Conservative versus Interventional Treatment for Spontaneous Pneumothorax
Bottom line
Conservative management of stable unilateral, spontaneous primary pneumothorax, is not inferior to Seldinger drain, with lower risk of serious adverse events.
Majority of patient with unilateral primary spontaneous pneumothorax is safe for conservative management and discharge at 4 hrs, after a repeat CXR
High fragility index due to lost to follow-up means data is not statistically robust