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Submitted: 31 May 2023
Accepted: 10 Feb 2024
ePublished: 13 Mar 2024
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J Cardiovasc Thorac Res. 2024;16(1): 1-7.
doi: 10.34172/jcvtr.32871
PMID: 38584660
PMCID: PMC10997976
  Abstract View: 351
  PDF Download: 357

Review Article

Risk factors for re-expansion pulmonary edema following chest tube drainage in patients with spontaneous pneumothorax: A systematic review and meta-analysis

Herick Alvenus Willim 1* ORCID logo, Eva Lydia Munthe 2 ORCID logo, Yoni Vanto 3 ORCID logo, Alvin Ariyanto Sani 4 ORCID logo

1 Dr. Agoesdjam Regional Public Hospital, Ketapang Regency, West Kalimantan, Indonesia
2 Department of Pulmonology and Respiratory Medicine, Dr. Agoesdjam Regional Public Hospital, Ketapang Regency, West Kalimantan, Indonesia
3 Department of Surgery, Dr. Agoesdjam Regional Public Hospital, Ketapang Regency, West Kalimantan, Indonesia
4 Department of Cardiothoracic and Vascular Surgery, Dr. Soedarso Regional Public Hospital, Pontianak, West Kalimantan, Indonesia
*Corresponding Author: Herick Alvenus Willim, Email: dr.herickalvenuswillim@gmail.com

Abstract

Re-expansion pulmonary edema (RPE) is a rare but potentially life-threatening complication that can occur after rapid lung expansion following the management of lung collapse. This meta-analysis aimed to investigate the risk factors for RPE following chest tube drainage in patients with spontaneous pneumothorax. We conducted a comprehensive systematic literature search in electronic databases of PubMed, ScienceDirect, Cochrane Library, and ProQuest to identify studies that explore the risk factors for RPE following chest tube drainage in spontaneous pneumothorax. Pooled odds ratios (OR) or weighted mean differences (WMD) were calculated to evaluate the risk factors. Statistical analysis was conducted using Review Manager 5.3 software. Five studies involving 1.093 spontaneous pneumothorax patients were included in this meta-analysis. The pooled analysis showed that the following risk factors were significantly associated with increased risk of RPE following chest tube drainage: the presence smoking history (OR=1.94, 95% CI: 1.22-3.10, P=0.005, I2=0%), longer duration of symptoms (WMD=3.76, 95% CI: 2.07-5.45, P<0.0001, I2=30%) , and larger size of pneumothorax (WMD=16.76, 95% CI: 8.88-24.64, P<0.0001, I2=78%). Age, sex, and location of pneumothorax had no significant association. In patients with spontaneous pneumothorax, the presence of smoking history, longer duration of symptoms, and larger size of pneumothorax increase the risk of development of RPE following chest tube drainage.
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