兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

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

Kehu Yang; Xiuxia Li
2022-09-29
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
DOI: 10.1007/s11748-022-01875-7
EISSN
1863-6713
出版日期
2022-09-29
资助信息
National Natural Science Foundation of China (NSFC) (72074103); Fundamental Research Funds for the Central Universities (lzujbky-2021-ct06; lzujbky-2021-kb22 ); Gansu Special Project of Soft Science (20CX9ZA109)
相关链接
https://link.springer.com/article/10.1007/s11748-022-01875-7
语种
英语
国家
中国
学科领域
循证医学
被引频次(WOS)
4
来源机构
兰州大学公共卫生学院卫生技术评估中心/循证社会科学研究中心
研究类型
Meta分析
关键词
Digital chest drainage system Pulmonary resection Lung disease Meta-analysis
资助机构
教育部 国家自然科学基金委 甘肃省科技厅
WOS学科分类
Cardiac & Cardiovascular Systems Surgery