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Thorax. Aug 2000; 55(8): 666–671.
PMCID: PMC1745823

Epidemiology of pneumothorax in England

Abstract

BACKGROUND—Little is known of the epidemiology of pneumothorax. Routinely available data on pneumothorax in England are described.
METHODS—Patients consulting in primary care with a diagnosis of pneumothorax in each year from 1991 to 1995 inclusive were identified from the General Practice Research Database (GPRD). Emergency hospital admissions for pneumothorax were identified for the years 1991-4 from the Hospital Episode Statistics (HES) data. Mortality data for England & Wales were obtained for 1950-97. Analyses of pneumothorax rates by age and sex were performed for all data sources. Seasonal and geographical analyses were carried out for the HES data.
RESULTS—The overall person consulting rate for pneumothorax (primary and secondary combined) in the GPRD was 24.0/100 000 each year for men and 9.8/100 000 each year for women. Hospital admissions for pneumothorax as a primary diagnosis occurred at an overall incidence of 16.7/100 000 per year and 5.8/100 000 per year for men and women, respectively. Mortality rates were 1.26/million per year for men and 0.62/million per year for women. The age distribution in both men and women showed a biphasic distribution for both GP consultations and hospital admissions. Deaths showed a single peak with highest rates in the elderly. There was an urban-rural trend observed for hospital admissions in the older age group (55+ years) with admission rates in the conurbations significantly higher than in the rural areas. Analysis for trends in mortality data for 1950-97 showed a striking increase in the death rate for pneumothorax in those aged 55+ years between 1960and 1990, with a steep decline in the 1990s. Mortality in the younger age group (15-34 years) remained low and constant.
CONCLUSION—There is evidence of two epidemiologically distinct forms of spontaneous pneumothorax in England. The explanation for the rise and fall in mortality for secondary pneumothorax is obscure.

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Selected References

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  • Schramel FM, Postmus PE, Vanderschueren RG. Current aspects of spontaneous pneumothorax. Eur Respir J. 1997 Jun;10(6):1372–1379. [PubMed]
  • Bense L. Spontaneous pneumothorax. Chest. 1992 Apr;101(4):891–892. [PubMed]
  • Hansell A, Hollowell J, Nichols T, McNiece R, Strachan D. Use of the General Practice Research Database (GPRD) for respiratory epidemiology: a comparison with the 4th Morbidity Survey in General Practice (MSGP4). Thorax. 1999 May;54(5):413–419. [PMC free article] [PubMed]
  • Ferguson LJ, Imrie CW, Hutchison J. Excision of bullae without pleurectomy in patients with spontaneous pneumothorax. Br J Surg. 1981 Mar;68(3):214–216. [PubMed]
  • Primrose WR. Spontaneous pneumothorax: a retrospective review of aetiology, pathogenesis and management. Scott Med J. 1984 Jan;29(1):15–20. [PubMed]
  • Melton LJ, 3rd, Hepper NG, Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. Am Rev Respir Dis. 1979 Dec;120(6):1379–1382. [PubMed]
  • Milanez JR, Vargas FS, Filomeno LT, Fernandez A, Jatene A, Light RW. Intrapleural talc for the prevention of recurrent pneumothorax. Chest. 1994 Oct;106(4):1162–1165. [PubMed]
  • Sadikot RT, Greene T, Meadows K, Arnold AG. Recurrence of primary spontaneous pneumothorax. Thorax. 1997 Sep;52(9):805–809. [PMC free article] [PubMed]
  • Lee PN, Fry JS, Forey BA. Trends in lung cancer, chronic obstructive lung disease, and emphysema death rates for England and Wales 1941-85 and their relation to trends in cigarette smoking. Thorax. 1990 Sep;45(9):657–665. [PMC free article] [PubMed]
  • Miller AC, Harvey JE. Guidelines for the management of spontaneous pneumothorax. Standards of Care Committee, British Thoracic Society. BMJ. 1993 Jul 10;307(6896):114–116. [PMC free article] [PubMed]
  • Wait MA, Estrera A. Changing clinical spectrum of spontaneous pneumothorax. Am J Surg. 1992 Nov;164(5):528–531. [PubMed]
  • Bense L, Eklund G, Wiman LG. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest. 1987 Dec;92(6):1009–1012. [PubMed]
  • Jansveld CA, Dijkman JH. Primary spontaneous pneumothorax and smoking. Br Med J. 1975 Dec 6;4(5996):559–560. [PMC free article] [PubMed]
  • Bense L, Wiman LG. Time relation between sale of cigarettes and the incidence of spontaneous pneumothorax. Eur J Respir Dis. 1987 Nov;71(5):362–364. [PubMed]
  • Nakamura H, Konishiike J, Sugamura A, Takeno Y. Epidemiology of spontaneous pneumothorax in women. Chest. 1986 Mar;89(3):378–382. [PubMed]
  • Ruckley CV, McCormack RJ. The management of spontaneous pneumothorax. Thorax. 1966 Mar;21(2):139–144. [PMC free article] [PubMed]
  • Nakamura H, Izuchi R, Hagiwara T, Izumi S, Konishiike J, Omura I, Sakai S, Shigematsu Y, Akutagawa M, Takeno Y. Physical constitution and smoking habits of patients with idiopathic spontaneous pneumothorax. Jpn J Med. 1983 Jan;22(1):2–8. [PubMed]
  • Alter SJ. Spontaneous pneumothorax in infants: a 10-year review. Pediatr Emerg Care. 1997 Dec;13(6):401–403. [PubMed]
  • Wilcox DT, Glick PL, Karamanoukian HL, Allen JE, Azizkhan RG. Spontaneous pneumothorax: a single-institution, 12-year experience in patients under 16 years of age. J Pediatr Surg. 1995 Oct;30(10):1452–1454. [PubMed]
  • Taussig LM, Cota K, Kaltenborn W. Different mechanical properties of the lung in boys and girls. Am Rev Respir Dis. 1981 Jun;123(6):640–643. [PubMed]
  • Ozenne G, Poignie P, Lemercier JP, Nouvet G, Grancher G. Conditions météorologiques et pneumothorax spontanés. Etude rétrospective sur 165 cas de la région rouennaise. Rev Pneumol Clin. 1984;40(1):27–33. [PubMed]
  • Bense L. Spontaneous pneumothorax related to falls in atmospheric pressure. Eur J Respir Dis. 1984 Oct;65(7):544–546. [PubMed]

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