Spontaneous pneumothorax in the AIDS population

Hadar Spivak, Steve Keller

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Spontaneous pneumothorax (SP) in patients with acquired immunodeficiency syndrome (AIDS) has become the leading cause of nontraumatic pneumothorax in the urban population. However, the appropriate treatment, especially the role of surgical intervention, remains controversial. A retrospective study of 33 patients with AIDS who were treated for 38 episodes of SPs (5 bilateral SPs) at our institution was conducted. The study consisted of 25 males (76%) and 8 females (24%) with a mean age of 38 years. Concurrent Pneumocystis carinii pneumonia was detected in 29/33 patients (88%). Three forms of treatment were utilized for the 38 pneumothoraces (5 of which required two modalities): closed tube thoracostomy, 28/38 (group 1); observation alone, 10/38 (group 2); and operative procedures, 5/38 (group 3). There were eight hospital deaths, four following resolution of the SP. Follow-up was available for 14 patients, 11 of whom died a median of 3 months post-discharge. Three patients were alive 1, 3, and 18 months post-discharge. AIDS-related SP is strongly associated with Pneumocystis carinii pneumonia and is predictive of a short- term survival. The treatment should be individualized, and, although resolution of the pneumothorax can be expected, the coexisting AIDS-related illnesses determine the outcome.

Original languageEnglish (US)
Pages (from-to)753-756
Number of pages4
JournalAmerican Surgeon
Volume62
Issue number9
StatePublished - 1996
Externally publishedYes

Fingerprint

Pneumothorax
Acquired Immunodeficiency Syndrome
Population
Pneumocystis Pneumonia
Thoracostomy
Urban Population
Operative Surgical Procedures
Therapeutics
Retrospective Studies
Observation
Survival

ASJC Scopus subject areas

  • Surgery

Cite this

Spivak, H., & Keller, S. (1996). Spontaneous pneumothorax in the AIDS population. American Surgeon, 62(9), 753-756.

Spontaneous pneumothorax in the AIDS population. / Spivak, Hadar; Keller, Steve.

In: American Surgeon, Vol. 62, No. 9, 1996, p. 753-756.

Research output: Contribution to journalArticle

Spivak, H & Keller, S 1996, 'Spontaneous pneumothorax in the AIDS population', American Surgeon, vol. 62, no. 9, pp. 753-756.
Spivak H, Keller S. Spontaneous pneumothorax in the AIDS population. American Surgeon. 1996;62(9):753-756.
Spivak, Hadar ; Keller, Steve. / Spontaneous pneumothorax in the AIDS population. In: American Surgeon. 1996 ; Vol. 62, No. 9. pp. 753-756.
@article{08749b3c7a344a99bdb8b78edb9d2457,
title = "Spontaneous pneumothorax in the AIDS population",
abstract = "Spontaneous pneumothorax (SP) in patients with acquired immunodeficiency syndrome (AIDS) has become the leading cause of nontraumatic pneumothorax in the urban population. However, the appropriate treatment, especially the role of surgical intervention, remains controversial. A retrospective study of 33 patients with AIDS who were treated for 38 episodes of SPs (5 bilateral SPs) at our institution was conducted. The study consisted of 25 males (76{\%}) and 8 females (24{\%}) with a mean age of 38 years. Concurrent Pneumocystis carinii pneumonia was detected in 29/33 patients (88{\%}). Three forms of treatment were utilized for the 38 pneumothoraces (5 of which required two modalities): closed tube thoracostomy, 28/38 (group 1); observation alone, 10/38 (group 2); and operative procedures, 5/38 (group 3). There were eight hospital deaths, four following resolution of the SP. Follow-up was available for 14 patients, 11 of whom died a median of 3 months post-discharge. Three patients were alive 1, 3, and 18 months post-discharge. AIDS-related SP is strongly associated with Pneumocystis carinii pneumonia and is predictive of a short- term survival. The treatment should be individualized, and, although resolution of the pneumothorax can be expected, the coexisting AIDS-related illnesses determine the outcome.",
author = "Hadar Spivak and Steve Keller",
year = "1996",
language = "English (US)",
volume = "62",
pages = "753--756",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "9",

}

TY - JOUR

T1 - Spontaneous pneumothorax in the AIDS population

AU - Spivak, Hadar

AU - Keller, Steve

PY - 1996

Y1 - 1996

N2 - Spontaneous pneumothorax (SP) in patients with acquired immunodeficiency syndrome (AIDS) has become the leading cause of nontraumatic pneumothorax in the urban population. However, the appropriate treatment, especially the role of surgical intervention, remains controversial. A retrospective study of 33 patients with AIDS who were treated for 38 episodes of SPs (5 bilateral SPs) at our institution was conducted. The study consisted of 25 males (76%) and 8 females (24%) with a mean age of 38 years. Concurrent Pneumocystis carinii pneumonia was detected in 29/33 patients (88%). Three forms of treatment were utilized for the 38 pneumothoraces (5 of which required two modalities): closed tube thoracostomy, 28/38 (group 1); observation alone, 10/38 (group 2); and operative procedures, 5/38 (group 3). There were eight hospital deaths, four following resolution of the SP. Follow-up was available for 14 patients, 11 of whom died a median of 3 months post-discharge. Three patients were alive 1, 3, and 18 months post-discharge. AIDS-related SP is strongly associated with Pneumocystis carinii pneumonia and is predictive of a short- term survival. The treatment should be individualized, and, although resolution of the pneumothorax can be expected, the coexisting AIDS-related illnesses determine the outcome.

AB - Spontaneous pneumothorax (SP) in patients with acquired immunodeficiency syndrome (AIDS) has become the leading cause of nontraumatic pneumothorax in the urban population. However, the appropriate treatment, especially the role of surgical intervention, remains controversial. A retrospective study of 33 patients with AIDS who were treated for 38 episodes of SPs (5 bilateral SPs) at our institution was conducted. The study consisted of 25 males (76%) and 8 females (24%) with a mean age of 38 years. Concurrent Pneumocystis carinii pneumonia was detected in 29/33 patients (88%). Three forms of treatment were utilized for the 38 pneumothoraces (5 of which required two modalities): closed tube thoracostomy, 28/38 (group 1); observation alone, 10/38 (group 2); and operative procedures, 5/38 (group 3). There were eight hospital deaths, four following resolution of the SP. Follow-up was available for 14 patients, 11 of whom died a median of 3 months post-discharge. Three patients were alive 1, 3, and 18 months post-discharge. AIDS-related SP is strongly associated with Pneumocystis carinii pneumonia and is predictive of a short- term survival. The treatment should be individualized, and, although resolution of the pneumothorax can be expected, the coexisting AIDS-related illnesses determine the outcome.

UR - http://www.scopus.com/inward/record.url?scp=0029775819&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029775819&partnerID=8YFLogxK

M3 - Article

C2 - 8751768

AN - SCOPUS:0029775819

VL - 62

SP - 753

EP - 756

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 9

ER -