{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:25:05Z","timestamp":1788477905209,"version":"build-2803163510"},"reference-count":27,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2023,7]]},"DOI":"10.1016\/j.athoracsur.2023.02.057","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T12:05:20Z","timestamp":1679054720000},"page":"104-109","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Comparison Between Electronic and Traditional Chest Drainage Systems: A Multicenter Randomized Study"],"prefix":"10.1016","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3166-1843","authenticated-orcid":false,"given":"Giovanni Maria","family":"Comacchio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Marulli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Mendogni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi Gaetano","family":"Andriolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Guerrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debora","family":"Brascia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele Dario","family":"Russo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Parini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camillo","family":"Lopez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Tosi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Lorenzoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Gregori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pier Luigi","family":"Filosso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ottavio","family":"Rena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Rosso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrado","family":"Surrente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Rea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2023.02.057_bib1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.ejcts.2004.11.005","article-title":"Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy","volume":"27","author":"Varela","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib2","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/j.athoracsur.2004.08.069","article-title":"Characterization and importance of air leak after lobectomy","volume":"79","author":"Okereke","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib3","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.thorsurg.2010.03.007","article-title":"Digital and smart chest drainage systems to monitor air leaks: the birth of a new era?","volume":"20","author":"Cerfolio","year":"2010","journal-title":"Thorac Surg Clin"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib4","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ejcts.2008.09.005","article-title":"Postoperative chest tube management: measuring air leak using an electronic device decreases variability in the clinical practice","volume":"35","author":"Varela","year":"2009","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib5","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ejcts.2009.05.006","article-title":"Evaluation of a new chest tube removal protocol using digital air leak monitoring after lobectomy: a prospective randomised trial","volume":"37","author":"Brunelli","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib6","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1016\/j.athoracsur.2016.03.089","article-title":"digital drainage system reduces hospitalization after video-assisted thoracoscopic surgery lung resection","volume":"102","author":"Miller","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib7","doi-asserted-by":"crossref","first-page":"354","DOI":"10.5761\/atcs.oa.16-00179","article-title":"Clinical evaluation and outcomes of digital chest drainage after lung resection","volume":"22","author":"Shoji","year":"2016","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib8","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/j.athoracsur.2014.03.043","article-title":"Multicenter international randomized comparison of objective and subjective outcomes between electronic and traditional chest drainage systems","volume":"98","author":"Pompili","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib9","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1016\/j.jtcvs.2015.08.051","article-title":"Randomized trial of digital versus analog pleural drainage in patients with or without a pulmonary air leak after lung resection","volume":"150","author":"Gilbert","year":"2015","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib10","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1093\/ejcts\/ezu535","article-title":"Electronic versus traditional chest tube drainage following lobectomy: a randomized trial","volume":"48","author":"Lijkendijk","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib11","doi-asserted-by":"crossref","first-page":"1834","DOI":"10.1016\/j.jtcvs.2017.09.145","article-title":"Comparison of digital and traditional thoracic drainage systems for postoperative chest tube management after pulmonary resection: a prospective randomized trial","volume":"155","author":"Takamochi","year":"2018","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib12","doi-asserted-by":"crossref","first-page":"1598","DOI":"10.21037\/jtd.2017.05.78","article-title":"Does the usage of digital chest drainage systems reduce pleural inflammation and volume of pleural effusion following oncologic pulmonary resection?\u2014a prospective randomized trial","volume":"9","author":"De Waele","year":"2017","journal-title":"J\u00a0Thorac Dis"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib13","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s13019-019-0842-x","article-title":"Digital chest drainage system versus traditional chest drainage system after pulmonary resection: a systematic review and meta-analysis","volume":"14","author":"Wang","year":"2019","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib14","doi-asserted-by":"crossref","first-page":"657","DOI":"10.7326\/0003-4819-134-8-200104170-00011","article-title":"The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials","volume":"134","author":"Moher","year":"2001","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib15","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1186\/s13063-019-3811-8","article-title":"Multicenter randomized study on the comparison between electronic and traditional chest drainage systems","volume":"20","author":"Marulli","year":"2019","journal-title":"Trials"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib16","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.hrtlng.2020.06.016","article-title":"Bubbles-in-the-chamber vs digital screen in chest drainage: a blind analysis of compared postoperative air leaks evaluation","volume":"50","author":"Marulli","year":"2021","journal-title":"Heart Lung"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib17","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1016\/S0003-4975(02)03531-2","article-title":"Predictors and treatment of persistent air leaks","volume":"73","author":"Cerfolio","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib18","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.1016\/S0003-4975(02)04994-9","article-title":"Fibrin glue in pulmonary resection: a prospective, randomized, blinded study","volume":"75","author":"Fabian","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib19","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.surge.2010.07.010","article-title":"Predicting prolonged air leak after standard pulmonary lobectomy: computed tomography assessment and risk factors stratification","volume":"9","author":"Petrella","year":"2011","journal-title":"Surgeon"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib20","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/j.jamcollsurg.2011.03.010","article-title":"Estimating the risk of prolonged air leak after pulmonary resection using a simple scoring system","volume":"212","author":"Lee","year":"2011","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib21","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.jtcvs.2016.10.003","article-title":"A\u00a0clinical prediction model for prolonged air leak after pulmonary resection","volume":"153","author":"Attaar","year":"2017","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib22","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.athoracsur.2014.03.024","article-title":"Ninety-day costs of video-assisted thoracic surgery versus open lobectomy for lung cancer","volume":"98","author":"Farjah","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib23","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1007\/s11748-021-01677-3","article-title":"Predictive factors and economic impact of prolonged air leak after pulmonary resection","volume":"70","author":"Yotsukura","year":"2022","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib24","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.chest.2017.02.020","article-title":"Management of persistent air leaks","volume":"152","author":"Dugan","year":"2017","journal-title":"Chest"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib25","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.ccm.2009.10.002","article-title":"Bronchoscopic management of prolonged air leak","volume":"31","author":"Wood","year":"2010","journal-title":"Clin Chest Med"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib26","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.jtcvs.2016.11.064","article-title":"A\u00a0risk score to predict the incidence of prolonged air leak after video-assisted thoracoscopic lobectomy: an analysis from the European Society of Thoracic Surgeons database","volume":"153","author":"Pompili","year":"2017","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2023.02.057_bib27","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1016\/j.athoracsur.2011.04.033","article-title":"Characterization and prediction of prolonged air leak after pulmonary resection: a nationwide study setting up the index of prolonged air leak","volume":"92","author":"Rivera","year":"2011","journal-title":"Ann Thorac Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497523002825?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497523002825?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T04:15:27Z","timestamp":1757736927000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497523002825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["S0003497523002825"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2023.02.057","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparison Between Electronic and Traditional Chest Drainage Systems: A Multicenter Randomized Study","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2023.02.057","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by The Society of Thoracic Surgeons. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}