{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T21:40:24Z","timestamp":1722980424848},"reference-count":0,"publisher":"Laeknabladid\/The Icelandic Medical Journal","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["LBL"],"published-print":{"date-parts":[[2022,6,2]]},"abstract":"<jats:p>BACKGROUND: Primary spontaneous pneumothorax (PSP) is a common disease where surgery is indicated for persistant air leak or recurrent pneumothorax. We studied the outcomes of PSP-surgery over a 28 year period in a whole nation. MATERIALS AND METHODS: A retrospective study on 386 patients (median age 24 years, 78% males) that underwent 430 PSP surgeries at Landspitali University Hospital 1991-2018. Annual incidence of the procedure was calculated and previous medical history, indication and type of surgery, complications and length of hospital stay were registered. Patients in four 7 year periods were compared, recurrent pneumothoraces requiring reoperation (median follow-up 16 years) registered and predictors of reoperation identified with logistic regression.  RESULTS: Annually 14.5 PSP surgeries (median, range 9-27) were performed; the incidence decreasing by 2.9% per year on average. Every other patient smoked and 77% of surgeries were performed with video assisted thoracocopic surgery (VATS). The most common early complications (&lt;30 days from surgery) were persistent airleak (17%), pneumonia (2%) and empyema (0,5%). No patient died within 30 days from surgery. Reoperation for recurrent pneumothorax was performed on 27 patients; 24 following VATS (7%), median time from the primary surgery being 16 months. Logistic regression showed that younger patients were more likely to require reoperation for recurrent pneumothorax. CONCLUSIONS: Surgical treament for PSP is safe and major early complications rare. The rate of recurrent pneumothorax requiring surgery was 6%, which is similar to other studies. For unknown reasons the incidence of PSP surgery declined, but future research has to answer if it is linked to decreased smoking in the Icelandic population.<\/jats:p>","DOI":"10.17992\/lbl.2022.06.696","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T10:26:31Z","timestamp":1653992791000},"page":"299-305","source":"Crossref","is-referenced-by-count":0,"title":["Short- and long-term outcomes following surgery for primary spontaneous pneumothorax in Iceland"],"prefix":"10.17992","volume":"108","author":[{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00de\u00f3rd\u00eds","family":"Magnad\u00f3ttir","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leon Arnar","family":"Heitman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Faculty of Medicine, University of Iceland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tinna Harper","family":"Arnard\u00f3ttir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00f3mas \u00de\u00f3r","family":"Kristj\u00e1nsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per Martin","family":"Silverborn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin Ingi","family":"Sigur\u00f0sson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Faculty of Medicine, University of Iceland, Anesthesia and Intensive Care, Landspitali University Hospital","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00f3mas","family":"Gu\u00f0bjartsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Departments of Cardiothoracic Surgery, Landspitali University Hospital, Faculty of Medicine, University of Iceland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7439","published-online":{"date-parts":[[2022,6,2]]},"container-title":["L\u00e6knabla\u00f0i\u00f0"],"original-title":["\u00c1rangur skur\u00f0a\u00f0ger\u00f0a vi\u00f0 frumkomnu sj\u00e1lfsprottnu loftbrj\u00f3sti \u00e1 \u00cdslandi"],"deposited":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T10:26:38Z","timestamp":1653992798000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.laeknabladid.is\/tolublod\/2022\/06\/nr\/8054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,2]]},"references-count":0,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,6,2]]},"published-print":{"date-parts":[[2022,6,2]]}},"URL":"https:\/\/doi.org\/10.17992\/lbl.2022.06.696","relation":{},"ISSN":["0023-7213","1670-4959"],"issn-type":[{"type":"print","value":"0023-7213"},{"type":"electronic","value":"1670-4959"}],"subject":[],"published":{"date-parts":[[2022,6,2]]}}}