Evidence map›Paper›PMID 38883671›Full record

ArticleJournal of thoracic disease2024

Early chest tube removal within 6 hours after thoracic surgery results in improved postoperative prognosis and no adverse effects.

Takahiro Homma, Hisashi Saji, Yoshifumi Shimada, Keitaro Tanabe, Koji Kojima, Hideki Marushima, Tomoyuki Miyazawa, Hiroyuki Kimura, Hiroki Sakai, Kanji Otsubo and 2 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Takahiro HommaDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID https://orcid.org/0000-0001-5117-5570
Hisashi SajiDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Yoshifumi ShimadaDivision of Thoracic Surgery, Kurobe City Hospital, Toyama, Japan.
Keitaro TanabeDivision of Thoracic Surgery, University of Toyama, Toyama, Japan.
Koji KojimaDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Hideki MarushimaDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Tomoyuki MiyazawaDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Hiroyuki KimuraDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Hiroki SakaiDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Kanji OtsuboDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Takayuki HatakeyamaDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Tomoshi TsuchiyaDivision of Thoracic Surgery, University of Toyama, Toyama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Advances in minimally invasive surgery and drainage systems have caused earlier chest-tube-removal. This retrospective study aimed to assess the safety of early chest tube removal using the institution's new criteria 6 hours after thoracic surgery. Methods: Elective thoracic surgery patients from 2017 to 2023 were reviewed for meeting or not meeting the newer institutional requirement for early chest tube removal; (I) no air leak detected under the digital drainage device observation; (II) no fluid drainage of ≥100 mL/h; (III) no ≥3 combined risks [male, chronic obstructive pulmonary disease (COPD), body mass index (BMI) of <18.5 kg/m Results: Of the 942 patient charts reviewed, 244 (25.9%) met the criteria for chest tube removal within 6 hours postoperatively. This patient group did not experience adverse events. They also demonstrated shorter postoperative hospital stay (4 Conclusions: Early chest tube removal after 6 postoperative hours was deemed safe for a selected group of patients who met the criteria for early chest tube removal. This study would support the potential expansion of our early removal criteria.

Indexed as

chest tubechronic obstructive pulmonary disease (COPD)lung resectionthoracotomyVideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID38883671
PMCPMC11170371

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.