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Impact of a standardized protocol for chest tube management after VATS pulmonary resections on post-operative outcomes and complications
Chest tube management represents a major issue after lung surgery as no protocol is widely accepted and tube management is generally based on local or personal habits. Aim of this study is to evaluate the impact of a standardized protocol for chest tube management after pulmonary resections on the p...
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| Published in: | Updates in surgery 2024-08, Vol.76 (4), p.1493-1500 |
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| container_end_page | 1500 |
| container_issue | 4 |
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| container_title | Updates in surgery |
| container_volume | 76 |
| creator | Comacchio, Giovanni M. Mammana, Marco Cannone, Giorgio Zambello, Giovanni Silvestrin, Stefano Rebusso, Alessandro Nicotra, Samuele Rea, Federico |
| description | Chest tube management represents a major issue after lung surgery as no protocol is widely accepted and tube management is generally based on local or personal habits. Aim of this study is to evaluate the impact of a standardized protocol for chest tube management after pulmonary resections on the post-operative outcomes. We performed a single center retrospective analysis of all adult patients undergoing thoracoscopic pulmonary resection from January 2020 to December 2021. Starting from January 2021 a standardized protocol of chest tube management was applied after all procedures. Patients were divided into two groups according to the chest tube management strategy. he two groups had similar pre-operative characteristics and the extent of lung resection was comparable. Intervention group had significantly shorter time to chest tube removal (median 1 vs 3 days,
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| doi_str_mv | 10.1007/s13304-023-01704-3 |
| format | article |
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p
< 0.001) and post-operative length of stay (median 3 vs 4 days,
p
< 0.001). Despite earlier chest tube removal, there was not an increased incidence of post-removal complications. On multivariable analysis, the new chest drain management strategy was an independent predictor of earlier chest tube removal. A standardized protocol of chest tube management allows for an earlier chest tube removal and a shorter hospital stay, without an increase in post-operative complications.</description><identifier>ISSN: 2038-131X</identifier><identifier>ISSN: 2038-3312</identifier><identifier>EISSN: 2038-3312</identifier><identifier>DOI: 10.1007/s13304-023-01704-3</identifier><identifier>PMID: 38007703</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Aged ; Chest Tubes ; Clinical Protocols ; Device Removal - methods ; Female ; Humans ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pneumonectomy - adverse effects ; Pneumonectomy - methods ; Postoperative Complications - prevention & control ; Retrospective Studies ; Surgery ; Thoracic Surgery, Video-Assisted - methods ; Treatment Outcome</subject><ispartof>Updates in surgery, 2024-08, Vol.76 (4), p.1493-1500</ispartof><rights>Italian Society of Surgery (SIC) 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Italian Society of Surgery (SIC).</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c298t-d0e7c4228984f0822ddca0591ab60f807fa69fefb0a2830831f1cd1cdeee09453</cites><orcidid>0000-0002-3166-1843</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38007703$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Comacchio, Giovanni M.</creatorcontrib><creatorcontrib>Mammana, Marco</creatorcontrib><creatorcontrib>Cannone, Giorgio</creatorcontrib><creatorcontrib>Zambello, Giovanni</creatorcontrib><creatorcontrib>Silvestrin, Stefano</creatorcontrib><creatorcontrib>Rebusso, Alessandro</creatorcontrib><creatorcontrib>Nicotra, Samuele</creatorcontrib><creatorcontrib>Rea, Federico</creatorcontrib><title>Impact of a standardized protocol for chest tube management after VATS pulmonary resections on post-operative outcomes and complications</title><title>Updates in surgery</title><addtitle>Updates Surg</addtitle><addtitle>Updates Surg</addtitle><description>Chest tube management represents a major issue after lung surgery as no protocol is widely accepted and tube management is generally based on local or personal habits. Aim of this study is to evaluate the impact of a standardized protocol for chest tube management after pulmonary resections on the post-operative outcomes. We performed a single center retrospective analysis of all adult patients undergoing thoracoscopic pulmonary resection from January 2020 to December 2021. Starting from January 2021 a standardized protocol of chest tube management was applied after all procedures. Patients were divided into two groups according to the chest tube management strategy. he two groups had similar pre-operative characteristics and the extent of lung resection was comparable. Intervention group had significantly shorter time to chest tube removal (median 1 vs 3 days,
p
< 0.001) and post-operative length of stay (median 3 vs 4 days,
p
