{"id":"https://openalex.org/W7204801938","doi":"https://doi.org/10.58651/jomtu.2004767","title":"Clinical Predictors of Early Treatment Failure After Tube Thoracostomy in First-Episode Primary Spontaneous Pneumothorax","display_name":"Clinical Predictors of Early Treatment Failure After Tube Thoracostomy in First-Episode Primary Spontaneous Pneumothorax","publication_year":2026,"publication_date":"2026-08-31","ids":{"openalex":"https://openalex.org/W7204801938","doi":"https://doi.org/10.58651/jomtu.2004767"},"language":"tr","primary_location":{"id":"doi:10.58651/jomtu.2004767","doi":"https://doi.org/10.58651/jomtu.2004767","is_oa":true,"landing_page_url":"https://doi.org/10.58651/jomtu.2004767","pdf_url":"https://dergipark.org.tr/en/download/article-file/6271390","source":{"id":"https://openalex.org/S4387287526","display_name":"Journal of Medical Topics and Updates","issn_l":"2822-4094","issn":["2822-4094"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Topics and Updates","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://dergipark.org.tr/en/download/article-file/6271390","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070230806","display_name":"Tuba \u015eahino\u011flu","orcid":"https://orcid.org/0000-0002-1085-4865","observed_orcids":["https://orcid.org/0000-0002-1085-4865"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]},{"id":"https://openalex.org/I4210135538","display_name":"Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi","ror":"https://ror.org/04gx7mb59","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210135538"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Tuba \u015eahino\u011flu","raw_affiliation_strings":["SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130"],"raw_orcid":"https://orcid.org/0000-0002-1085-4865","affiliations":[{"raw_affiliation_string":"SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130","institution_ids":["https://openalex.org/I137996928","https://openalex.org/I4210135538"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092401516","display_name":"Dursun \u00d6Z","orcid":"https://orcid.org/0009-0004-3186-0254","observed_orcids":["https://orcid.org/0009-0004-3186-0254"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]},{"id":"https://openalex.org/I4210135538","display_name":"Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi","ror":"https://ror.org/04gx7mb59","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210135538"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Dursun \u00d6z","raw_affiliation_strings":["SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130"],"raw_orcid":"https://orcid.org/0009-0004-3186-0254","affiliations":[{"raw_affiliation_string":"SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130","institution_ids":["https://openalex.org/I137996928","https://openalex.org/I4210135538"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043730750","display_name":"K\u00fcbra Alt\u0131nta\u015f","orcid":"https://orcid.org/0009-0007-5813-9338","observed_orcids":["https://orcid.org/0009-0007-5813-9338"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]},{"id":"https://openalex.org/I4210135538","display_name":"Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi","ror":"https://ror.org/04gx7mb59","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210135538"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"K\u00fcbra Alt\u0131nta\u015f","raw_affiliation_strings":["SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130"],"raw_orcid":"https://orcid.org/0009-0007-5813-9338","affiliations":[{"raw_affiliation_string":"SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130","institution_ids":["https://openalex.org/I137996928","https://openalex.org/I4210135538"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015584277","display_name":"Atilla Can","orcid":"https://orcid.org/0000-0002-9603-2861","observed_orcids":["https://orcid.org/0000-0002-9603-2861"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]},{"id":"https://openalex.org/I4210135538","display_name":"Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi","ror":"https://ror.org/04gx7mb59","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210135538"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Atilla