Chest drain rall-out rate according to suturing practices: a retrospective direct comparison
<p>Background:</p> Chest drains often become displaced and require replacement, adding unnecessary risks to patients. Simple measures such as suturing of the drain may reduce fall-out rates; however, there is no direct data to demonstrate this and no standardized recommended practice tha...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Journal article |
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S. Karger AG
2018
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| _version_ | 1797090908609445888 |
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| author | Asciak, R Addala, D Karimjee, J Rana, M Tsikrika, S Hassan, M Mercer, R Hallifax, R Wrightson, J Psallidas, I Benamore, R Rahman, N |
| author_facet | Asciak, R Addala, D Karimjee, J Rana, M Tsikrika, S Hassan, M Mercer, R Hallifax, R Wrightson, J Psallidas, I Benamore, R Rahman, N |
| author_sort | Asciak, R |
| collection | OXFORD |
| description | <p>Background:</p> Chest drains often become displaced and require replacement, adding unnecessary risks to patients. Simple measures such as suturing of the drain may reduce fall-out rates; however, there is no direct data to demonstrate this and no standardized recommended practice that is evidence based. <p>Objectives:</p> The study aimed to analyze the rate of chest drain fall out according to suturing practice. <p>Methods:</p> Retrospective analysis of all chest drain insertions (radiology and pleural teams) in 2015–2016. Details of chest drain fall out were collected from patient electronic records. Drain “fall out” was pre-hoc defined as the drain tip becoming dislodged outside the pleural cavity unintentionally before a clinical decision was taken to remove the drain. <p>Results:</p> A total of 369 chest drains were inserted: sutured (n = 106, 28.7%; 44 male [41.5%], median age 74 [interquartile range (IQR) 21] years), and unsutured (n = 263, 71.3%; 139 male [52.9%], median age 68 [IQR 21] years). Of the sutured drains, 7 (6.6%) fell out after a mean of 3.3 days (SD 2.6) compared to 39 (14.8%; p = 0.04) unsutured drains falling out after a mean of 2.7 days (SD 2.0; p = 0.8). <p>Conclusions:</p> Within the limits of this retrospective analysis, these results suggest that suturing of drains is associated with lower fall-out rates. |
| first_indexed | 2024-03-07T03:25:25Z |
| format | Journal article |
| id | oxford-uuid:b8dcc7de-4237-4c14-9b1c-8a98f1916422 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T03:25:25Z |
| publishDate | 2018 |
| publisher | S. Karger AG |
| record_format | dspace |
| spelling | oxford-uuid:b8dcc7de-4237-4c14-9b1c-8a98f19164222022-03-27T04:59:04ZChest drain rall-out rate according to suturing practices: a retrospective direct comparisonJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b8dcc7de-4237-4c14-9b1c-8a98f1916422Symplectic Elements at OxfordS. Karger AG2018Asciak, RAddala, DKarimjee, JRana, MTsikrika, SHassan, MMercer, RHallifax, RWrightson, JPsallidas, IBenamore, RRahman, N<p>Background:</p> Chest drains often become displaced and require replacement, adding unnecessary risks to patients. Simple measures such as suturing of the drain may reduce fall-out rates; however, there is no direct data to demonstrate this and no standardized recommended practice that is evidence based. <p>Objectives:</p> The study aimed to analyze the rate of chest drain fall out according to suturing practice. <p>Methods:</p> Retrospective analysis of all chest drain insertions (radiology and pleural teams) in 2015–2016. Details of chest drain fall out were collected from patient electronic records. Drain “fall out” was pre-hoc defined as the drain tip becoming dislodged outside the pleural cavity unintentionally before a clinical decision was taken to remove the drain. <p>Results:</p> A total of 369 chest drains were inserted: sutured (n = 106, 28.7%; 44 male [41.5%], median age 74 [interquartile range (IQR) 21] years), and unsutured (n = 263, 71.3%; 139 male [52.9%], median age 68 [IQR 21] years). Of the sutured drains, 7 (6.6%) fell out after a mean of 3.3 days (SD 2.6) compared to 39 (14.8%; p = 0.04) unsutured drains falling out after a mean of 2.7 days (SD 2.0; p = 0.8). <p>Conclusions:</p> Within the limits of this retrospective analysis, these results suggest that suturing of drains is associated with lower fall-out rates. |
| spellingShingle | Asciak, R Addala, D Karimjee, J Rana, M Tsikrika, S Hassan, M Mercer, R Hallifax, R Wrightson, J Psallidas, I Benamore, R Rahman, N Chest drain rall-out rate according to suturing practices: a retrospective direct comparison |
| title | Chest drain rall-out rate according to suturing practices: a retrospective direct comparison |
| title_full | Chest drain rall-out rate according to suturing practices: a retrospective direct comparison |
| title_fullStr | Chest drain rall-out rate according to suturing practices: a retrospective direct comparison |
| title_full_unstemmed | Chest drain rall-out rate according to suturing practices: a retrospective direct comparison |
| title_short | Chest drain rall-out rate according to suturing practices: a retrospective direct comparison |
| title_sort | chest drain rall out rate according to suturing practices a retrospective direct comparison |
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