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Emerg Med Australas · Apr 2024
Management of primary spontaneous pneumothorax: Did practice change after a landmark multicentre study?
- Lucca Kalafatis, Rachel Armstrong, Emma J Hall, and Gerben Keijzers.
- Emergency Department, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia.
- Emerg Med Australas. 2024 Apr 28.
ObjectiveTo compare management of primary spontaneous pneumothorax (PSP) before and after the completion of multicentre study which showed non-inferiority of conservative compared to interventional treatment for PSP.MethodsThis is a retrospective study of patients aged 14-50 years with a first diagnosis of medium to large PSP before and after March 2019 in a tertiary ED. Medical record and radiology database review were used to identify demographic, clinical and radiological data.ResultsThe proportion of patients receiving an intervention in the ED decreased from 31.3% (10/32) to 12.5% (3/24).ConclusionIntervention for management of PSP is less frequent, suggesting adoption and implementation of best evidence.© 2024 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine.
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