - |
dc.subject.keywordAuthor | Occurrence | - |
dc.subject.keywordAuthor | Blebs | - |
dc.subject.keywordAuthor | Bullae | - |
dc.identifier.url | https://academic.oup.com/ejcts/article/58/2/365/5809174 | - |
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