{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:33:41Z","timestamp":1779910421460,"version":"3.53.1"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Considerable variation in primary spontaneous pneumothorax (PSP) management exists in the pediatric population. This study aims to compare nationwide outcomes of children with PSP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Nationwide Readmissions Database (2016 to 2018) was used to identify patients 1 to 18 years old with PSP. Trauma, secondary pneumothoraces, and elective admissions were excluded. Demographics and complications were compared among patients undergoing initial nonoperative management (NOM; observation or percutaneous drainage) or operative resection using standard statistical tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 3,890 patients were identified with PSP (median age, 16 [interquartile range 14 to 17] years). Most (78%) underwent NOM, of which 17% failed requiring operative resection. Of the intent-to-treat cohort, 28% failed NOM during index admission or required repeat percutaneous drainage or operative resection on readmission. Patients treated by NOM had higher 30-day and overall readmission rates compared with operative resection (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Ipsilateral recurrent pneumothorax was higher in those receiving NOM (13% vs 3%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Patients from the lowest median household income quartile more frequently received NOM compared with the highest income quartile (82% vs 76%) with more readmissions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients with PSP who underwent initial NOM experienced higher readmission rates than those receiving operative resection. Furthermore, socioeconomic status was associated with the utilization of nonoperative versus operative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845231166929","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T03:09:36Z","timestamp":1681268976000},"page":"175-184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Primary Spontaneous Pneumothorax Outcomes in Children: A National Analysis"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8210-3369","authenticated-orcid":false,"given":"Carlos Theodore","family":"Huerta","sequence":"first","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca A.","family":"Saberi","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth P.","family":"Gilna","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter A.","family":"Ramsey","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karishma","family":"Kodia","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Parreco","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad M.","family":"Thorson","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan E.","family":"Sola","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo A.","family":"Perez","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, FL, USA"},{"name":"DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.2.590"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136986"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05522-1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(88)90044-9"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2008.12.003"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31824d9a65"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.112.3.822"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2017.0467"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2018.0629"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.12.014"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.06.009"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3508-z"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009622"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-022-05068-4"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2004.09.042"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivv104"},{"key":"e_1_3_3_18_2","unstructured":"Agency for Healthcare Research and Quality. 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