{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T15:46:38Z","timestamp":1769183198945,"version":"3.49.0"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Resp Res"],"accepted":{"date-parts":[[2019,2,3]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The optimal management of pneumothorax remains undefined. There is a growing consensus that patients with spontaneous pneumothorax can be considered for ambulatory management with the use of a one-way valve. Despite this, there is little data on the outcomes of outpatient management of secondary spontaneous pneumothorax (SSP).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>At our institution, selected patients with primary and secondary spontaneous pneumothorax who meet the predefined local criteria are managed on an ambulatory pathway. We prospectively evaluated our practice over a 3-year period and explore outcomes of patients with SSP using primary spontaneous pneumothorax (PSP) as a comparator group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>163 consecutive patients presenting to our hospital between September 2014 and July 2017 were evaluated using a predefined protocol. 111 (49 SSP and 62 PSP) were deemed suitable for outpatient management. Resolution on day 5 was similar between the two groups (65% in the SSP vs 79% in the PSP group; p=0.108). The mean drainage time was 5.84 days in SSP compared with 5.69 days in PSP, representing a difference of 0.15 days (95%\u2009CI \u22122.47 to 2.16; p=0.897). Complications such as infection and drain blockage\/falling-out were scarce, with comparable pain and satisfaction scores across both groups. There were no deaths during this period. An estimated \u00a386\u2009796 ($113 920) was saved over the study period, equating to \u00a31118.80 ($1550) per patient.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This study suggests that outpatient management of selected patients with SSP may be effective, safe and cost-saving.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjresp-2018-000373","type":"journal-article","created":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T13:36:32Z","timestamp":1551360992000},"page":"e000373","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Safety and efficacy of ambulatory management of secondary spontaneous pneumothorax: a case series"],"prefix":"10.1136","volume":"6","author":[{"given":"Fasih","family":"Khan","sequence":"first","affiliation":[{"name":"Respiratory Medicine, Kettering General Hospital NHS Foundation Trust, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuf","family":"Vali","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Kettering General Hospital NHS Foundation Trust, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Naeem","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Kettering General Hospital NHS Foundation Trust, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4883-4085","authenticated-orcid":false,"given":"Raja","family":"Reddy","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Kettering General Hospital NHS Foundation Trust, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,2,28]]},"reference":[{"key":"2025083109423152000_6.1.e000373.1","first-page":"1379","article-title":"Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974","volume":"120","author":"Melton","year":"1979","journal-title":"Am Rev Respir Dis"},{"key":"2025083109423152000_6.1.e000373.2","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.55.8.666"},{"key":"2025083109423152000_6.1.e000373.3","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136986"},{"key":"2025083109423152000_6.1.e000373.4","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.2.590"},{"key":"2025083109423152000_6.1.e000373.5","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2005.11679714"},{"key":"2025083109423152000_6.1.e000373.6","doi-asserted-by":"publisher","DOI":"10.1136\/thx.28.3.386"},{"key":"2025083109423152000_6.1.e000373.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)63979-3"},{"key":"2025083109423152000_6.1.e000373.8","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.06.00104905"},{"key":"2025083109423152000_6.1.e000373.9","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00179112"},{"key":"2025083109423152000_6.1.e000373.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.12.017"},{"key":"2025083109423152000_6.1.e000373.11","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2012-202875"},{"key":"2025083109423152000_6.1.e000373.12","doi-asserted-by":"publisher","DOI":"10.1097\/00000421-198212000-00014"},{"key":"2025083109423152000_6.1.e000373.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2008.01296.x"},{"issue":"Suppl 3","key":"2025083109423152000_6.1.e000373.14","doi-asserted-by":"crossref","first-page":"A165","DOI":"10.1136\/thoraxjnl-2015-207770.314","article-title":"Cost effectiveness of ambulatory management of spontaneous pneumothorax","volume":"70","author":"Pillay","year":"2015","journal-title":"Thorax"}],"container-title":["BMJ Open Respiratory Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjresp-2018-000373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T16:42:36Z","timestamp":1756658556000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopenrespres.bmj.com\/lookup\/doi\/10.1136\/bmjresp-2018-000373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,2,28]]},"published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1136\/bmjresp-2018-000373"],"URL":"https:\/\/doi.org\/10.1136\/bmjresp-2018-000373","relation":{},"ISSN":["2052-4439"],"issn-type":[{"value":"2052-4439","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}