16 54

Cited 0 times in

Primary spontaneous pneumomediastinum: 237 cases in a single-center experience over a 10-year period and assessment of factors related with recurrence

DC Field Value Language
dc.contributor.author김동규-
dc.date.accessioned2024-05-30T07:00:29Z-
dc.date.available2024-05-30T07:00:29Z-
dc.date.issued2023-07-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/199503-
dc.description.abstractObjectiveTo evaluate the precipitating factors and symptoms of primary spontaneous pneumomediastinum (PSPM) and to assess the factors related with recurrent spontaneous pneumomediastinum (RSPM). MethodsFrom 2010 to 2021, 237 PSPM patients were included in this retrospective study. Clinical information including in-hospital periods, morbidity, mortality, presenting symptoms, precipitating events, smoking, and asthma history was obtained. The patients with smoking history were subdivided into "ex-smoker" or "current smoker". The severity of asthma was categorized into "mild intermittent", "mild persistent", "moderate persistent", or "severe persistent". During follow-up, patients with RSPM were classified into "recurrence" group and the others were into "no recurrence" group. Multivariate regression analysis was used to elucidate the associated factors with RSPM. ResultsThe mean age of study patients (men: women = 222: 15) was 23.4 years and mean period of hospital stay was 7.5 days. There was no mortality and morbidity. Most frequent symptom and precipitating factor were acute chest pain (n = 211, 89.0%) and cough (n = 72, 30.4%), respectively. RSPM occurred in 11 patients (4.6%). The proportion of patients with smoking (72.8% vs. 37.1%, p = 0.010) or asthma (81.8% vs. 39.8%, p<0.001) was significantly higher in "recurrence" group than "no recurrence" group. On multivariate analysis, asthma was the only factor associated with RSPM (mild intermittent/persistent, OR = 7.092, p = 0.047; moderate persistent, OR = 8.000, p = 0.011). ConclusionPSPM is a benign disease with no morbidity and mortality. Asthma may be the associated factor with RSPM; thus, despite the low rate of recurrence, patients with asthma should be informed about the chance of RSPM.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherPublic Library of Science-
dc.relation.isPartOfPLOS ONE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAdult-
dc.subject.MESHAsthma* / complications-
dc.subject.MESHAsthma* / diagnosis-
dc.subject.MESHAsthma* / epidemiology-
dc.subject.MESHChest Pain / complications-
dc.subject.MESHCough / complications-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMediastinal Emphysema* / complications-
dc.subject.MESHMediastinal Emphysema* / etiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHYoung Adult-
dc.subject.MESHRelated infor-
dc.titlePrimary spontaneous pneumomediastinum: 237 cases in a single-center experience over a 10-year period and assessment of factors related with recurrence-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.googleauthorMin Hyuk Yu-
dc.contributor.googleauthorJin Kyem Kim-
dc.contributor.googleauthorTaeho Kim-
dc.contributor.googleauthorHong Seon Lee-
dc.contributor.googleauthorDong Kyu Kim-
dc.identifier.doi10.1371/journal.pone.0289225-
dc.contributor.localIdA05609-
dc.relation.journalcodeJ02540-
dc.identifier.eissn1932-6203-
dc.identifier.pmid37494372-
dc.contributor.alternativeNameKim, Dong Kyu-
dc.contributor.affiliatedAuthor김동규-
dc.citation.volume18-
dc.citation.number7-
dc.citation.startPagee0289225-
dc.identifier.bibliographicCitationPLOS ONE, Vol.18(7) : e0289225, 2023-07-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.