Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Bilimsel Danışma Kurulu | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | İletişim  
2019, Cilt 33, Sayı 1, Sayfa(lar) 033-039   
DOES BODY MASS INDEX HAVE IMPACT ON PRIMARY SPONTANEOUS PNEUMOTHORAX RECURRENCE
H.Volkan KARA, Ezel ERŞEN, Burcu KILIÇ, Beyza GENÇ, Mehlika İŞCAN, Akif TURNA
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Göğüs cerrahisi, ISTANBUL, Türkiye
Keywords: Primary Spontaneous Pneumothorax (PSP), Body Mass İndex (BMI), recurrence

Introduction: Primary Spontaneous Pneumothorax (PSP) is presence of free air in the pleural cavity without any underlying lung disease. Despite successful treatment the recurrence may rise to 60%. Being underweight according to Body Mass Index (BMI <18,5) is thought to increase the recurrence. The aim of this study is to asses the risk for patients with BMI <18,5 on the recurrence of PSP.

Patients-Method: We retrospectively reviewed the records of patients with the diagnosis of PSP between January 2002 to December 2015. We compared the patients’ recurrence rates and questioned the relation with BMI scores of <18,5 and >18,5.

Results: There were 114 patients, 88,6% (n=101) of them were male. Mean age was 24,7 ±4,3 years (18-30), height 176,8 ± 6,5 cm (160-193), weight 66,4 ± 6,6 kg (43-90) and BMI was 21,2 ± 3,7(14,4-25). Fortytwo had recurrence (36,8%), 72 did not (73,2%). According to age, body weight, and smoking the difference between groups were significant (p=0,001). There were no significance between BMI scores. (recurrence 20,8 ± 3,1, without recurrence 21,5 ± 3,7) (p=1). According to BMI scores (<18,5 and >18,5) patients’ mean values for age, height and weight were statistically significant. Chest tube (4,2±2,1day vs 4,3±1,9 day) and overall hospital stay was similar (5,1±1,2 day vs 5,3±1,6 day) (p=1).

Discussion:/b> Our study revealed that having BMI <18,5 has no impact on PSP treatment results and recurrence. But there may be factors (eg. smoking) which would influence the recurrence. Patients should be informed about recurrence of the disease covering this possibilities.