Can","raw_affiliation_strings":["SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130"],"raw_orcid":"https://orcid.org/0000-0002-9603-2861","affiliations":[{"raw_affiliation_string":"SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130","institution_ids":["https://openalex.org/I137996928","https://openalex.org/I4210135538"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051815041","display_name":"H\u00fcseyin Y\u0131ld\u0131ran","orcid":"https://orcid.org/0000-0003-0126-2531","observed_orcids":["https://orcid.org/0000-0003-0126-2531"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]},{"id":"https://openalex.org/I4210135538","display_name":"Sel\u00e7uk \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi","ror":"https://ror.org/04gx7mb59","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210135538"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"H\u00fcseyin Y\u0131ld\u0131ran","raw_affiliation_strings":["SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130"],"raw_orcid":"https://orcid.org/0000-0003-0126-2531","affiliations":[{"raw_affiliation_string":"SEL\u00c7UK \u00dcN\u0130VERS\u0130TES\u0130, TIP FAK\u00dcLTES\u0130","institution_ids":["https://openalex.org/I137996928","https://openalex.org/I4210135538"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.62613192,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"5","issue":"2","first_page":"20","last_page":"25"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11356","display_name":"Pleural and Pulmonary Diseases","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11356","display_name":"Pleural and Pulmonary Diseases","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12818","display_name":"Pneumothorax, Barotrauma, Emphysema","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-spontaneous-pneumothorax","display_name":"primary spontaneous pneumothorax","score":0.9940000176429749},{"id":"https://openalex.org/keywords/chest-tube-drainage","display_name":"chest tube drainage","score":0.9750000238418579},{"id":"https://openalex.org/keywords/early-treatment-failure","display_name":"early treatment failure","score":0.8840000033378601},{"id":"https://openalex.org/keywords/prolonged-air-leak","display_name":"persistent air leak","score":0.9089999794960022},{"id":"https://openalex.org/keywords/clinical-predictors","display_name":"clinical predictors","score":0.718999981880188},{"id":"https://openalex.org/keywords/neutrophil-to-lymphocyte-ratio","display_name":"neutrophil-to-lymphocyte ratio","score":0.9300000071525574},{"id":"https://openalex.org/keywords/residual-pneumothorax","display_name":"residual pneumothorax","score":0.9739999771118164},{"id":"https://openalex.org/keywords/video-assisted-thoracoscopic-surgery","display_name":"video-assisted thoracoscopic surgery","score":0.7960000038146973},{"id":"https://openalex.org/keywords/chest-tube-duration","display_name":"chest tube duration","score":0.8799999952316284},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.6949999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9549000263214111},{"id":"https://openalex.org/C2776974961","wikidata":"https://www.wikidata.org/wiki/Q18394264","display_name":"Thoracostomy","level":3,"score":0.8780999779701233},{"id":"https://openalex.org/C2778329176","wikidata":"https://www.wikidata.org/wiki/Q203601","display_name":"Pneumothorax","level":2,"score":0.800000011920929},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7290999889373779},{"id":"https://openalex.org/C2781137159","wikidata":"https://www.wikidata.org/wiki/Q1283318","display_name":"Chest radiograph","level":3,"score":0.661899983882904},{"id":"https://openalex.org/C2777063151","wikidata":"https://www.wikidata.org/wiki/Q1969019","display_name":"Chest tube","level":3,"score":0.5249999761581421},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.47600001096725464},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.43529999256134033},{"id":"https://openalex.org/C2777551473","wikidata":"https://www.wikidata.org/wiki/Q2093072","display_name":"Tube (container)","level":2,"score":0.37549999356269836},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.35690000653266907},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.335099995136261},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.33309999108314514},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.3249000012874603},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2831999957561493},{"id":"https://openalex.org/C2780378346","wikidata":"https://www.wikidata.org/wiki/Q1349983","display_name":"Leak","level":2,"score":0.2831000089645386},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.26759999990463257}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.58651/jomtu.2004767","doi":"https://doi.org/10.58651/jomtu.2004767","is_oa":true,"landing_page_url":"https://doi.org/10.58651/jomtu.2004767","pdf_url":"https://dergipark.org.tr/en/download/article-file/6271390","source":{"id":"https://openalex.org/S4387287526","display_name":"Journal