DOI
DOI: 10.1007/s11748-022-01875-7
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
作者地址
Health Technology Assessment Center/Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China
通讯作者
Kehu Yang; Xiuxia Li
来源期刊
GENERAL THORACIC AND CARDIOVASCULAR SURGERY
摘要
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.
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)
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
WOS关键词
AIR LEAK
;
TUBE MANAGEMENT
;
LOBECTOMY
;
THORACOSTOMY
;
BENEFITS
;
VOLUME
附件
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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.pdf
1.36 MB
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