الفهرس 
Title : Pneumothorax predictors and outcome in neonates of different gestational ages in Neonatal Intensive Care Units in Kasr Al-Ainy Hospital
ContantsOnly 14 pages are availabe for public view
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Abstract
Aim of work: To study relative risk factorsthat are more associated with pneumothorax and its outcome in neonates. Patients and methods: It is a case control study design that was conducted in NICU in Kasr Al Ainy Hospital, Faculty of Medicine, Cairo University over eight months including 50 neonates who developed pneumothorax while their hospital stay and 101 neonates that didn’t developed pneumothorax.Results:The study showed there was male predominance having pneumothorax with a higher percentage in the preterm group. Also the primary illness with predominance was RDS and sepsis was the most concomitant illness among cases. Also there was 76% of neonates who developed pneumothorax received advanced resuscitation. SNAP-PE II score with cut-off point of 20 was used showing that there was statistically significant difference in between both cases and control groups that recorded total score < or = 20 regarding discharge, mortality and BPD development.The respiratory support needed at admission of both studied groups was studied showing a statistically significant difference between modes of respiratory support between cases and controls regarding NI-IMV and SIMV modes.There is a significant association between presence of pneumothorax and higher mortality with a P-value of 0.025. There was no significant relation between pneumothorax and BPD in spite of being higher percentage of BPD development in cases with pneumothorax compared to those of control group. Conclusions: Preterm babies with RDS receiving positive pressure ventilation are at a notable risk. There is a significant association between presence of pneumothorax and higher mortality