Chest Drain Fall-Out Rate According to Suturing Practices: A Retrospective Direct Comparison.
Respiration
; 96(1): 48-51, 2018.
Article
em En
| MEDLINE
| ID: mdl-29902795
ABSTRACT
BACKGROUND:
Chest drains often become displaced and require replacement, adding unnecessary risks to patients. Simple measures such as suturing of the drain may reduce fall-out rates; however, there is no direct data to demonstrate this and no standardized recommended practice that is evidence based.OBJECTIVES:
The study aimed to analyze the rate of chest drain fall out according to suturing practice.METHODS:
Retrospective analysis of all chest drain insertions (radiology and pleural teams) in 2015-2016. Details of chest drain fall out were collected from patient electronic records. Drain "fall out" was pre-hoc defined as the drain tip becoming dislodged outside the pleural cavity unintentionally before a clinical decision was taken to remove the drain.RESULTS:
A total of 369 chest drains were inserted sutured (n = 106, 28.7%; 44 male [41.5%], median age 74 [interquartile range (IQR) 21] years), and unsutured (n = 263, 71.3%; 139 male [52.9%], median age 68 [IQR 21] years). Of the sutured drains, 7 (6.6%) fell out after a mean of 3.3 days (SD 2.6) compared to 39 (14.8%; p = 0.04) unsutured drains falling out after a mean of 2.7 days (SD 2.0; p = 0.8).CONCLUSIONS:
Within the limits of this retrospective analysis, these results -suggest that suturing of drains is associated with lower fall-out rates.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tubos Torácicos
/
Drenagem
/
Técnicas de Sutura
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article