Publication:

Different treatment modalities and their outcomes in spontaneous pneumothorax in adults in sub-Himalayan: a prospective study at tertiary care institute

Background The Spontaneous Pneumothorax has been classified as major cause of morbidity and mortality among respiratory diseases. Objectives of the study were to determine the various modalities of treatment of spontaneous pneumothorax and their outcome in affected patients in our institute.

Methods A hospital based Prospective study was conducted in year 2011-12 in the department of Medicine, IGMC Shimla (H.P.) India. During study period the total admissions were 7335 out of which 30 patients were diagnosed as spontaneous pneumothorax and treated as cases under study. The data was collected on proforma includes demographic profile, probable cause, clinical and treatment modalities and their outcome in Spontaneous Pneumothorax, master chart framed and analysed into frequency percentage.

Results Incidence of spontaneous pneumothorax was found to be 408.99 /yr/100000 admissions in the department of medicine. Incidence of primary spontaneous pneumothorax was 81.79/yr/100000 admissions. Incidence of secondary spontaneous pneumothorax was 327.19/yr/100000 admissions. Various treatment modalities include observation alone, needle aspiration, traditional intercostal tube, pleurodesis and antitubercular treatment.

Conclusions Most common treatment modality was intercostal tube drainage in PSP and antitubecular drugs in SSP.