Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis
Abstract Background Several randomized controlled trials (RCTs) and observational studies have compared the efficacy of digital chest drainage system versus traditional chest drainage system. However, the results were inconsistent. Methods We searched the Web of Science and Pubmed for observational...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-019-0842-x |
| _version_ | 1818963198717460480 |
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| author | Hong Wang Wenbin Hu Liang Ma Yiran Zhang |
| author_facet | Hong Wang Wenbin Hu Liang Ma Yiran Zhang |
| author_sort | Hong Wang |
| collection | DOAJ |
| description | Abstract Background Several randomized controlled trials (RCTs) and observational studies have compared the efficacy of digital chest drainage system versus traditional chest drainage system. However, the results were inconsistent. Methods We searched the Web of Science and Pubmed for observational studies and RCTs that compared the effect of digital chest drainage system with traditional chest drainage system after pulmonary resection. Eight studies (5 randomized control trails and 3 observational studies) comprising 1487 patients met the eligibility criteria. Results Compared with the traditional chest drainage system, digital chest drainage system reduced the risk of prolonged air leak (PAL) (RR = 0.54, 95%CI 0.40–0.73, p < 0.0001), and shortened the duration of chest drainage (SMD = − 0.35, 95%CI -0.60 - -0.09, p = 0.008) and length of hospital stay (SMD = − 0.35, 95%CI -0.61 - -0.09, p = 0.007) in patients after pulmonary resection. Conclusions Digital chest drainage system is expected to benefit patients to attain faster recovery and higher life quality as well as to reduce the risk of postoperative complications. Further RCTs with larger sample size are still needed to more clearly elucidate the advantages of digital chest drainage system. |
| first_indexed | 2024-12-20T12:41:25Z |
| format | Article |
| id | doaj.art-7c6fad3af64d47bb9a53f91ca22318b6 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-20T12:41:25Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-7c6fad3af64d47bb9a53f91ca22318b62022-12-21T19:40:28ZengBMCJournal of Cardiothoracic Surgery1749-80902019-01-011411610.1186/s13019-019-0842-xDigital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysisHong Wang0Wenbin Hu1Liang Ma2Yiran Zhang3Department of Surgery, Zhejiang University Hospital, Zhejiang UniversityDepartment of Cardiothoracic Surgery, First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Cardiothoracic Surgery, First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Cardiothoracic Surgery, First Affiliated Hospital, Zhejiang University School of MedicineAbstract Background Several randomized controlled trials (RCTs) and observational studies have compared the efficacy of digital chest drainage system versus traditional chest drainage system. However, the results were inconsistent. Methods We searched the Web of Science and Pubmed for observational studies and RCTs that compared the effect of digital chest drainage system with traditional chest drainage system after pulmonary resection. Eight studies (5 randomized control trails and 3 observational studies) comprising 1487 patients met the eligibility criteria. Results Compared with the traditional chest drainage system, digital chest drainage system reduced the risk of prolonged air leak (PAL) (RR = 0.54, 95%CI 0.40–0.73, p < 0.0001), and shortened the duration of chest drainage (SMD = − 0.35, 95%CI -0.60 - -0.09, p = 0.008) and length of hospital stay (SMD = − 0.35, 95%CI -0.61 - -0.09, p = 0.007) in patients after pulmonary resection. Conclusions Digital chest drainage system is expected to benefit patients to attain faster recovery and higher life quality as well as to reduce the risk of postoperative complications. Further RCTs with larger sample size are still needed to more clearly elucidate the advantages of digital chest drainage system.http://link.springer.com/article/10.1186/s13019-019-0842-xDigital chest drainage systemPulmonary resectionPostoperative care |
| spellingShingle | Hong Wang Wenbin Hu Liang Ma Yiran Zhang Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis Journal of Cardiothoracic Surgery Digital chest drainage system Pulmonary resection Postoperative care |
| title | Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis |
| title_full | Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis |
| title_fullStr | Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis |
| title_full_unstemmed | Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis |
| title_short | Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis |
| title_sort | digital chest drainage system versus traditional chest drainage system after pulmonary resection a systematic review and meta analysis |
| topic | Digital chest drainage system Pulmonary resection Postoperative care |
| url | http://link.springer.com/article/10.1186/s13019-019-0842-x |
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