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J Perinat Med. 2005;33(5):449-54.

Neonatal pneumothorax: comparison between neonatal transfers and inborn infants.

Author information

1
Pediatric Department, Medical School, University of Padova, Padova, Italy. daniele.trevisanĂșto@uniped.it

Abstract

OBJECTIVE:

To assess the differences in clinical characteristics, management and outcome between the neonatal transfers and inborn neonates with pneumothorax.

METHODS:

The records of 36 neonatal transfers (Group A) and 25 inborn (Group B) neonates with symptomatic pneumothorax were retrospectively analyzed.

RESULTS:

In Group A, gestational age (36+/-2 vs. 31+/-4 weeks; P<0.01), birth weight (2720+/-537 vs. 1736+/-1028 g; P<0.01), exclusive oxygen-therapy before the event (47% vs. 20%; P<0.05) and tube thoracostomy (78% vs. 44%; P<0.05) were significantly higher than in Group B. The need of resuscitation at birth (19% vs. 44%; P<0.05), conventional mechanical ventilation (20% vs. 56%; P<0.05), presence of associated major congenital malformations (0% vs. 20%; P<0.01), length of hospital stay (9+/-6 vs. 32+/-32 days; P=0.01) and mortality (0% vs. 16%; P=0.01) were significantly lower in Group A than in Group B.

CONCLUSIONS:

Neonatal transfers and inborn neonates with pneumothorax have different clinical characteristics and outcome. This information could be useful for all persons involved in the interhospital care of perinatal patients.

PMID:
16238541
DOI:
10.1515/JPM.2005.079
[Indexed for MEDLINE]

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