Characteristics of Neonatal Pneumothorax in Saudi Arabia Three Years' Experience

• Published in: Oman medical journal Vol. 32; no. 2; pp. 135 - 139
• Main Authors: Munshi , Humariya H, Abu-Shaheen , Amani K, Qaraqei , Mostafa, Al Matary , Abdulrahman, Wani , Tariq A, Abozaid , Sameh
• Format: Journal Article
• Language: English
• Published: Muscat - Oman Oman Medical Specialty Board 01.03.2017; OMJ
• Subjects: Incidence; Meconium aspiration syndrome; MORBIDITY; MORTALITY; Neonatal intensive care; NEWBORNS; Original; PAEDIATRICS; Pediatric intensive care; PNEUMONIA; Pneumothorax; Retrolental fibroplasia; SAUDI ARABIA; الإلتهاب الرئوي; السعودية; المراضة; الوفيات; حديثو الولادة; طب الأطفال; Saudi Arabia; Pneumothorax; Mortality; Morbidity; Incidence
• ISSN: 1999-768X; 2070-5204
• DOI: 10.5001/omj.2017.24

Objectives: To identify the incidence, clinical characteristics, predisposing factors, morbidity, and mortality among hospitalized neonates with pneumothorax. Methods: The records of 2 204 infants admitted to the neonatal intensive care unit at King Fahad Medical City, Saudi Arabia, between 2011 and 2014 were reviewed. All newborns hospitalized in the neonatal intensive care unit with pneumothorax were included in the study. Participants were evaluated for baseline characteristics, predisposing factors of neonatal pneumothorax (NP), accompanying disorders, and mortality. Results: Pneumothorax was diagnosed in 86 patients, with an incidence of 3.9%. The most common predisposing factors of NP were bag mask ventilation, followed by hypoplastic lung disease, and mechanical ventilation. Twenty-five (29.1%) newborns with pneumothorax died. The most common accompanying disorder was premature rupture of membrane. On multivariate analysis, pulmonary hemorrhage, a birth weight < 2 500 g, and low Apgar score (< 7) at one minute were independently associated with mortality. Conclusions: This study highlights the extent of NP problems among hospitalized neonates and the most common predisposing factors of NP.