Profile of patients of spontaneous pneumothorax of North Gujarat region, India: a prospective study at GMERS medical college, Dharpur-Patan


  • Kiran Rami Department of Community Medicine, GMERS Medical College, Dharpur-Patan-384265, Gujarat
  • Pradip Damor Department of Community Medicine, GMERS Medical College, Dharpur-Patan-384265, Gujarat
  • Gunjan Paresh Upadhyay Department of Pulmonary Medicine, GMERS Medical College, Gandhinagar-382012, Gujarat
  • Nilesh Thakor Department of Community Medicine, GMERS Medical College, Dharpur-Patan-384265, Gujarat



Spontaneous pneumothorax, ICDT, Pulmonary tuberculosis, COPD, Smoking


Background: Spontaneous pneumothorax is a respiratory emergency, which we come across in clinical practice. It needs quick diagnosis and prompt treatment. Its immediate and prompt management can save a life of the patient. Delayed management can produce serious implication on respiratory function. The objective was aimed to study profile of patients of spontaneous pneumothorax.

Methods: This was a prospective descriptive study conducted among purposively selected 100 patients of pneumothorax at a GMERS Medical College and Hospital, Dharpur-Patan of North Gujarat region, India between February 2013 and January 2015 after taking written informed consent. A predesigned semi-structured performa was used. Detailed demographic and clinical data were recorded. Patients were treated with simple needle aspiration or Intercostal drainage tube (ICDT) as per the standard practice at our institute. Data was statistically analyzed using SPSS software (trial version).

Results:Based on the total number of admissions to our hospital during the study period, the annual incidence of SP was calculated as 99.9 per 100,000 hospital admissions. Out of 100 patients 84 patients were above the age of 40 years. 96 % of the patients were male. Dyspnea was the most common symptom at the onset and was present in all patients. History of smoking was present in 88% of the patients. Past history of COPD and tuberculosis were found in 58% and 34% of the patients respectively. Radiological evidence showed right sided pneumothorax in 50% of the patients whereas 48% had left sided pneumothorax. 86% of the patients were treated with Intercostal drainage tube. Among all patients treated with ICDT, 6% of the patients had surgical emphysema while 10% of the patients had secondary infection of pleural space leading to hydro pneumothorax.

Conclusion: Spontaneous pneumothorax in India is more often secondary to an underlying lung disease. COPD and pulmonary tuberculosis remains the common causes of SP. Smoking is an important risk factor for the development of pneumothorax. X-Ray chest is one of the most important investigations for diagnosis of pneumothorax & underlying etiological factors.



Shramel FM, Postmus PE, Vandershueren RG. Current aspects of spontaneous pneumothorax. Eur Respir J. 1997;10:1372-9.

Wait MA, Estrera A. Changing spectrum of spontaneous pneumothorax. Am J Surg. 1992;164:528-31.

Gupta KB, Mishra DS, Tandon S, Sindhwani G, Tanwar T. Role of chest CT scan in determining etiology of primary spontaneous pneumothorax. Indian J Chest Dis Allied Sci. 2003;45:73-7.

Faruqi S, Gupta D, Aggarwal AN, Jindal SK. Role of simple needle aspiration in the management of pneumothorax. Indian J Chest Dis Allied Sci. 2004;46:183-90.

Janmeja A, Raj B, Saini V, Gupta KB. Analysis of 100 cases of spontaneous pneumothorax. Lung India. 1995;13:12-6.

Ahangar AG, Hussain SS, Mir IA, Dar AM, Bhat MK, Lone GN, et al. Spontaneous pneumothroax. Indian J Surg. 2003;65:423-6.

Agnihotri S, Sharma, TN, Jain NK, Madan A, Mandhana RG, Saxena A. Spontaneous pneumothorax : a clinical study of eighty cases in Jaipur. Lung India. 1987;5:189-92.

Beg MH, Reyazudin, Faridi MM, Ahmad SH, Shahab T. Spontaneous pneumothorax in children: a review of 95 cases. Ann Trop Paediatr. 1988;8:18-21.

Melton LJ, Hepper NG, Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. Am Rev Respir Dis. 1979;120:1379-82.

Gupta D, Hansel A, Nichols T, Duong T, Ayres JG, Strachan D. Epidemiology of pneumothorax in England. Thorax. 2000;55:666-71.

Taussig LM, Cota K, Kaltenborn W. Different mechanical properties of lung in boys and girls. Am Rev Respir Dis. 1981;123:640-3.

Bense L, Eklund G, Wiman LG. Smoking and increased risk of contracting spontaneous pneumothorax. Chest. 1987;92:1009-12.

De Vries WC, Wolfe WG. The management of spontaneous pneumothorax and bullous emphysema. Surg Clin North Am. 1980;60:851-6.

Kjaegard H. Spontaneous pneumothorax in apparently healthy. Acta Med Scand. 1932;43(l):1-159.

Ferraro P, Beauchamp G, Lord F, Emond C, Bastien E. Spontaneous primary and secondary pneumothorax: a 10– year study of management alternatives. Can J Surg. 1994;37:197-202.

Beg MH, Reyazuddin. Bilateral simultaneous pneumothorax: a study of 25 cases. Indian J Chest Dis Allied Sci. 1990;32:25-7.

Boghani AB, Patel RB. Spontaneous pneumothorax: a clinical study. Lung India. 1985;3:37-40.




How to Cite

Rami, K., Damor, P., Upadhyay, G. P., & Thakor, N. (2017). Profile of patients of spontaneous pneumothorax of North Gujarat region, India: a prospective study at GMERS medical college, Dharpur-Patan. International Journal of Research in Medical Sciences, 3(8), 1874–1877.



Original Research Articles