TY - T1的门诊管理初级spontaneous pneumothorax: a prospective study JF - European Respiratory Journal JO - Eur Respir J SP - 582 LP - 590 DO - 10.1183/09031936.00179112 VL - 43 IS - 2 AU - Massongo, Massongo AU - Leroy, Sylvie AU - Scherpereel, Arnaud AU - Vaniet, Fabien AU - Dhalluin, Xavier AU - Chahine, Bachar AU - Sanfiorenzo, Céline AU - Genin, Michaël AU - Marquette, Charles-Hugo Y1 - 2014/02/01 UR - //www.qdcxjkg.com/content/43/2/582.abstract N2 - We prospectively assessed the safety and cost saving of a small-bore drain based procedure for outpatient management of first episodes of primary spontaneous pneumothorax. Patients were managed by observation alone or insertion of an 8.5-F “pig-tail” drain connected to a one-way valve, according to size and clinical tolerance of the pneumothorax. All patients were reassessed after 4 h, on the first working day after discharge and on day 7. Patients still exhibiting air leak on day 4 underwent thoracoscopy. The primary end-point was complete lung re-expansion at day 7. 60 consecutive patients entered the study. 48 (80%) met the definition of large pneumothorax. The success rate was 83%. The 1-year recurrence rate was 17%. 36 (60%) patients were discharged after 4 h and 50% had full outpatient management. No severe complication was observed. The mean±sd length of hospitalisation was 2.3±3.1 days. This policy resulted in about a 40% reduction in hospital stay-related costs. The present study supports the use of a single system combined with a well-defined management algorithm including safe discharge criteria, as an alternative to manual aspiration or chest tube drainage. This approach participates in healthcare cost-savings. Primary spontaneous pneumothorax can be managed outside the hospital, subject to strict pre-discharge safety criteria http://ow.ly/qVxcd ER -