Does needle aspiration for spontaneous pneumothorax reduce hospital length-of-stay compared to chest tube drainage?

BEEM Bottom Line

Why is this study important?

The evidence regarding the optimal management of spontaneous pneumothorax (SP) is limited and chest tube drainage (CTD), which is sometimes chosen because of unjustified fear of tension pneumothorax, is associated with significant adverse events.1,2 This study challenges whether patients with moderate to large size SP require CTD.

Which, if any, threats to validity are most likely to have an impact on the results and how?

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