< 0.001). Despite earlier chest tube removal, there was not an increased incidence of post-removal complications. On multivariable analysis, the new chest drain management strategy was an independent predictor of earlier chest tube removal. A standardized protocol of chest tube management allows for an earlier chest tube removal and a shorter hospital stay, without an increase in post-operative complications.</description><subject>Adult</subject><subject>Aged</subject><subject>Chest Tubes</subject><subject>Clinical Protocols</subject><subject>Device Removal - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pneumonectomy - adverse effects</subject><subject>Pneumonectomy - methods</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Thoracic Surgery, Video-Assisted - methods</subject><subject>Treatment Outcome</subject><issn>2038-131X</issn><issn>2038-3312</issn><issn>2038-3312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9UcFu1TAQtBCIVqU_0APaI5fA2pu-OMeqglKpEgda1Jvl56xLqsQOtoNUvqCfjdv34Fhr5R3Js7MajxAnEj9KxO5TlkTYNqioQdlVRK_EoULSDZFUr_dYkrw9EMc532M91D_db8UB6SrRIR2Kx8t5sa5A9GAhFxsGm4bxDw-wpFiiixP4mMD95FygrFuG2QZ7xzOHAtYXTvDj7Po7LOs0x2DTAyTO7MoYQ4YYYIm5NHHhZMv4myGuxcWZM9RFUNEyjc4-k9-JN95OmY_3_UjcfPl8ff61ufp2cXl-dtU41evSDMida5XSvW49aqWGwVk87aXdbtBr7Lzd9J79Fq3ShJqkl26oxczYt6d0JD7sdKu_X2t1ZeYxO54mGziu2VTlljYKN6pS1Y7qUsw5sTdLGufq0Ug0TyGYXQimhmCeQzBUh97v9dftzMP_kX9fXgm0I-T6FO44mfu4plA9vyT7F7I4lPY</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Comacchio, Giovanni M.</creator><creator>Mammana, Marco</creator><creator>Cannone, Giorgio</creator><creator>Zambello, Giovanni</creator><creator>Silvestrin, Stefano</creator><creator>Rebusso, Alessandro</creator><creator>Nicotra, Samuele</creator><creator>Rea, Federico</creator><general>Springer International Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3166-1843</orcidid></search><sort><creationdate>20240801</creationdate><title>Impact of a standardized protocol for chest tube management after VATS pulmonary resections on post-operative outcomes and complications</title><author>Comacchio, Giovanni M. ; Mammana, Marco ; Cannone, Giorgio ; Zambello, Giovanni ; Silvestrin, Stefano ; Rebusso, Alessandro ; Nicotra, Samuele ; Rea, Federico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-d0e7c4228984f0822ddca0591ab60f807fa69fefb0a2830831f1cd1cdeee09453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Chest Tubes</topic><topic>Clinical Protocols</topic><topic>Device Removal - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pneumonectomy - adverse effects</topic><topic>Pneumonectomy - methods</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Thoracic Surgery, Video-Assisted - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Comacchio, Giovanni M.</creatorcontrib><creatorcontrib>Mammana, Marco</creatorcontrib><creatorcontrib>Cannone, Giorgio</creatorcontrib><creatorcontrib>Zambello, Giovanni</creatorcontrib><creatorcontrib>Silvestrin, Stefano</creatorcontrib><creatorcontrib>Rebusso, Alessandro</creatorcontrib><creatorcontrib>Nicotra, Samuele</creatorcontrib><creatorcontrib>Rea, Federico</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Updates in surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Comacchio, Giovanni M.</au><au>Mammana, Marco</au><au>Cannone, Giorgio</au><au>Zambello, Giovanni</au><au>Silvestrin, Stefano</au><au>Rebusso, Alessandro</au><au>Nicotra, Samuele</au><au>Rea, Federico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a standardized protocol for chest tube management after VATS pulmonary resections on post-operative outcomes and complications</atitle><jtitle>Updates in surgery</jtitle><stitle>Updates Surg</stitle><addtitle>Updates Surg</addtitle><date>2024-08-01</date><risdate>2024</risdate><volume>76</volume><issue>4</issue><spage>1493</spage><epage>1500</epage><pages>1493-1500</pages><issn>2038-131X</issn><issn>2038-3312</issn><eissn>2038-3312</eissn><abstract>Chest tube management represents a major issue after lung surgery as no protocol is widely accepted and tube management is generally based on local or personal habits. Aim of this study is to evaluate the impact of a standardized protocol for chest tube management after pulmonary resections on the post-operative outcomes. We performed a single center retrospective analysis of all adult patients undergoing thoracoscopic pulmonary resection from January 2020 to December 2021. Starting from January 2021 a standardized protocol of chest tube management was applied after all procedures. Patients were divided into two groups according to the chest tube management strategy. he two groups had similar pre-operative characteristics and the extent of lung resection was comparable. Intervention group had significantly shorter time to chest tube removal (median 1 vs 3 days,
p
< 0.001) and post-operative length of stay (median 3 vs 4 days,
p
< 0.001). Despite earlier chest tube removal, there was not an increased incidence of post-removal complications. On multivariable analysis, the new chest drain management strategy was an independent predictor of earlier chest tube removal. A standardized protocol of chest tube management allows for an earlier chest tube removal and a shorter hospital stay, without an increase in post-operative complications.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>38007703</pmid><doi>10.1007/s13304-023-01704-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3166-1843</orcidid></addata></record> |
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| subjects | Adult Aged Chest Tubes Clinical Protocols Device Removal - methods Female Humans Length of Stay Male Medicine Medicine & Public Health Middle Aged Original Article Pneumonectomy - adverse effects Pneumonectomy - methods Postoperative Complications - prevention & control Retrospective Studies Surgery Thoracic Surgery, Video-Assisted - methods Treatment Outcome |
| title | Impact of a standardized protocol for chest tube management after VATS pulmonary resections on post-operative outcomes and complications |
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