Digital Devices Improve Chest Tube Management: Results from a Prospective Randomized Trial

Marco Chiappetta, Filippo Lococo, Dania Nachira, Leonardo Petracca Ciavarella, Maria Teresa Congedo, Venanzio Porziella, Elisa Meacci, Stefano Margaritora

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Abstract

Georg Thieme Verlag KG Stuttgart · New York. BACKGROUND:  Digital devices could help clinical practice measuring the air leak, but their role is still debated. Aim of this study is to test advantages using these devices.METHODS:  From June 2012 to May 2015, we enrolled 95 patients undergoing lobectomy or wedge resection in a prospective randomized trial. Patients were divided into two groups: group D (digital, 50 patients) evaluated with digital device and group E (empirical, 45 patients) evaluated with water seal. Logistic regression analysis and receiver operating characteristic (ROC) curve analysis were used to select and assess predictors of persistent air leak. In group D, chest drain was removed if the air leak was absent or  0.2 L/h with spikes over 0.5 L/h in third p.o. was predictive of persistent air leak, with chest tube duration of 7.73 ± 5.20 versus 4.32 ± 1.33 days (AUC: 83%, sensitivity: 80%, p 
Original languageEnglish
Pages (from-to)595-602
Number of pages8
JournalThoracic and Cardiovascular Surgeon
Volume66
Issue number7
DOIs
Publication statusPublished - Oct 1 2018

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Chiappetta, M., Lococo, F., Nachira, D., Ciavarella, L. P., Congedo, M. T., Porziella, V., Meacci, E., & Margaritora, S. (2018). Digital Devices Improve Chest Tube Management: Results from a Prospective Randomized Trial. Thoracic and Cardiovascular Surgeon, 66(7), 595-602. https://doi.org/10.1055/s-0037-1607443