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- W4307906305 abstract "Pneumothorax is commonly cared for in the emergency department, with an incidence ranging from 6 to 66 per 100,000 per year 1 Bense L. Eklund G. Wiman L.G. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest. 1987; 92: 1009-1012 Abstract Full Text Full Text PDF PubMed Scopus (322) Google Scholar , 2 Gupta D. Hansell A. Nichols T. et al. Epidemiology of pneumothorax in England. Thorax. 2000; 55: 666-671 Crossref PubMed Scopus (277) Google Scholar , 3 Bobbio A. Dechartres A. Bouam S. et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax. 2015; 70: 653-658 Crossref PubMed Scopus (128) Google Scholar , 4 Kim D. Jung B. Jang B.H. et al. Epidemiology and medical service use for spontaneous pneumothorax: a 12-year study using nationwide cohort data in Korea. BMJ Open. 2019; 9: e028624-e028625 Crossref PubMed Scopus (6) Google Scholar and a 1-year recurrence rate of 29%. 5 Walker S.P. Bibby A.C. Halford P. et al. Recurrence rates in primary spontaneous pneumothorax: a systematic review and meta-analysis. Eur Respir J. 2018; 52: 1800864-1800865 Crossref PubMed Scopus (55) Google Scholar It is more common in men and has a biphasic distribution occurring more frequently in the 15 to 30-year-old and ≥65-year-old groups. 1 Bense L. Eklund G. Wiman L.G. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest. 1987; 92: 1009-1012 Abstract Full Text Full Text PDF PubMed Scopus (322) Google Scholar , 2 Gupta D. Hansell A. Nichols T. et al. Epidemiology of pneumothorax in England. Thorax. 2000; 55: 666-671 Crossref PubMed Scopus (277) Google Scholar , 3 Bobbio A. Dechartres A. Bouam S. et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax. 2015; 70: 653-658 Crossref PubMed Scopus (128) Google Scholar , 4 Kim D. Jung B. Jang B.H. et al. Epidemiology and medical service use for spontaneous pneumothorax: a 12-year study using nationwide cohort data in Korea. BMJ Open. 2019; 9: e028624-e028625 Crossref PubMed Scopus (6) Google Scholar Risk factors include chronic obstructive pulmonary disease, asthma, interstitial pneumonitis, cystic fibrosis, tuberculosis, lung cancer, and smoking history. 1 Bense L. Eklund G. Wiman L.G. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest. 1987; 92: 1009-1012 Abstract Full Text Full Text PDF PubMed Scopus (322) Google Scholar ,4 Kim D. Jung B. Jang B.H. et al. Epidemiology and medical service use for spontaneous pneumothorax: a 12-year study using nationwide cohort data in Korea. BMJ Open. 2019; 9: e028624-e028625 Crossref PubMed Scopus (6) Google Scholar ,6 Belchis D.A. Shekitka K. Gocke C.D. Multi-institutional retrospective cohort study of spontaneous pneumothorax. Pathol Res Pract. 2013; 209: 486-489 Crossref PubMed Scopus (6) Google Scholar , 7 Brown S.G. Ball E.L. Macdonald S.P. et al. Spontaneous pneumothorax; a multicentre retrospective analysis of emergency treatment, complications and outcomes. Intern Med J. 2014; 44: 450-457 Crossref PubMed Scopus (29) Google Scholar , 8 Ichinose J. Nagayama K. Hino H. et al. Results of surgical treatment for secondary spontaneous pneumothorax according to underlying diseases. Eur J Cardiothorac Surg. 2016; 49: 1132-1136 Crossref PubMed Scopus (26) Google Scholar , 9 Onuki T. Ueda S. Yamaoka M. et al. Primary and secondary spontaneous pneumothorax: prevalence, clinical features, and in-hospital mortality. Can Respir J. 2017; 2017: 6014967-6014968 Crossref PubMed Scopus (45) Google Scholar , 10 Hussain S.F. Aziz A. Fatima H. Pneumothorax: a review of 146 adult cases admitted at a university teaching hospital in Pakistan. J Pak Med Assoc. 1999; 49: 243-246 PubMed Google Scholar Pneumothorax can be qualified as traumatic or spontaneous (ie, atraumatic). This paper will focus on spontaneous pneumothorax, as traumatic pneumothorax has a significantly different presentation and management. Spontaneous pneumothorax is typically divided into primary (occurring without a clear cause and in the absence of significant lung disease) and secondary (occurring in the presence of existing lung pathology). 9 Onuki T. Ueda S. Yamaoka M. et al. Primary and secondary spontaneous pneumothorax: prevalence, clinical features, and in-hospital mortality. Can Respir J. 2017; 2017: 6014967-6014968 Crossref PubMed Scopus (45) Google Scholar Primary spontaneous pneumothorax is the most common and is typically seen in younger patients with fewer comorbidities, whereas secondary spontaneous pneumothorax is more frequently seen in older patients with chronic obstructive pulmonary disease. 9 Onuki T. Ueda S. Yamaoka M. et al. Primary and secondary spontaneous pneumothorax: prevalence, clinical features, and in-hospital mortality. Can Respir J. 2017; 2017: 6014967-6014968 Crossref PubMed Scopus (45) Google Scholar This paper is not intended to be a comprehensive review of all the aspects of the evaluation and management of pneumothorax; instead, this paper seeks to distill key facets of management based on the current literature and years of practice." @default.
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- W4307906305 title "Managing Spontaneous Pneumothorax" @default.
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- W4307906305 doi "https://doi.org/10.1016/j.annemergmed.2022.08.447" @default.
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