Evidence map›Paper›PMID 41172262›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2025

Digital Versus Conventional Chest Drainage Systems in Resource-limited Setting: A Comparative Analysis.

Pedro Henrique Xavier Nabuco de Araújo, João Paulo Cassiano de Macedo, Paula Duarte D'Ambrosio, Paulo Manuel Pêgo-Fernandes, Ricardo Mingarini Terra

Abstract readComparative Study
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

5 authors.

Pedro Henrique Xavier Nabuco de AraújoInstituto do Cancer do Estado de São Paulo (ICESP), Hospital das Clinicas de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP 01246-000, Brazil.
João Paulo Cassiano de MacedoInstituto do Cancer do Estado de São Paulo (ICESP), Hospital das Clinicas de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP 01246-000, Brazil.
Paula Duarte D'AmbrosioInstituto do Cancer do Estado de São Paulo (ICESP), Hospital das Clinicas de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP 01246-000, Brazil.
Paulo Manuel Pêgo-FernandesInstituto do Coracao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP 05403-000, Brazil.
Ricardo Mingarini TerraInstituto do Cancer do Estado de São Paulo (ICESP), Hospital das Clinicas de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP 01246-000, Brazil.ORCID 0000-0001-8577-8708

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate whether digital drainage systems reduce chest tube duration and hospital stay following anatomical lung resection in a resource-limited healthcare setting.

methodsThis retrospective study, approved by the institutional ethics committee (Approval No. 30491514.3.0000.0065), compared digital and conventional water seal drainage systems in a public hospital in Brazil. Outcomes included chest tube duration and hospital stay. Propensity score matching (PSM) was applied to control for confounding variables.

resultsA total of 388 patients were included (67.8% smokers, mean age 63.8 years). After PSM, 85 matched pairs, no significant differences were observed in most demographic and clinical variables. Lobectomies were more frequent in the conventional group (100% vs 85.9%, P < 0.001). After paired statistical analysis using the Wilcoxon signed-rank test showed no significant differences in chest tube drainage time (4.2 vs 4.4 days, P = 0.397) or hospital stay duration (4.9 vs 5.2 days, P = 0.745).

conclusionsIn a resource-constrained setting, digital drainage systems are feasible and may support clinical decision-making through precise air leak quantification. However, no significant differences were observed in key outcomes when compared to conventional drainage, warranting further investigation into cost-effectiveness and broader implementation strategies.

Indexed as

Chest TubesDeveloping CountriesDrainageHealth ResourcesPneumonectomyAgedBrazilEquipment DesignFemaleHospitals, PublicHumansLength of StayMaleMiddle AgedResource-Limited SettingsRetrospective Studieschest tube drainagedrainage systemshospital staylung cancerpostoperative carethoracic surgery

Identifiers

PMID41172262
PMCPMC12597886

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LicenceCC BY-NC
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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.