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Licensed Unlicensed Requires Authentication Published by De Gruyter September 13, 2005

Neonatal pneumothorax: comparison between neonatal transfers and inborn infants

  • Daniele Trevisanuto , Nicoletta Doglioni , Paola Ferrarese , Stefania Vedovato , Erich Cosmi and Vincenzo Zanardo
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Objective: To assess the differences in clinical characteristics, management and outcome between the neonatal transfers and inborn neonates with pneumothorax.

Methods: The records of 36 neonatal transfers (Group A) and 25 inborn (Group B) neonates with symptomatic pneumothorax were retrospectively analyzed.

Results: In Group A, gestational age (36±2 vs. 31±4 weeks; P<0.01), birth weight (2720±537 vs. 1736±1028 g; P<0.01), exclusive oxygen-therapy before the event (47% vs. 20%; P<0.05) and tube thoracostomy (78% vs. 44%; P<0.05) were significantly higher than in Group B. The need of resuscitation at birth (19% vs. 44%; P<0.05), conventional mechanical ventilation (20% vs. 56%; P<0.05), presence of associated major congenital malformations (0% vs. 20%; P<0.01), length of hospital stay (9±6 vs. 32±32 days; P=0.01) and mortality (0% vs. 16%; P=0.01) were significantly lower in Group A than in Group B.

Conclusions: Neonatal transfers and inborn neonates with pneumothorax have different clinical characteristics and outcome. This information could be useful for all persons involved in the interhospital care of perinatal patients.


Corresponding authors: Erich Cosmi, MD Assistant Professor of Obstetrics and Gynecology Daniele Trevisanuto, MD Department of Pediatrics University of Padua, Via Giustiniani No 3, 35100, Padua, Italy Tel.: +39-339-8146745 Fax: +39-049-8213409 ;


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Published Online: 2005-09-13
Published in Print: 2005-10-01

©2005 by Walter de Gruyter Berlin New York

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