Pneumothorax Trends from 2010-2020 from a Large-Volume Pleural Unit
James Hyman1, Umair Falak1, Claire Storey1
1Respiratory Department, Northumbria Healthcare NHS Foundation Trust, Northumbria Way, Cramlington, NE23 6NZ, Northumberland, UK.
Pulmonary Therapy
|July 6, 2023
Summary
This study analyzed pneumothorax trends in Northeast England, finding increasing secondary pneumothorax (SSP) incidence and shifting management towards conservative approaches for primary pneumothorax (PSP). Recurrence rates are increasing for PSP but decreasing for SSP.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Epidemiology
Background:
- Previous studies indicate a rising inpatient burden and varied management of pneumothorax.
- Local trends in pneumothorax presentation and management remain under-explored.
- Northumbria Healthcare NHS Foundation Trust (NHCT) provides a suitable setting for local trend analysis due to its established pleural service.
Purpose of the Study:
- To investigate local trends in pneumothorax presentation.
- To analyze changes in management strategies, length of stay, and recurrence rates.
- To provide data specific to a large healthcare trust in Northeast England.
Main Methods:
- Retrospective analysis of 580 pneumothorax cases (183 primary, 397 secondary) at NHCT from 2010-2020.
- Exclusion of iatrogenic, traumatic, and pediatric cases from initial coding search results.
- Data collection on patient demographics, management, length of stay, and recurrence.
Main Results:
- Secondary pneumothorax (SSP) incidence shows an upward trend, while primary pneumothorax (PSP) incidence trends downward.
- Median length of stay decreased for both PSP and SSP.
- Management of PSP shifted towards conservative approaches, with reduced aspiration, while recurrence increased for PSP and decreased for SSP.
Conclusions:
- This study offers the first local analysis of pneumothorax trends in Northeast England.
- Limitations include missing data on pneumothorax size and frailty, and reliance on clinical coding.
- Further research with larger datasets is recommended to better understand pneumothorax trends.
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