Risk factors of spontaneous pneumothorax in Kuwait

Risk factors of spontaneous pneumothorax in Kuwait
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DOI:
10.1159/000094266
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发表时间:
2006-01-01
影响因子:
3.2
通讯作者:
Al-Othman, Mohammed
Al-Othman, Mohammed
中科院分区:
医学4区
文献类型:
--
作者:
Ayed, Adel K.;Bazerbashi, Samer;Al-Othman, Mohammed

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目的:确定科威特自发性气胸 (SP) 的危险因素。对象和方法:从 2002 年 1 月到 2003 年 12 月,对 254 例连续诊断为 SP 的病例进行了回顾性分析。根据年龄、性别、吸烟、体重指数(BMI)和气候条件对气胸发生率进行了分析。结果:254例患者中,男性242例(95%),女性12例(5%);其中 180 人(88%)是科威特人,74 人(12%)是外籍人士。 208 次 (82%) 发作被视为原发性 SP,46 次 (18%) 被视为继发性 SP。原发性 SP 的平均年龄为 24.5 +/- 5.8 岁,继发性 SP 的平均年龄为 45.7 +/- 14.5 岁。一百九十六 (77%) 人是当前吸烟者。原发性和继发性 SP 的 BMI 分别为 19.3 和 22.4 (p < 0.001)。 SP 与气候条件(温度、湿度或大气压力的上升或下降)之间没有关系。然而,7 月份 SP 略有增加,这可能是科威特最热的月份。结论:数据表明,科威特 SP 最重要的危险因素是吸烟、低 BMI 和男性。版权所有 (C) 2006 S. Karger AG,巴塞尔。
Objectives: To determine the risk factors of spontaneous pneumothorax (SP) in Kuwait. Subjects and Methods: From January 2002 through December 2003, 254 consecutive cases with a diagnosis of SP were reviewed. Analyses of pneumothorax rates by age, sex, smoking, body mass index (BMI) and climatic conditions were evaluated. Results: Of the 254 patients, 242 (95%) were male and 12 (5%) were female; a larger proportion of 180 (88%) were Kuwaitis and 74 (12%) were expatriates. Two hundred and eight (82%) episodes were regarded as primary SP and 46 (18%) as secondary SP. The mean age was 24.5 +/- 5.8 years for primary SP and 45.7 +/- 14.5 years for secondary SP. One hundred and ninety-six (77%) individuals were current smokers. BMI in primary and secondary SP was 19.3 and 22.4, respectively (p < 0.001). There was no relationship between SP and climatic conditions (a rise or fall in temperature, humidity or atmospheric pressure). However, a slight increase in SP occurred in July, probably the hottest month in Kuwait. Conclusions: The data indicate that the most important risk factors of SP in Kuwait are smoking, low BMI and the male gender. Copyright (C) 2006 S. Karger AG, Basel.