Is Pneumothorax Size on Chest X-Ray a Predictor of Neonatal Mortality?

esra ozer; Ali  Ergin; Sumer Sutcuoglu; Can Ozturk; Ali Yurtseven

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Is Pneumothorax Size on Chest X-Ray a Predictor of Neonatal Mortality?

Author(s):

esra ozer^1,*,

Ali Ergin²,

Sumer Sutcuoglu³,

Can Ozturk⁴,

Ali Yurtseven⁵

IJ Pediatrics:Vol. 23, issue 5; 541-545

Published online:Sep 14, 2013

Article type:Research Article

Received:Oct 26, 2012

Accepted:Aug 05, 2013

How to Cite:esra ozerAli ErginSumer SutcuogluCan OzturkAli YurtsevenIs Pneumothorax Size on Chest X-Ray a Predictor of Neonatal Mortality?.Iran J Pediatr.23(5):541-545.

Abstract

Objective: Pneumothorax in newborns may result in a significant mortality and morbidity. To predict who will survive or die is of great importance in the clinical management. The aim of this study is to address whether assessment of pneumothorax size on chest X-ray may be a predictor of prognosis in newborns presenting with pneumothorax. Methods: Of 5929 infants admitted to our neonatal intensive care unit (NICU) from January 2007 to April 2011, 60 (1.0%) newborns presenting with pneumothorax were included in the present study. Pneumothorax size was calculated by measuring the widest transverse diameter of pneumothorax area in the posteroanterior view and dividing it by the widest transverse diameter of thoracic cavity above the diaphragm. Clinical data were collected from the patients’ records. Findings: Overall mortality rate was 30% (18 patients). Pneumothorax size was significantly higher in non-survivors (31.1±2.8 vs 16.4±1.4, P

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