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Conference Paper: Multicenter international Randomized Comparison of Objective and Subjective Outcomes Between Electronic and Traditional Chest Drainage Systems

TitleMulticenter international Randomized Comparison of Objective and Subjective Outcomes Between Electronic and Traditional Chest Drainage Systems
Authors
KeywordsDrainage - instrumentation - methods
Patient Satisfaction
Pneumonectomy
Electrical Equipment and Supplies
Prospective Studies
Issue Date2014
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/athoracsur
Citation
The 50th Annual Meeting of the Society of Thoracic Surgeons, Orlando, FL., 25–29 January 2014. In The Annals of Thoracic Surgery, 2014, v. 98 n. 2, p. 490-497 How to Cite?
AbstractBACKGROUND: The aim of this study was to assess the impact of digital versus traditional drainage devices on chest tube removal and patient satisfaction. METHODS: A randomized trial of digital versus traditional devices after lobectomy/segmentectomy was conducted at 4 international centers (United Kingdom, Europe, Asia, United States). Patients were managed with overnight suction followed by gravity drainage. Chest tubes were removed when an air leak was not evident anymore and the drained fluid was less than 400 mL/d. RESULTS: The groups (digital, 191 patients; traditional, 190 patients) were well matched for baseline and surgical characteristics. There were 325 lobectomies/bilobectomies and 56 segmentectomies, 308 of which were performed by video-assisted thoracic surgery (VATS). Patients randomized to digital systems had a significantly shorter air leak duration (1.0 versus 2.2 days; p=0.001), duration of chest tube placement (3.6 versus 4.7 days; p=0.0001), and postoperative length of stay (4.6 versus 5.6 days; p<0.0001). Subjective end points revealed a perceived improved ability to arise from bed (p=0.008), system convenience for patients and personnel (p=0.02), and the potential for being comfortable when discharged home with the device (p=0.06). A mean difference of 2.6 days from air leak cessation to tube removal was observed, which was similar in the 2 groups (p=0.7). Multivariable regression analysis showed that duration of chest tube placement after air leak cessation was directly associated with the amount of fluid drained during the first 48 hours (p=0.01) and the duration of air leak (p=0.008), independent of hospital location. CONCLUSIONS: Patients managed with digital drainage systems experienced a shorter duration of chest tube placement, shorter hospital stays, and higher satisfaction scores compared with those managed with traditional devices. Copyright © 2014 The Society of Thoracic Surgeons.
DescriptionPaper presented at the 15th Annual Meeting of The Society of Thoracic Surgeons ... 2014.
Persistent Identifierhttp://hdl.handle.net/10722/215329
ISSN
2015 Impact Factor: 2.975
2015 SCImago Journal Rankings: 1.490

 

DC FieldValueLanguage
dc.contributor.authorPompili, C-
dc.contributor.authorDetterbeck, F-
dc.contributor.authorPapagiannopoulos, K-
dc.contributor.authorSihoe, A-
dc.contributor.authorVachlas, K-
dc.contributor.authorMaxfield, MW-
dc.contributor.authorLim, HC-
dc.contributor.authorBrunelli, A-
dc.date.accessioned2015-08-21T13:22:14Z-
dc.date.available2015-08-21T13:22:14Z-
dc.date.issued2014-
dc.identifier.citationThe 50th Annual Meeting of the Society of Thoracic Surgeons, Orlando, FL., 25–29 January 2014. In The Annals of Thoracic Surgery, 2014, v. 98 n. 2, p. 490-497-
dc.identifier.issn0003-4975-
dc.identifier.urihttp://hdl.handle.net/10722/215329-
dc.descriptionPaper presented at the 15th Annual Meeting of The Society of Thoracic Surgeons ... 2014.-
dc.description.abstractBACKGROUND: The aim of this study was to assess the impact of digital versus traditional drainage devices on chest tube removal and patient satisfaction. METHODS: A randomized trial of digital versus traditional devices after lobectomy/segmentectomy was conducted at 4 international centers (United Kingdom, Europe, Asia, United States). Patients were managed with overnight suction followed by gravity drainage. Chest tubes were removed when an air leak was not evident anymore and the drained fluid was less than 400 mL/d. RESULTS: The groups (digital, 191 patients; traditional, 190 patients) were well matched for baseline and surgical characteristics. There were 325 lobectomies/bilobectomies and 56 segmentectomies, 308 of which were performed by video-assisted thoracic surgery (VATS). Patients randomized to digital systems had a significantly shorter air leak duration (1.0 versus 2.2 days; p=0.001), duration of chest tube placement (3.6 versus 4.7 days; p=0.0001), and postoperative length of stay (4.6 versus 5.6 days; p<0.0001). Subjective end points revealed a perceived improved ability to arise from bed (p=0.008), system convenience for patients and personnel (p=0.02), and the potential for being comfortable when discharged home with the device (p=0.06). A mean difference of 2.6 days from air leak cessation to tube removal was observed, which was similar in the 2 groups (p=0.7). Multivariable regression analysis showed that duration of chest tube placement after air leak cessation was directly associated with the amount of fluid drained during the first 48 hours (p=0.01) and the duration of air leak (p=0.008), independent of hospital location. CONCLUSIONS: Patients managed with digital drainage systems experienced a shorter duration of chest tube placement, shorter hospital stays, and higher satisfaction scores compared with those managed with traditional devices. Copyright © 2014 The Society of Thoracic Surgeons.-
dc.languageeng-
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/athoracsur-
dc.relation.ispartofThe Annals of Thoracic Surgery-
dc.subjectDrainage - instrumentation - methods-
dc.subjectPatient Satisfaction-
dc.subjectPneumonectomy-
dc.subjectElectrical Equipment and Supplies-
dc.subjectProspective Studies-
dc.titleMulticenter international Randomized Comparison of Objective and Subjective Outcomes Between Electronic and Traditional Chest Drainage Systems-
dc.typeConference_Paper-
dc.identifier.emailSihoe, A: adls1@hku.hk-
dc.identifier.authoritySihoe, A=rp01889-
dc.identifier.doi10.1016/j.athoracsur.2014.03.043-
dc.identifier.pmid24906602-
dc.identifier.scopuseid_2-s2.0-84905580498-
dc.identifier.hkuros247066-
dc.identifier.hkuros247117-
dc.identifier.volume98-
dc.identifier.issue2-
dc.identifier.spage490-
dc.identifier.epage497-
dc.publisher.placeUnited States-
dc.customcontrol.immutablesml 150827-

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