Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Neonatal Pneumothorax- Five Years of Experience in a Tertiary Care Center

Version 1 : Received: 19 September 2021 / Approved: 21 September 2021 / Online: 21 September 2021 (11:09:28 CEST)

How to cite: Jovandaric, M.Z.; Milenkovic, S.J.; Babovic, I.R. Neonatal Pneumothorax- Five Years of Experience in a Tertiary Care Center. Preprints 2021, 2021090355 (doi: 10.20944/preprints202109.0355.v1). Jovandaric, M.Z.; Milenkovic, S.J.; Babovic, I.R. Neonatal Pneumothorax- Five Years of Experience in a Tertiary Care Center. Preprints 2021, 2021090355 (doi: 10.20944/preprints202109.0355.v1).

Abstract

I Introduction: Pneumothorax is a pathological condition characterized by the presence of air between the visceral and parietal pleura. Objectives: To investigate incidence, clinical characteristics, risk factors, management and perinatal outcome among newborns with pneumothorax in a tertiary care center. Materials and Methods: A prospective observational study was conducted in Maternity hospital with tertiary NICU from 2015-2019. We included all neonates with pneumothorax born in our hospital and compared demographic characteristics, perinatal risk factors, anthropometric parameters, concurrent diseases, clinical course and method of chest drainage between full term (≥37 GW) and preterm (<37GW) newborns. Results: Mong 30.378 neonates, 74 developed pneumothorax (2, 4/1000 newborns). The incidence of neonatal pneumothorax (NP) was higher in preterm group (59, 5%), with a mean age 34,62 GW in whole group. The mode of delivery was c. section in 68.9%. NP occurred mostly on the right side (47,3%), on the second day of life , in males (67,6%). Chest drainage was performed in 64,9% of cases. Of 74 NP cases, 64 (85.1%) recovered, 6 (8,1%) died. Conclusion: Pneumothorax is a pathological condition of the newborn, which, if not diagnosed in time and treated adequately, leads to a fatal outcome.ads to a

Keywords

newborn; therapy; pneumothorax

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