Does Active Chest Tube Clearance After Cardiac Surgery Provide Any Clear Benefits?

Churyla, Andrei; Kruse, Jane; Fiehler, Monica; Andrei, Adin-Cristian; Kislitsina, Olga N.; Cox, James L.; McCarthy, Patrick M.

doi:10.1016/j.athoracsur.2022.02.086

Cited by 8 publications

(4 citation statements)

References 18 publications

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“…There have been 9 clinical trials, including 1 with randomized design, for the device that uses a magnetic actuation system. 12 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , E1 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Drainology: Leveraging research in chest-drain management to enhance recovery after cardiothoracic surgery

Lobdell,

Perrault,

Drgastin

et al. 2024

JTCVS Techniques

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“…There have been 9 clinical trials, including 1 with randomized design, for the device that uses a magnetic actuation system. 12 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , E1 …”

Section: Resultsmentioning

confidence: 99%

“…E4 , E5 Evidence comparing the effect of digital systems versus analog systems on air leak and chest tube duration after lung resection favors reduction in air-leak duration and time to chest tube removal—on the order of days—when a digital system was used. E80 , E81 , E82 , E83 , E84 …”

Section: Resultsmentioning

confidence: 99%

Drainology: Leveraging research in chest-drain management to enhance recovery after cardiothoracic surgery

Lobdell,

Perrault,

Drgastin

et al. 2024

JTCVS Techniques

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“…The motivation for the method of choice was noted in 3 studies (3%). These stated ‘ As anticipated, the balanced nature of the baseline features in the 2 groups motivates our decision not to perform multivariable adjusted analyses ’ [ 11 ], ‘ Owing to the small sample size and that the 2 groups were later found to be largely similar at baseline, we elected to use weighting rather than matching ’ [ 12 ], and ‘ Maximum likelihood binary logistic regression was unable to be used due to low event rates. Therefore, exact logistic regression was used ’ [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

Confounding adjustment in observational studies on cardiothoracic interventions: a systematic review of methodological practice

Velders,

Boltje,

Vriesendorp

et al. 2023

European Journal of Cardio-Thoracic Surgery

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Objectives It is unknown which confounding adjustment methods are currently used in the field of cardiothoracic surgery and whether these are appropriately applied. The aim of this study was to systematically evaluate the quality of conduct and reporting of confounding adjustment methods in observational studies on cardiothoracic interventions. Methods A systematic review was performed which included all observational studies that compared different interventions and were published between January 1 and July 1, 2022, in three European and American cardiothoracic surgery journals. Detailed information on confounding adjustment methods was extracted and subsequently described. Results Ninety-two articles were included in the analysis. Outcome regression (N = 49, 53%) and propensity score matching (N = 44, 48%) were most popular (sometimes used in combination), while 11 (12%) studies applied no method at all. The way of selecting confounders was not reported in 42 (46%) of the studies, solely based on previous literature or clinical knowledge in 14 (16%), and (partly) data-driven in 25 (27%). For the studies that applied propensity score matching, the matched cohorts comprised on average 46% of the entire study population (range 9% - 82%). Conclusions Current reporting of confounding adjustment methods is insufficient in a large part of observational studies on cardiothoracic interventions, which makes quality judgement difficult. Appropriate application of confounding adjustment methods is crucial for causal inference on optimal treatment strategies for clinical practice. Reporting on these methods is an important aspect of this, which can be improved.

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“…Stripping or “milking” chest tubes have been widely recognized to be time-consuming and ineffective, and breaking the sterile field to remove a clot is not recommended by the ERACS society (class of recommendation III, level of evidence A). [ 53 54 55 ]…”

Section: Post-operative Interventionsmentioning

confidence: 99%

Enhanced recovery after cardiac surgery: A literature review

Navas-Blanco,

Kantola,

Whitton

et al. 2024

Saudi Journal of Anaesthesia

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Enhanced recovery after cardiac surgery (ERACS) represents a constellation of evidence-based peri-operative methods aimed to reduce the physiological and psychological stress patients experience after cardiac surgery, with the primary objective of providing an expedited recovery to pre-operative functional status. The method involves pre-operative, intra-operative, and post-operative interventions as well as direct patient engagement to be successful. Numerous publications in regard to the benefits of enhanced recovery have been presented, including decreased post-operative complications, shortened length of stay, decreased overall healthcare costs, and higher patient satisfaction. Implementing an ERACS program undeniably requires a culture change, a methodical shift in the approach of these patients that ultimately allows the team to achieve the aforementioned goals; therefore, team-building, planning, and anticipation of obstacles should be expected.

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Does Active Chest Tube Clearance After Cardiac Surgery Provide Any Clear Benefits?

Cited by 8 publications

References 18 publications

Drainology: Leveraging research in chest-drain management to enhance recovery after cardiothoracic surgery

Drainology: Leveraging research in chest-drain management to enhance recovery after cardiothoracic surgery

Confounding adjustment in observational studies on cardiothoracic interventions: a systematic review of methodological practice

Enhanced recovery after cardiac surgery: A literature review

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