Iatrogenic pneumothorax in mechanically ventilated children: Incidence, risk factors and other outcomes

Iatrogenic pneumothorax in mechanically ventilated children: Incidence, risk factors and other outcomes

Author Lucas da Silva, Paulo Sergio Google Scholar
Aguiar, Vania Euzebio de Google Scholar
Machado Fonseca, Marcelo Cunio Autor UNIFESP Google Scholar
Institution Hosp Servidor Publ Municipal
Universidade Federal de São Paulo (UNIFESP)
Abstract Objectives: Determine prevalence, risk factors and outcomes of iatrogenic pneumothoraces (IPs) in a pediatric intensive care unit (PICU).Methods: Patients with IP (cases) and patients without IP (controls) were retrieved from a 5-year prospective cohort of 645 PICU patients who received mechanical ventilation (MV).Results: Twenty cases and eighty controls were assessed. the overall prevalence of IP was 3%. Eleven IPs were procedure-related IP and 9 MV related. Performance of thoracic invasive procedures (odds ratio 11) was the significant IP predictor in the logistic regression analysis. IP incidence was higher within 12 hours. There were no differences between the groups concerning duration of MV, length of PICU and hospital stays. IP patients had a significantly higher mortality rate (p = 0.005).Conclusions: Performance of thoracic invasive procedures was strongly associated with IPs events in mechanically ventilated children. Many of these events may potentially be preventable with the implementation of quality improvement programs. (C) 2015 Elsevier Inc. All rights reserved.
Keywords Children
Iatrogenic pneumothorax
Mechanical ventilation
Pediatric intensive care unit
Quality improvement
Language English
Date 2015-05-01
Published in Heart & Lung. New York: Mosby-Elsevier, v. 44, n. 3, p. 238-242, 2015.
ISSN 0147-9563 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 238-242
Origin http://dx.doi.org/10.1016/j.hrtlng.2015.01.005
Access rights Closed access
Type Article
Web of Science ID WOS:000354008100010
URI http://repositorio.unifesp.br/handle/11600/39047

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