Advantages of applying digital chest drainage system for postoperative management of patients following pulmonary resection: a systematic review and meta-analysis of 12 randomized controlled trials

Yang, KH; Li, XX (通讯作者),Lanzhou Univ, Hlth Technol Assessment Ctr, Sch Publ Hlth, Evidence Based Social Sci Res Ctr, 199 Donggang West Rd, Lanzhou 730000, Peoples R China.;Yang, KH; Li, XX (通讯作者),Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, 199 Donggang West Rd, Lanzhou 730000, Peoples R China.;Yang, KH; Li, XX (通讯作者),Key Lab Evidence Based Med & Knowledge Translat G, Lanzhou 730000, Peoples R China.
2023
Objectives This meta-analysis aimed to evaluate the value of the chest digital drainage system for the postoperative management of patients who have undergone pulmonary resection. Methods We searched the PubMed, EMBASE, the Cochrane Library, and Web of Science databases for included randomized controlled trials (RCTs) on the application of digital drainage systems versus the analog drainage system for patients with lung disease after pulmonary resection. Dichotomous variables were evaluated using risk ratios (RRs) and 95% confidence intervals (CIs), and mean and standardized mean differences (MDs and SMDs, respectively) with 95% CIs were used to calculate continuous variables. Statistical analyses were performed using Stata and RevMan software. Results In total, 12 RCTs involving 2000 patients were analyzed. Significant differences in duration of chest tube placement (SMD = -0.49; 95% CI = -0.78 to -0.20), length of hospital stay (MD =-0.79 days; 95% CI = -1.24 to -0.34), and number of chest tube clamping tests (RR = 0.74; 95% CI = 0.36-1.49) were observed between the two groups, which did not significant differ in the occurrence of prolonged air leak or cardiopulmonary complication rate. Conclusions The digital chest drainage system is mainly advantageous in the duration of chest tube placement, length of hospital stay, and number of chest tube clamping tests. Future research should evaluate the requirements and economic impact of using digital system in routine clinical practice.
GENERAL THORACIC AND CARDIOVASCULAR SURGERY
卷号:71|期号:1|页码:1-11
ISSN:1863-6705|收录类别:SCIE
DOI
10.1007/s11748-022-01875-7
来源机构
Lanzhou University; Lanzhou University
EISSN
1863-6713
网络首发日期
2022-09
出版年
2023
资助信息
Thanks to Shuya Ni, a PhD student from Jinan University, for her help at various stages of this review. This work was supported by the National Natural Science Foundation of China (72074103); the Fundamental Research Funds for the Central Universities (lzujbky-2021-ct06, lzujbky-2021-kb22); and the Gansu Special Project of Soft Science (20CX9ZA109).
语种
英语
被引频次(WOS)
0
180天使用计数
2
2013以来使用计数
2
被引更新日期
2023-02-19
关联机构
兰州大学循证社会科学中心
关键词
Digital chest drainage system Pulmonary resection Lung disease Meta-analysis
资助机构
National Natural Science Foundation of China [72074103] Fundamental Research Funds for the Central Universities [lzujbky-2021-ct06, lzujbky-2021-kb22] Gansu Special Project of Soft Science [20CX9ZA109]
WOS学科分类
Cardiac & Cardiovascular Systems Surgery