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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Pneumothorax: Demographics, Treatment, and Nursing Care
Ivana Herak1, Mirna Korpar1,2, Sonja Obranić1
1Department of Nursing, University North, 104 Brigade 3, 42000 Varazdin, Croatia.
Older men with pneumothorax face significant nursing care needs. Advanced age is linked to invasive treatments and poorer outcomes, highlighting a need for targeted care strategies.
Area of Science:
- Medical research
- Nursing science
- Public health
Background:
- Pneumothorax presents a significant nursing care burden, with limited contemporary data from Croatia.
- This study addresses the scarcity of combined medical and nursing data for pneumothorax patients in Croatia.
Purpose of the Study:
- To describe the demographic profile of pneumothorax patients.
- To outline treatment patterns and nursing care requirements.
- To explore factors linked to chest drainage and adverse nursing-sensitive outcomes.
Main Methods:
- Retrospective, single-centre, cross-sectional analysis of 60 patients admitted between 2019-2021.
- Data extracted from hospital information and electronic nursing records.
- Statistical analysis included Fisher exact test, Kruskal-Wallis test, and L1-penalised logistic regression.
Main Results:
- The study included 60 patients; 65% were male, and 55% were aged 60+.
- Spontaneous pneumothorax (45%) was most common, followed by traumatic (38.3%) and iatrogenic (16.7%).
- Age 60+ was independently associated with chest drainage (aOR 3.67), prolonged stay (aOR 3.69), and functional decline (aOR 4.29).
Conclusions:
- Hospitalized pneumothorax patients in this Croatian centre were predominantly older men requiring substantial nursing care.
- Older age is a key factor associated with invasive treatment and adverse nursing-sensitive outcomes.
- Findings provide a baseline for Croatia, requiring further hypothesis-generating research due to study limitations.
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