jsurgarts Journal of Surgical Arts 1308-0709 1308-0709 Osman Nuri DİLEK Thoracic Surgery Göğüs Cerrahisi Tube thoracostomy versus conservative management for acute spontaneous pneumothorax: A systematic evidence synthesis and clinical outcomes analysis Akut spontan pnömotoraks için konservatif tedaviye karşı tüp torakostomi: Sistematik kanıt sentezi ve klinik sonuçlar analizi https://orcid.org/0000-0001-6472-5092 Sutaşır Mehmet Necmeddin İSTANBUL ŞİŞLİ HAMİDİYE ETFAL SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ 04 01 2026 19 10 26 2025 11 28 2025 Copyright © 2008, Cerrahi Sanatlar Dergisi 2008 Cerrahi Sanatlar Dergisi

To evaluate the clinical efficacy and safety of emergency department tube thoracostomy compared to conservative or elective treatment strategies in patients with acute spontaneous pneumothorax.Comprehensive systematic search of PubMed, Web of Science, and Scopus databases was conducted for publications between 2014 and 2024. Seventy-seven studies involving 12,847 patients were included in the analysis following PRISMA 2020 guidelines. Statistical analysis was performed using RevMan 5.4, R, and Stata software. Evidence quality was assessed using GRADE methodology. Risk ratios (RR) with 95% confidence intervals (CI) were calculated for binary outcomes.Emergency department tube thoracostomy demonstrated significantly higher treatment success compared to conservative or elective management [RR: 1.34 (95% CI: 1.18-1.52), p

Akut spontan pnömotoraksı olan hastalarda acil servis tüp torakostomisinin konservatif veya elektif tedavi stratejilerine kıyasla klinik etkinliğini ve güvenliğini değerlendirmek amaçlanmıştır.2014-2024 yılları arasında yayınlanan makaleler için PubMed, Web of Science ve Scopus veritabanlarında kapsamlı bir sistematik arama yapıldı. PRISMA 2020 kılavuzlarına göre 12.847 hastayı içeren 77 çalışma analize dahil edildi. İstatistiksel analiz RevMan 5.4, R ve Stata yazılımları kullanılarak gerçekleştirildi. Kanıt kalitesi GRADE metodolojisi kullanılarak değerlendirildi. İkili sonuçlar için %95 güven aralığı (CI) ile risk oranları (RR) hesaplandı.Acil servis tüp torakostomisi, konservatif veya elektif yönetime kıyasla anlamlı derecede daha yüksek tedavi başarısı gösterdi (RR: 1,34 (%95 CI: 1,18-1,52), p

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