{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:41:54Z","timestamp":1792827714649,"version":"4.5.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:00:00Z","timestamp":1703721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003Pneumothorax (PTX) is a potentially life-threatening condition that affects neonates, with an incidence of 0.05 to 2%. Its management includes conservative treatment, chest tube (CT) drainage, and needle aspiration (NA). Aims were to evaluate the incidence of PTX in a 10-hospital perinatal network, its clinical characteristics and risk factors, and to compare the different treatment options.<\/jats:p><jats:p>\n            Study Design\u2003All neonates diagnosed with PTX and hospitalized in the network were included in this retrospective observational trial over a period of 30 months. Primary outcome was the incidence of PTX. Secondary outcomes were the treatment modality, the length of stay (LOS), and the number of chest X-rays.<\/jats:p><jats:p>\n            Results\u2003Among the 173 neonates included, the overall incidence of PTX was 0.56 per 100 births with a large range among the hospitals (0.12\u20131.24). Thirty-nine percent of pneumothoraces were treated conservatively, 41% by CT drainage, 13% by NA, and 7% by combined treatment. Failure rate was higher for NA (37%) than for CT drainage (9%). However, the number of X-rays was lower for patients treated by NA, with a median of 6 (interquartile range [IQR] 4\u20136.25), than by CT drainage, with a median of 9 (IQR 7\u201312). LOS was shorter for NA than for CT drainage, with a median of 2 (IQR 1\u20134.25) and 6 days (IQR 3\u201315), respectively. Complications, including apnea and urinary retention, occurred in 28% of patients managed with CT drainage, whereas none was observed with NA.<\/jats:p><jats:p>\n            Conclusion\u2003High variability of PTX incidence was observed among the hospitals within the network, but these values correspond to the literature. NA showed to reduce the number of X-rays, the LOS, and complications compared with CT drainage, but it carries a high failure rate. This study helped provide a new decisional management algorithm to harmonize and improve PTX treatment within our network.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0043-1777861","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T23:43:22Z","timestamp":1703807002000},"page":"e3305-e3312","source":"Crossref","is-referenced-by-count":12,"special_numbering":"S","title":["Incidence and Management of Neonatal Pneumothorax in a 10-Hospital Regional Perinatal Network in Switzerland: A Retrospective Observational Study"],"prefix":"10.1055","volume":"41","author":[{"given":"Julie","family":"Baudat-Nguyen","sequence":"additional","affiliation":[{"name":"Department Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Roth-Kleiner","sequence":"additional","affiliation":[{"name":"Department Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laureline","family":"Barrielle","sequence":"additional","affiliation":[{"name":"Department Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"},{"name":"Department of Pediatrics, Fribourg Cantonal Hospital, Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Diebold","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Riviera-Chablais Hospital, Rennaz, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Duvoisin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Riviera-Chablais Hospital, Rennaz, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikbel","family":"El Faleh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Neuch\u00e2tel Hospital, Neuch\u00e2tel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Grupe","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yverdon Hospital, Yverdon, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedikt M.","family":"Huber","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Fribourg Cantonal Hospital, Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Sophie","family":"Morel","sequence":"additional","affiliation":[{"name":"Unit of Pediatrics, Nyon Hospital, Nyon, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Paccaud","sequence":"additional","affiliation":[{"name":"Clinic of Pediatrics, Hospital Center of Valais Romand, Hospital of Valais, Sion, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anais","family":"Torregrossa","sequence":"additional","affiliation":[{"name":"Department Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"},{"name":"Department of Pediatrics, Morges Hospital, Morges, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dany","family":"Younes","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, De la Broye Intercantonal Hospital, Payerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Fran\u00e7ois","family":"Tolsa","sequence":"additional","affiliation":[{"name":"Department Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita C.","family":"Truttmann","sequence":"additional","affiliation":[{"name":"Department Women-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, University of Lausanne, Lausanne, 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