PMID: 15250222Jul 15, 2004Paper

Simple aspiration versus chest-tube insertion in the management of primary spontaneous pneumothorax: a systematic review

Respiratory Medicine
A DevanandM Samuel

Abstract

The initial treatment of a primary spontaneous pneumothorax (PSP) is controversial. Guidelines of the British Thoracic Society recommend simple aspiration for all PSP requiring intervention. The placement of chest tubes is only advocated for patients who fail simple aspiration. However, the American College of Chest Physicians Delphi Consensus Statement found simple aspiration to be rarely appropriate in the management of PSP. To compare simple aspiration with chest-tube drainage in the initial management of PSP. Meta-analysis of randomized controlled trials (RCTs). Reductions in duration of hospital stay, recurrence rate and pain or dyspnoea score were classified as benefits, whereas reductions in successful events were classified as risks. For dichotomous data, the relative risk (RR) and 95% confidence intervals were calculated. For continuous data, weighted mean differences (WMD) were used. Three RCTs were identified with a combined total of 194 patients. Simple aspiration was associated with shorter hospitalization (WMD -1.30 days [-2.20 to -0.39]). The results for success rate could not be combined because of differences in outcome definitions. However, a pooled result for "success at 1 week or more" showed no significant ...Continue Reading

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Citations

Feb 4, 2014·Annals of Emergency Medicine·James Feldman
Jan 1, 2008·Journal of Emergencies, Trauma, and Shock·Anita Sharma, Parul Jindal
Jul 1, 2007·Annals of Thoracic Medicine·Ayman BishayMichael Baumann
Nov 3, 2012·Interactive Cardiovascular and Thoracic Surgery·Hiroyuki KanedaYukihito Saito
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May 24, 2006·Clinics in Chest Medicine·Michael H Baumann
Apr 3, 2016·The American Journal of Emergency Medicine·Kwok Kei WuHin Tat Fung
Oct 9, 2007·Emergency Medicine Australasia : EMA·Richard Paoloni
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Mar 16, 2019·Clinical Medicine : Journal of the Royal College of Physicians of London·Muhammad Badar GanaieMohammed Haris
Jan 5, 2021·Paediatrics & Child Health·Martin GariépyJocelyn Gravel
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