Incidence of Pneumothorax after Thoracentesis and Factors Associated with its Occurrence
Philippine Journals Online
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| Title |
Incidence of Pneumothorax after Thoracentesis and Factors Associated with its Occurrence
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| Creator |
Kenneth S Estrellado; Fellow, Section of Oncology, Department of Medicine, University of the Philippines-Philippine General Hospital
Mark Anthony S Sandoval; Fellow, Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines-Philippine General Hospital Camilo G Te; Fellow, Section of Cardiology, Department of Medicine, University of the Philippines-Philippine General Hospital Nathalie B Cabrera; Medical Resident, Department of Medicine, University of the Philippines-Philippine General Hospital |
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| Subject |
Oncology; Cardiology; Endocrinology
Pneumothorax; thoracentesis; pleural effusion |
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| Description |
Objectives: We embarked on this observational study (a) to determine the rate of occurrence of pneumothorax after thoracentesis and (b) to identify patient-related and procedure-related risk factors that may be associated with the development of pneumothorax post-thoracentesis. Methodology: This observational study covered the period July 2005 - July 2006. We included patients 18 years old and above who underwent thoracentesis for a pleural effusion documented by an upright chest radiograph. The primary outcome was the occurrence of pneumothorax after thoracentesis. Data on potential patient-related and procedure-related risk factors for pneumothorax were also collected. Results: Fifty-seven patients with pleural effusion were included and they underwent a total of 62 thoracenteses. There were 3 incidents of pneumothorax, with a rate of 4.8% (Binomial exact 95% CI 1.0 - 13.5%). No associations can be made between patient-related and procedure-related risk factors and the occurrence of pneumothorax after thoracentesis because of the very small number of episodes of pneumothorax in this study. Conclusion: Thoracentesis is a low-risk procedure performed in a patient with pleural effusion, either for diagnostic or therapeutic indications or both. Keywords: Pneumothorax; thoracentesis; pleural effusion DOI: 10.3860/pjim.v47i2.1646 Phil. J. Internal Medicine, 47: 77-81, March-April, 2009
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| Publisher |
The Philippine College of Physicians
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| Contributor |
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| Date |
2010-07-23
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| Type |
Peer-Reviewed Article
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| Format |
application/pdf
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| Identifier |
http://www.philjol.info/index.php/PJIM/article/view/1646
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| Source |
Philippine Journal of Internal Medicine; Vol 47, No 2 (2009); 77-81
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| Language |
en
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| Coverage |
Philippines
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