Evaluation of the relationship between primary spontaneous pneumothorax and exercise and patient return to previous activities in patients after treatment
1 Department of Thoracic and general Surgery, Guilan University of Medical Sciences, Iran.
2 Department of pulmonology, Guilan University of Medical Sciences, Iran.
3 Inflammatory Lung Diseases Research Center, Guilan University of Medical Science, Iran.
Research Article
GSC Advanced Research and Reviews, 2021, 09(02), 008–014.
Article DOI: 10.30574/gscarr.2021.9.2.0125
Publication history:
Received on 11 May 2021; revised on 18 July 2021; accepted on 20 July 2021
Abstract:
Introduction: The most common cause of primary spontaneous pneumothorax (PSP) is sub pleural bleb apical rupture. Little is known about the relationship between PSP and exercise and return to exercise time. In this study, wee tend to investigate the relationship between exercise and PSP and time of return to exercise and previous activities.
Method: This study was designed as a case series and the sample size included all patients diagnosed with PSP in Razi and Poursina and Aria hospitals of Rasht during 2015-2019 based on inclusion criteria. Variables were analyzed using Fisher's exact test, Chi square, Mann Whitney U and t-test (p<0.05).
Results: The most common type of treatment in patients was transaxillary thoracotomy with pleurodesis with iodine (TTP) in 58.2% and tube thoracostomy and pleurodesis in 41.7%, which was not statistically significant between athletes and non-athletes (p=0.806). Athletes who underwent TTP after 4 weeks and those treated with tube thoracostomy and pleurodesis after 8-12 weeks were advised to return to their previous activity. Of athletes, 9.5% had recurrence; of non-athletes, 9.8% had recurrence. Of athletes, 4.8% did not tolerate a return to their previous activity; of non-athletes, 7.3% did not tolerate returning to their previous activity regardless of treatment, and this difference was not significant.
Conclusion: Our study showed no significant difference between clinical manifestations and image findings as well as frequency of treatment and complications in both athlete and non-athlete patients. There is no increase in recurrence and intolerance at the time recommended for return to previous activity.
Keywords:
Primary Spontaneous Pneumothorax; Exercise; Pneumothorax; Return to Work
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Copyright © 2021 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