of Medical Topics and Updates","issn_l":"2822-4094","issn":["2822-4094"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Topics and Updates","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.58651/jomtu.2004767","doi":"https://doi.org/10.58651/jomtu.2004767","is_oa":true,"landing_page_url":"https://doi.org/10.58651/jomtu.2004767","pdf_url":"https://dergipark.org.tr/en/download/article-file/6271390","source":{"id":"https://openalex.org/S4387287526","display_name":"Journal of Medical Topics and Updates","issn_l":"2822-4094","issn":["2822-4094"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Topics and Updates","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204801938.pdf","grobid_xml":"https://content.openalex.org/works/W7204801938.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2041430964","https://openalex.org/W2757503461","https://openalex.org/W3004842997","https://openalex.org/W3164941644","https://openalex.org/W4200487949","https://openalex.org/W4210809773","https://openalex.org/W4321352804","https://openalex.org/W4323339009","https://openalex.org/W4399107358","https://openalex.org/W4401026817","https://openalex.org/W4404130083","https://openalex.org/W4411440719","https://openalex.org/W4415150148"],"related_works":["https://openalex.org/W2898163301","https://openalex.org/W4388410752","https://openalex.org/W4387982084","https://openalex.org/W4323339009","https://openalex.org/W2593042897","https://openalex.org/W4401026817","https://openalex.org/W4416639117","https://openalex.org/W4411440719","https://openalex.org/W2321919759","https://openalex.org/W2276870979"],"abstract_inverted_index":{"Objective:":[0],"Early":[1,64,107,164],"treatment":[2,30,65,108,146,165],"failure":[3,31,66,109,166],"following":[4],"initial":[5,55],"tube":[6,56,76,178],"thoracostomy":[7,57],"remains":[8],"a":[9,79],"major":[10],"clinical":[11,26,38],"challenge":[12],"in":[13,111],"patients":[14,49,113],"with":[15,36,50,54,144,169],"first-episode":[16,51],"primary":[17],"spontaneous":[18],"pneumothorax":[19,129],"(PSP).":[20],"This":[21,42],"study":[22,45],"aimed":[23],"to":[24],"identify":[25],"predictors":[27],"of":[28],"early":[29,145],"and":[32,40,61,85,92,127,180],"evaluate":[33],"its":[34],"association":[35],"short-term":[37],"outcomes.Materials":[39],"Methods:":[41],"retrospective":[43],"single-center":[44],"included":[46],"80":[47],"consecutive":[48],"PSP":[52],"treated":[53],"between":[58],"January":[59,62],"2014":[60],"2026.":[63],"was":[67,102,167],"defined":[68],"as":[69],"persistent":[70],"air":[71,171],"leak":[72],"48":[73],"hours":[74],"after":[75],"insertion":[77],"despite":[78],"functioning":[80],"drainage":[81],"system.":[82],"Demographic,":[83],"laboratory,":[84],"radiological":[86],"variables":[87],"were":[88,141],"analyzed":[89],"using":[90],"univariable":[91,116],"multivariable":[93,149],"binary":[94],"logistic":[95],"regression.":[96],"Receiver":[97],"operating":[98],"characteristic":[99],"(ROC)":[100],"analysis":[101],"performed":[103],"for":[104],"continuous":[105],"variables.Results:":[106],"occurred":[110],"39":[112],"(48.8%).":[114],"In":[115],"analysis,":[117],"blebs":[118],"and/or":[119],"bullae":[120],"(OR":[121,135,158],"4.455,":[122],"95%":[123,137,160],"CI":[124,138,161],"1.530\u201312.969;":[125],"p=0.006)":[126],"residual":[128],"on":[130],"the":[131,152],"first-day":[132],"chest":[133,177],"radiograph":[134],"2.875,":[136],"1.148\u20137.200;":[139],"p=0.024)":[140],"significantly":[142],"associated":[143,157,168],"failure.":[147],"After":[148],"adjustment,":[150],"only":[151],"neutrophil-to-lymphocyte":[153],"ratio":[154],"remained":[155],"independently":[156],"2.201,":[159],"1.088\u20134.452;":[162],"p=0.028).":[163],"prolonged":[170],"leak,":[172],"increased":[173],"VATS":[174],"requirement,":[175],"longer":[176,181],"duration,":[179],"hospital":[182],"stay":[183],"(all":[184],"p":[185]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-09-01T00:00:00"}
