title: Spontaneous pneumothorax: use of aspiration and outcomes of management by respiratory and general physicians.
abstract: BACKGROUND
  Spontaneous pneumothorax is a common problem in hospital practice. Despite the publication of guidelines controversy over its initial management still exists, particularly over the use of simple aspiration.
  
  
  METHODS
  The management of spontaneous pneumothorax by respiratory and general physicians at our hospital was analysed by retrospective case note review. Eighty five patients were identified over the study period (36 managed by respiratory and 49 by general physicians).
  
  
  RESULTS
  There was a significantly greater use of simple aspiration by respiratory (81%) than general physicians (47%, p<0.001) and a higher rate of success in this group. As a result those patients managed by respiratory physicians had fewer intercostal drains inserted and significantly shorter length of stays (mean 5.6 (3.8) days respiratory group and 9.5 (6.8) days in general physicians group, p<0.05).
  
  
  CONCLUSIONS
  The greater and more successful use of simple aspiration by respiratory physicians as an initial treatment for spontaneous pneumothorax resulted in improved outcomes and reduced length of hospital stays.
authors.affiliation: Department of Respiratory Medicine, Queen Elizabeth the Queen Mother Hospital, Margate, Kent, UK. Stuart.Packham@rbbh-tr.nhs.uk
authors.forename: S
authors.initials: S
authors.lastname: Packham
authors.forename: P
authors.initials: P
authors.lastname: Jaiswal
mesh_terms: D002983:Clinical Competence; D005194:Family Practice; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital; D011030:Pneumothorax / Q000628:therapy*; D015272:Pulmonary Medicine; D013396:Suction / Q000379:methods*; D016896:Treatment Outcome