B30-10 Recurrent Spontaneous Pneumothorax in U.S. Military Veterans: An Unmet Health Care Provider Educational Need
Abstract
Tobacco smoking, vaping, and inhaling marijuana or cocaine are risk factors for recurrent primary and secondary spontaneous pneumothorax (PSP and SSP, respectively). However, whether health care providers counsel patients with recurrent PSP or SSP about quitting smoking tobacco or inhaling marijuana or cocaine, if applicable, is uncertain. Accordingly, the purpose of this quality improvement project was to determine whether targeted counseling and referrals are documented in hospital discharge summaries of patients admitted with PSP or SSP.
Electronic health records of Veterans admitted for PSP and SSP to the Jesse Brown VA Medical Center, Chicago, Illinois between 2016 and 2023 were reviewed. Demographics, history of tobacco smoking, vaping, and inhaling marijuana or cocaine were extracted from each record. In addition, each hospital discharge summary was reviewed for reporting targeted counseling, referral to smoking cessation clinic, and prescribing nicotine replacement therapy (NRT). The Neighborhood Deprivation Index of each Veteran was derived form the Neighborhood Atlas website. Data are reported as means±SD where appropriate. Statistical analysis was performed using Student’s t-test. P < 0.05 was considered statistically significant.
Thirty four predominantly elderly Black males with PSP (n = 20; 59%) and SSP (n = 14; 41%) were included in this study (Table 1). Active tobacco smoking was reported by 13 Veterans (38%) while vaping and inhaling marijuana or cocaine…
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