An Age-Stratified Longitudinal Study of Primary Spontaneous Pneumothorax

作者：Huang Yuan Huei; Chang Pei Yeh^*; Wong Kin Sun; Chang Chee Jen; Lai Jin Yao; Chen Jeng Chang

来源：Journal of Adolescent Health, 2017, 61(4): 527-532.

DOI：10.1016/j.jadohealth.2017.05.003

• Spontaneous pneumothorax
• Adolescence
• Database analysis

Purpose: The objective of this study was to determine the age-stratified incidence, frequency, and duration of recurrence of primary spontaneous pneumothorax (PSP).& para;& para; Methods: This study analyzed the epidemiology of PSP among hospitalized patients using the National Health Research Institutes of Taiwan database. The incidence of PSP was determined from a cohort of 19,562 deidentified individuals with PSP between 2001 and 2013. The insurants consisted of 99% of the Taiwan population of about 23 million people. A 5- to 12-year long-term recurrence analysis was based on data from 11,190 patients with PSP between 2001 and 2008.& para;& para; Results: The incidence of PSP in in-patients increased from 5.05 to 7.18/100,000 in a 13-year analysis. The age group at highest risk was 15-22 years with incidence rates >11/100,000 and readmission rates of 17%-31%. About 20% of patients had more than one attack based on long-term follow-ups. About .8% of patients had more than three hospital admissions. Only 3.9% of patients had repeated or recurrent attacks after more than 4 years. All patients who had been admitted on more than four occasions were adolescents, except for four patients who were aged between 20 and 24 years old. & para;& para;Conclusions: Adolescents with PSP had a higher incidence of attacks and more frequent and longer periods of vulnerability to recurrence. The majority of patients experienced recurrence during the first 4 years after the first attack.

• 出版日期2017-10
• 单位长春大学