The effect of smoking on the duration of drain and hospital stay in patients with primary spontaneous pneumothorax

Primary spontaneous pneumothorax is the presence of free air in the pleural space without any underlying lung disease or trauma. It usually occurs in thin young males. Smoking is an important factor in its etiology. Treatment is follow-up, needle aspiration or tube thoracostomy. Our aim in conducting this study is to examine the demographic data of patients who underwent tube thoracostomy due to primary spontaneous pneumothorax and the effect of smoking on the duration of drain and hospital stay. This is a retrospective observational cohort study conducted in a Training and Research Hospital Thoracic Surgery clinic between February 2015 and February 2020. All patients who underwent tube thoracostomy for primary spontaneous pneumothorax were included in the study. Patients were divided into two groups according to smoking status as: Group 1 (smoking group), Group 2 (non-smoker group). Age, gender, body mass index, duration of drain and hospital stay was compared between the groups. Group 1 included 48 patients (mean age: 22.7±2.92 years, 79.2% male) and group 2 included 23 patients (mean age: 22.5±2.37 years, 73.9% male). There was no statistically significant difference between the groups in terms of gender, age, body mass index (p> 0.05). However, the duration of drain and hospital stay of the patients in group 2 was statistically significantly lower than group 1 (p

PDF

___

Swierzy M, Helmig M, Ismail M, et al. Pneumothorax [Pneumothorax]. Zentralbl Chir. 2014;139 Suppl 1: S69-86; quiz S87. German,
Eggeling S. Pneumothorax [Pneumothorax]. Zentralbl Chir. 2021;146:126- 44. German.
Wong A, Galiabovitch E, Bhagwat K. Management of primary spontaneous pneumothorax: a review. ANZ J Surg. 2019;89:303-8.
Schnell J, Koryllos A, Lopez-Pastorini A, et al. Spontaneous Pneumothorax. Dtsch Arztebl Int. 2017;114:739-744.
Ojeda Rodriguez JA, Hipskind JE. Iatrogenic Pneumothorax. 2020 Aug 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–.
Bobbio A, Dechartres A, Bouam S, et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax. 2015;70:653-8.
Paskaradevan J, Sayad E, Sockrider M. What Is a Spontaneous Pneumothorax? Am J Respir Crit Care Med. 2020;202:P33-P34.
Pawloski DR, Broaddus KD. Pneumothorax: a review. J Am Anim Hosp Assoc. 2010;46:385-97.
Eryiğit H, Ürek Ş, Olgaç G, et al. Primer spontan pnömotoraks tedavisinde video-torakoskopik plörektomi. Toraks Dergisi 2007;8:17-20
Alar T, Gedik IE. The Analysis of the Chest Tube Thoracostomies Performed in a Newly Established Hospital of a Medical School. J Clin Anal Med. 2015;6:554-7.
Goncalves Mendes Neto A, Jabuonski TA. Pigtail Catheter vs Chest Tube as the Initial Treatment for Pneumothorax. Chest. 2018;154:725.
Plojoux J, Froudarakis M, Janssens JP, et al. New insights and improved strategies for the management of primary spontaneous pneumothorax. Clin Respir J. 2019;13:195-201.
Sadikot RT, Greene T, Meadows K, et al. Recurrence of primary spontaneous pneumothorax. Thorax. 1997;52:805-9.
Laws D, Neville E, Duffy J; Pleural Diseases Group, Standards of Care Committee, British Thoracic Society. BTS guidelines for the insertion of a chest drain. Thorax. 2003 May; 58 Suppl 2: ii53-9.
Churg A, Tai H, Coulthard T, et al. Cigarette smoke drives small airway remodeling by induction of growth factors in the airway wall. Am J Respir Crit Care Med. 2006;174:1327-34.
Schramel FM, Postmus PE, Vanderschueren RG. Current aspects of spontaneous pneumothorax. Eur Respir J. 1997;10:1372-9.
Cottin V, Streichenberger N, Gamondès JP, et al. Respiratory bronchiolitis in smokers with spontaneous pneumothorax. Eur Respir J. 1998;12:702-4.
Bense L, Eklund G, Wiman LG. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest. 1987;92:1009-12.
Walker SP, Bibby AC, Halford P, et al. Recurrence rates in primary spontaneous pneumothorax: a systematic review and meta-analysis. Eur Respir J. 2018;52:1800864.
Liberman M, Muzikansky A, Wright CD, et al. Incidence and risk factors of persistent air leak after major pulmonary resection and use of chemical pleurodesis. Ann Thorac Surg. 2010;89:891-7; discussion 897-8.
Gilbert S, Maghera S, Seely AJ, et al. Identifying patients at higher risk of prolonged air leak after lung resection. Ann Thorac Surg. 2016;102:1674-9.
Pan H, Chang R, Zhou Y, et al. Risk factors associated with prolonged air leak after video-assisted thoracic surgery pulmonary resection: a predictive model and meta-analysis. Ann Transl Med. 2019;7:103.