Pakistan Journal of Medical Sciences, cilt.41, sa.11, ss.3190-3200, 2025 (SCI-Expanded, Scopus)
Objectives: Many causes have been put forward in the etiology of pneumothorax, but the specific atmospheric factors causing this condition have been a popular topic of discussion. Our study aimed to investigate the effects of atmospheric parameters on the occurrence of spontaneous pneumothorax, as well as the effects of the lunar cycle, important astrological events, and superstitions. Methodology: We conducted a retrospective review of 302 patients with primary spontaneous pneumothorax who applied to Kocaeli University Hospital between January 2013 to December 2022. The study time period was divided into two as days with and without pneumothorax, and the effects of climatic parameters, the moon, important astrological events, zodiac signs, and superstitions such as Friday the 13th on spontaneous pneumothorax were investigated. Results: It was determined that between days with and without pneumothorax, the maximum temperature on the day of the event, as well as one and two days before, and the minimum temperature on the day of the event, as well as one, two and three days before, were statistically significantly low. Although numerical differences in other parameters, no statistically significant difference was detected. On lunar days, the highest number of pneumothorax cases was observed on the 28th day, 17 (13.7%) and the lowest number of pneumothorax cases was observed on the 13th day, 2 (1.6%) (p=0.310). The highest number of pneumothoraces was in the waning crescent phase 68 (%25.37); the lowest number of pneumothoraces was in the first quarter phase 6 (%2.99). No significant difference was found in pneumothorax numbers in relation to the date ranges of zodiac signs or superstitions. Conclusions: Atmospheric parameters are associated with the occurrence of pneumothorax. The effect of the moon, on spontaneous pneumothorax increases during certain periods. Astrological conditions, zodiac date ranges, and superstitions are not associated with the occurrence of spontaneous pneumothorax.