Evidence map›Paper›PMID 30634911›Full record

Observational studyBMC emergency medicine2019

How spontaneous pneumothorax is managed in emergency departments: a French multicentre descriptive study.

S Kepka, J C Dalphin, J B Pretalli, A L Parmentier, D Lauque, G Trebes, EXPPI study group, F Mauny, T Desmettre

Open access · goldAbstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
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

7 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. New strategies in the management of pneumothorax.Breathe (Sheffield, England) · 2025
    Review
  3. Review
  4. Reply to HallifaxAmerican journal of respiratory and critical care medicine · 2023
    Article
  5. New insights into spontaneous pneumothorax: A review.African journal of thoracic and critical care medicine · 2021
    Review
  6. Article
  7. Article
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

9 authors at 4 institutions in 1 country.

S KepkaEmergency department, CHRU of Strasbourg - Nouvel hôpital civil, 1 place de l'hopital, 67091, Strasbourg, France. sabrinakepka@yahoo.fr.ORCID 0000-0002-7406-5005
J C DalphinUMR 6249 Chronoenvironnement/University of Franche Comté, La Bouloie - UFR Sciences et Techniques, 16 route de Gray, 25030, Besançon cedex, France.
J B PretalliEmergency department, CHRU of Besançon, 1 boulevard Fleming, 25030, Besançon, France.
A L ParmentierUMR 6249 Chronoenvironnement/University of Franche Comté, La Bouloie - UFR Sciences et Techniques, 16 route de Gray, 25030, Besançon cedex, France.
D LauqueEmergency department, CHRU of Toulouse, Place du Docteur Baylac - TSA 40031, 31059 cedex 9, Toulouse, France.
G TrebesEmergency department, La Tronche - CHRU of Grenoble, Boulevard de la Chantourne,, 38700, cedex 9, La Tronche, France.
EXPPI study group
F MaunyUMR 6249 Chronoenvironnement/University of Franche Comté, La Bouloie - UFR Sciences et Techniques, 16 route de Gray, 25030, Besançon cedex, France.
T DesmettreUMR 6249 Chronoenvironnement/University of Franche Comté, La Bouloie - UFR Sciences et Techniques, 16 route de Gray, 25030, Besançon cedex, France.
Centre Hospitalier Universitaire de Besançon · FRMethodology and Quality of Life Unit in Oncology · FRClinique Pasteur · FRLaboratoire Chrono-Environnement · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of spontaneous pneumothorax (SP) is still subject to debate. Although encouraging results of recent studies about outpatient management with chest drains fitted with a one-way valve, no data exist concerning application of this strategy in real life conditions. We assessed how SP are managed in Emergency departments (EDs), in particular the role of outpatient management, the types of interventions and the specialty of the physicians who perform these interventions.

methodsFrom June 2009 to May 2013, all cases of spontaneous primary (PSP) and spontaneous secondary pneumothorax (SSP) from EDs of 14 hospitals in France were retrospectively included. First line treatment (observation, aspiration, thoracic drainage or surgery), type of management (admitted, discharged to home directly from the ED, outpatient management) and the specialty of the physicians were collected from the medical files of the ED.

resultsAmong 1868 SP included, an outpatient management strategy was chosen in 179 PSP (10%) and 38 SSP (2%), mostly when no intervention was performed. Only 25 PSP (1%) were treated by aspiration and discharged to home after ED admission. Observation was the chosen strategy for 985 patients (53%). In 883 patients with an intervention (47%), it was performed by emergency physicians in 71% of cases and thoracic drainage was the most frequent choice (670 patients, 76%).

conclusionsOur study showed the low level of implementation of outpatient management for PS in France. Despite encouraging results of studies concerning outpatient management, chest tube drainage and hospitalization remain preponderant in the treatment of SP.

Indexed as

AdolescentAdultAgedAmbulatory CareEmergency MedicineEmergency Service, HospitalFemaleFranceHumansMaleMiddle AgedParacentesisPneumothoraxRetrospective StudiesWatchful WaitingYoung AdultAspirationEmergency departmentObservationOutpatient managementSpontaneous pneumothoraxThoracic drainage

Identifiers

PMID30634911
PMCPMC6329130
OpenAlexW2911995678

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.