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ADC Online First, published on February 10, 2015 as 10.1136/archdischild-2014-306696 Original article
Management of paediatric spontaneous pneumothorax: a multicentre retrospective case series Paul D Robinson,1,2 Carol Blackburn,3 Franz E Babl,3 Lalith Gamage,4 Jacquie Schutz,4 Rebecca Nogajski,5 Stuart Dalziel,6,7 Colin B Donald,6 Dino Druda,8 David Krieser,8 Jocelyn Neutze,9 Jason Acworth,10 Mark Lee,11 Peter K Ngo,1 on behalf of the Paediatric Emergency Departments International Collaborative (PREDICT) research network ▸ Additional material is published online only. To view please visit the journal online (http://dx.doi.org/10.1136/ archdischild-2014-306696). For numbered affiliations see end of article. Correspondence to Dr Paul D Robinson, The Children’s Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia; [email protected]. gov.au Received 8 May 2014 Revised 30 December 2014 Accepted 19 January 2015
ABSTRACT Objectives Paediatric guidelines are lacking for management of spontaneous pneumothorax. Adult patient-focused guidelines (British Thoracic Society 2003 and 2010) introduced aspiration as first-line intervention for primary spontaneous pneumothorax (PSP) and small secondary spontaneous pneumothoraces (SSP). Paediatric practice is unclear, and evidence for aspiration success rates is urgently required to develop paediatric-specific recommendations. Methods Retrospective analysis of PSP and SSP management at nine paediatric emergency departments across Australia and New Zealand (2003–2010) to compare PSP and SSP management. Results 219 episodes of spontaneous pneumothorax occurred in 162 children (median age 15 years, 71% male); 155 PSP episodes in 120 children and 64 SSP episodes in 42 children. Intervention in PSP vs SSP episodes occurred in 55% (95% CI 47% to 62%) vs 70% (60% to 79%), p
ADC Online First, published on February 10, 2015 as 10.1136/archdischild-2014-306696 Original article
Management of paediatric spontaneous pneumothorax: a multicentre retrospective case series Paul D Robinson,1,2 Carol Blackburn,3 Franz E Babl,3 Lalith Gamage,4 Jacquie Schutz,4 Rebecca Nogajski,5 Stuart Dalziel,6,7 Colin B Donald,6 Dino Druda,8 David Krieser,8 Jocelyn Neutze,9 Jason Acworth,10 Mark Lee,11 Peter K Ngo,1 on behalf of the Paediatric Emergency Departments International Collaborative (PREDICT) research network ▸ Additional material is published online only. To view please visit the journal online (http://dx.doi.org/10.1136/ archdischild-2014-306696). For numbered affiliations see end of article. Correspondence to Dr Paul D Robinson, The Children’s Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia; [email protected]. gov.au Received 8 May 2014 Revised 30 December 2014 Accepted 19 January 2015
ABSTRACT Objectives Paediatric guidelines are lacking for management of spontaneous pneumothorax. Adult patient-focused guidelines (British Thoracic Society 2003 and 2010) introduced aspiration as first-line intervention for primary spontaneous pneumothorax (PSP) and small secondary spontaneous pneumothoraces (SSP). Paediatric practice is unclear, and evidence for aspiration success rates is urgently required to develop paediatric-specific recommendations. Methods Retrospective analysis of PSP and SSP management at nine paediatric emergency departments across Australia and New Zealand (2003–2010) to compare PSP and SSP management. Results 219 episodes of spontaneous pneumothorax occurred in 162 children (median age 15 years, 71% male); 155 PSP episodes in 120 children and 64 SSP episodes in 42 children. Intervention in PSP vs SSP episodes occurred in 55% (95% CI 47% to 62%) vs 70% (60% to 79%), p
