Evidence map›Paper›PMID 35076755›Full record

ArticlePediatric surgery international2022

Children with large primary spontaneous pneumothoraxes may benefit from early operative intervention.

Celia Short, Kathryn M Maselli, Michael U Mallicote, Patrick Delaplain, Christopher Gayer

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Celia ShortDivision of Pediatric Surgery, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop 100, Los Angeles, CA, 90027, USA.
Kathryn M MaselliDivision of Pediatric Surgery, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop 100, Los Angeles, CA, 90027, USA.
Michael U MallicoteDivision of Pediatric Surgery, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop 100, Los Angeles, CA, 90027, USA.
Patrick DelaplainDivision of Pediatric Surgery, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop 100, Los Angeles, CA, 90027, USA.
Christopher GayerDivision of Pediatric Surgery, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop 100, Los Angeles, CA, 90027, USA. Cgayer@chla.usc.edu.ORCID http://orcid.org/0000-0002-5351-553X
Children's Hospital of Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe initial management of primary spontaneous pneumothoraxes (PSP) in children remains controversial, particularly regarding the timing of operative intervention. This study aimed to identify factors associated with failure of non-operative management of PSP.

methodsA single-center, retrospective review was performed for patients presenting with PSP. Demographics and clinical predictors were collected. Patients successfully managed non-operatively were compared to failed non-operative management. Fischer exact and Mann-Whitney tests were used as appropriate.

resultsFifty-seven pediatric patients were identified as having PSP. Four patients underwent initial surgical intervention, 60% (n = 34) were successfully managed non-operatively, while 33% (n = 19) failed non-operative management and underwent video-assisted thoracic surgery (VATS). Those who failed were more likely to have PSP > 2 cm on initial X-ray (79% vs. 44%, p = 0.021) and have a persistent air leak for > 48 h (47% vs 6%, p ≤ 0.001). LOS was greater in the failure group (11.5 ± 5.1 vs 3.1 ± 2.5, p ≤ 0.001) as well as higher complication rates (21% vs 0%, p = 0.013).

conclusionOur findings suggest that patients presenting with PSP of > 2 cm or have a persistent air leak for > 48 h despite chest tube management are unlikely to be treated by chest tube alone and may benefit from earlier operative intervention.

Indexed as

PneumothoraxChest TubesChildHumansRecurrenceRetrospective StudiesThoracic Surgery, Video-AssistedTreatment OutcomePediatricPneumothoraxPrimary spontaneous pneumothoraxVideo-assisted thoracoscopic surgery

Identifiers

PMID35076755
OpenAlexW4210809773

What OpenQuestion holds

Textmetadata
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.