Cochrane · systematic review · CD011724
Needle aspiration versus intercostal tube drainage for pneumothorax in the newborn
Bruschettini, M, Romantsik, O, Zappettini, S, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
6
No studies
6
Included studies
NR
No studies 6 · 50%Ungraded 0 · 0%Very low 6 · 50%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyNeedle aspiration (needle removed immediately after aspiration) versus intercostal tube drainage for pneumothorax in the newborn
Population: patients with pneumothorax in the newborn
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality neonatal (first 28 days of life) ‐ not reported Needle aspiration (needle removed immediately after aspiration) vs intercostal tube drainage | no estimate extracted | NR | No studies |
Mortality during hospitalisation Needle aspiration (needle removed immediately after aspiration) vs intercostal tube drainage | RR 3.92 [0.88, 17.58] | 1 study · 70 participants | Very low Downgraded: risk of bias, imprecision |
Need for intercostal tube drainage Needle aspiration (needle removed immediately after aspiration) vs intercostal tube drainage | RR 0.7 [0.56, 0.88] | 1 study · 70 participants | Very low Downgraded: risk of bias, imprecision |
Successful evacuation of extra‐pleural air ‐ not reported Needle aspiration (needle removed immediately after aspiration) vs intercostal tube drainage | no estimate extracted | NR | No studies |
Bleeding from incision for the insertion of the needle or the tube ‐ not reported Needle aspiration (needle removed immediately after aspiration) vs intercostal tube drainage | no estimate extracted | NR | No studies |
Haemothorax ‐ not reported Needle aspiration (needle removed immediately after aspiration) vs intercostal tube drainage | no estimate extracted | NR | No studies |
Needle aspiration (needle or angiocatheter left in situ) compared to intercostal tube drainage for pneumothorax in the newborn
Population: patients with pneumothorax in the newborn
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality neonatal (first 28 days of life) ‐ not reported Needle aspiration (needle or angiocatheter left in situ) vs intercostal tube drainage | no estimate extracted | NR | No studies |
Mortality during hospitalisation Needle aspiration (needle or angiocatheter left in situ) vs intercostal tube drainage | RR 1.5 [0.27, 8.45] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |
Need for intercostal tube drainage Needle aspiration (needle or angiocatheter left in situ) vs intercostal tube drainage | RR 0.01 [0, 0.21] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |
Successful evacuation of extra‐pleural air Needle aspiration (needle or angiocatheter left in situ) vs intercostal tube drainage | RR 1 [0.89, 1.12] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |
Bleeding from incision for the insertion of the needle or the tube Needle aspiration (needle or angiocatheter left in situ) vs intercostal tube drainage | RR 0.33 [0.01, 7.92] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |
Haemothorax ‐ not reported Needle aspiration (needle or angiocatheter left in situ) vs intercostal tube drainage | no estimate extracted | NR | No studies |
Needle aspiration (left in situ) compared to intercostal tube drainage for pneumothorax in the newborn
Population: patients with pneumothorax in the newborn
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality during hospitalisation Needle aspiration (left in situ) vs intercostal tube drainage | RR 1.5 [0.27, 8.45] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |
Need for intercostal tube drainage Needle aspiration (left in situ) vs intercostal tube drainage | RR 0.01 [0, 0.21] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |
Successful evacuation of extra‐pleural air Needle aspiration (left in situ) vs intercostal tube drainage | RR 1 [0.89, 1.12] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |
Bleeding from incision Needle aspiration (left in situ) vs intercostal tube drainage | RR 0.33 [0.01, 7.92] | 1 study · 72 participants | Very low Downgraded: risk of bias, imprecision |