Early chest tube removal following cardiac surgery is associated with pleural and/or pericardial effusions requiring invasive treatment
| Autor: | Gustav Valentin Blichfeldt Sørensen, Erika Hansen-Nord, Mette Dahl Bendtsen, Pernille Troelsen, Emil Riis Abrahamsen, Kristian Bundgaard, Jan Jesper Andreasen |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Pleural effusion medicine.medical_treatment 030204 cardiovascular system & hematology Pericardial effusion Pericardial Effusion 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine Postoperative Complications medicine Humans Postoperative Period Cardiac Surgical Procedures Device Removal Morning Aged Retrospective Studies Postoperative Care business.industry General Medicine Middle Aged medicine.disease Cardiac surgery Surgery Chest tube Pleural Effusion medicine.anatomical_structure 030228 respiratory system Relative risk Chest Tubes Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Andreasen, J J, Sørensen, G V B, Abrahamsen, E R, Hansen-Nord, E, Bundgaard, K, Bendtsen, M D & Troelsen, P 2016, ' Early chest tube removal following cardiac surgery is associated with pleural and/or pericardial effusions requiring invasive treatment ', European Journal of Cardio-Thoracic Surgery, vol. 49, no. 1, pp. 288-292 . https://doi.org/10.1093/ejcts/ezv005 |
| DOI: | 10.1093/ejcts/ezv005 |
| Popis: | OBJECTIVES: Different opinions exist as to when chest tube removal should be performed following cardiac surgery. The aim of this study was to compare early chest tube removal with removal of the tubes in the morning day 1 postoperatively. Primary combined end point was the risk of postoperative accumulation of fluid in the pericardial and/or pleural cavities requiring invasive treatment.METHODS: A retrospective observational cohort study was performed among patients undergoing coronary artery bypass grafting (CABG) and/or conventional valve surgery between July 2010 and June 2013. Patients in whom chest tube output was RESULTS: A total of 1232 patients underwent CABG, conventional valve or combined surgery during the study period. Of these, 782 patients fulfilled the criteria for early chest tube removal, which was performed in 385 of the patients. A total of 76 patients in Group 1 (20%) and 51 patients in Group 2 (13%) developed postoperative pleural and/or pericardial effusions requiring invasive treatment (P = 0.011). A positive association between early chest tube removal and the development of pleural and/or pericardial effusions was seen [crude RR: 1.54 (95% CI: 1.11-2.13); adjusted RR: 1.70 (95% CI: 1.24-2.33)]. The association became stronger investigating pleural effusions alone (adjusted RR = 1.77; 95% CI: 1.27-2.46), whereas the association with pericardial effusions was less clear.CONCLUSIONS: Removal of all chest tubes around midnight on the day of surgery is associated with an increased risk of postoperative pleural and/or pericardial effusions requiring invasive treatment even if chest tube output during the last 4 h is |
| Databáze: | OpenAIRE |
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