Evidence map›Paper›PMID 30559787›Full record

ArticlePakistan journal of medical sciences

Randomized controlled trial on the comparison of chest tube drainage and needle aspiration in the treatment of primary spontaneous pneumothorax.

Ali Ramouz, Mohammad Hossein Lashkari, Sanam Fakour, Seyed Ziaeddin Rasihashemi

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Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. An evidence-based review of primary spontaneous pneumothorax in the adolescent population.Journal of the American College of Emergency Physicians open · 2021
    Review
  12. New insights into spontaneous pneumothorax: A review.African journal of thoracic and critical care medicine · 2021
    Review
  13. Needle aspiration for treating iatrogenic pneumothorax after cardiac electronic device implantation: a pilot study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2020
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ali RamouzAli Ramouz, Research Fellow, Dept. of General Surgery, AJA University of Medical Sciences, Tehran, Iran.
Mohammad Hossein LashkariProf. Mohammad Hossein Lashkari, Dept. of General Surgery, AJA University of Medical Sciences, Tehran, Iran.
Sanam FakourSanam Fakour, Research Fellow,Dept. of General Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.
Seyed Ziaeddin RasihashemiSeyed Ziaeddin Rasihashemi, Assistant Professor, Dept. of Cardiothoracic Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the efficacy of the chest tube drainage (CTD) and the needle aspiration (NA) in the treatment of primary Spontaneous pneumothorax (SP).

methodsIn a randomized controlled trial, seventy patients suffering SP were divided equally into two subgroups, as follows: (A) CTD and (B) NA. The immediate and one-week rate of the treatments was the primary endpoints. Postoperative complications, length of hospital stay and incidence of pneumothorax recurrence during one-year follow up were also recorded.

resultsThe immediate success of treatment was 68.5% and 54.2% of patients in CTD and NA groups, respectively that showed no significant difference between study groups (P: 0.16). The complete lung expansion after one week observed in 32 (91.4%) of NA group and 33 (94.2%) patients in CTD group (P: 0.5). Pneumothorax recurrence was detected in 13 patients (4 in NA and 9 in CTD group) (P: 0.11). Mean pain intensity was significantly lower in the NA group at the first hour after the procedure, the first postoperative day and the first week after the intervention (P< 0.001).

conclusionNeedle aspiration (NA) can be applied as a first step treatment in patients with primary SP, considering its advantages.

Indexed as

Chest tubesPainPneumothoraxRecurrence

Identifiers

PMID30559787
PMCPMC6290202

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