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

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dc.contributor.authorLucas da Silva, Paulo Sergio
dc.contributor.authorAguiar, Vania Euzebio de
dc.contributor.authorMachado Fonseca, Marcelo Cunio [UNIFESP]
dc.contributor.institutionHosp Servidor Publ Municipal
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:40:27Z
dc.date.available2016-01-24T14:40:27Z
dc.date.issued2015-05-01
dc.description.abstractObjectives: 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.en
dc.description.affiliationHosp Servidor Publ Municipal, Pediat Intens Care Unit, Dept Pediat, BR-01532900 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Pediat Intens Care Unit, Dept Pediat, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Pediat Intens Care Unit, Dept Pediat, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent238-242
dc.identifierhttp://dx.doi.org/10.1016/j.hrtlng.2015.01.005
dc.identifier.citationHeart & Lung. New York: Mosby-Elsevier, v. 44, n. 3, p. 238-242, 2015.
dc.identifier.doi10.1016/j.hrtlng.2015.01.005
dc.identifier.issn0147-9563
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/39047
dc.identifier.wosWOS:000354008100010
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofHeart & Lung
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectChildrenen
dc.subjectIatrogenic pneumothoraxen
dc.subjectMechanical ventilationen
dc.subjectPediatric intensive care uniten
dc.subjectQuality improvementen
dc.titleIatrogenic pneumothorax in mechanically ventilated children: Incidence, risk factors and other outcomesen
dc.typeinfo:eu-repo/semantics/article
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