{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T01:38:27Z","timestamp":1793497107774,"version":"4.5.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum D\u00fcsseldorf. Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Cardiac surgery patients require chest drains for postoperative fluid drainage. Innovations in this field include chemical drain coating and manual clot extraction systems, aiming to provide reduced clotting and improved patient comfort. This study compares outcomes using hydrogel-coated, active clearance and conventional chest drains.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients with cardiac surgery at our institution from January 2023 to September 2023 were included. Drain allocation was based on surgeon\u2019s choice, with either a combination of hydrogel-coated and conventional, active clearance and conventional, or conventional drains alone. Drain data and clinical outcomes were recorded prospectively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>One hundred seventy-eight patients (62.9\u2009\u00b1\u200911.7 years, 67.4% male) received a total of 512 chest drains intraoperatively. Hydrogel-coated and active clearance drains showed higher drainage volumes than conventional drains (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, respectively). Patency was lowest in conventional drains (36.7% vs. 98.8% for hydrogel-coated, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, and vs. 96.6% for active clearance drains, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Conventional drains showed 5.9 times the odds (95% CI 2.0\u201325.2) of large pleural effusions compared to hydrogel-coated and 12.0 times the odds (95% CI 1.9\u2013504.1) compared to active clearance drains. Patients with hydrogel-coated drains had the shortest length of stay (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Hydrogel-coated and active clearance drains show improved outcomes compared to conventional drains in cardiac surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02987-2","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T20:15:45Z","timestamp":1724444145000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Hydrogel-coated and active clearance chest drains in cardiac surgery: real-world results of a single-center study"],"prefix":"10.1186","volume":"19","author":[{"given":"Freya Sophie","family":"Jenkins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Morjan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan-Philipp","family":"Minol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Farkhondeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail","family":"Dalyanoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esma","family":"Yilmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz Benjamin","family":"Immohr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Korbmacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udo","family":"Boeken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Lichtenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannan","family":"Dalyanoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"2987_CR1","doi-asserted-by":"crossref","unstructured":"Engelman DT, Ben Ali W, Williams JB, Perrault LP, Reddy VS, Arora RC et al. Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations. JAMA Surg [Internet]. 2019 Aug 1 [cited 2024 Mar 29];154(8):755\u201366. https:\/\/jamanetwork.com\/journals\/jamasurgery\/fullarticle\/2732511","DOI":"10.1001\/jamasurg.2019.1153"},{"issue":"4","key":"2987_CR2","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/j.athoracsur.2023.12.006","volume":"117","author":"MC Grant","year":"2024","unstructured":"Grant MC, Crisafi C, Alvarez A, Arora RC, Brindle ME, Chatterjee S, et al. Perioperative Care in Cardiac surgery: a Joint Consensus Statement by the enhanced recovery after surgery (ERAS) Cardiac Society, ERAS International Society, and the Society of thoracic surgeons (STS). Ann Thorac Surg. 2024;117(4):669\u201389.","journal-title":"Ann Thorac Surg"},{"key":"2987_CR3","doi-asserted-by":"crossref","unstructured":"Karimov JH, Gillinov AM, Schenck L, Cook M, Kosty Sweeney D, Boyle EM et al. Incidence of chest tube clogging after cardiac surgery: a single-centre prospective observational study. Eur J Cardiothorac Surg. 2013;44(6).","DOI":"10.1093\/ejcts\/ezt140"},{"key":"2987_CR4","doi-asserted-by":"crossref","unstructured":"Day TG, Perring RR, Gofton K. Is manipulation of mediastinal chest drains useful or harmful after cardiac surgery? Interact Cardiovasc Thorac Surg. 2008;7(5).","DOI":"10.1510\/icvts.2008.185413"},{"key":"2987_CR5","doi-asserted-by":"crossref","unstructured":"Halm MA. To Strip or not to Strip? Physiological effects of chest tube manipulation. Am J Crit Care. 2007;16(6).","DOI":"10.4037\/ajcc2007.16.6.609"},{"key":"2987_CR6","doi-asserted-by":"crossref","unstructured":"Mueller XM, Tinguely F, Tevaearai HT, Ravussin P, Stumpe F, Von Segesser LK. Impact of duration of chest tube drainage on pain after cardiac surgery. Eur J Cardiothorac Surg. 2000;18(5).","DOI":"10.1016\/S1010-7940(00)00515-7"},{"key":"2987_CR7","doi-asserted-by":"crossref","unstructured":"Utter GH. The rate of pleural fluid drainage as a criterion for the timing of chest tube removal: theoretical and practical considerations. Volume 96. Annals of Thoracic Surgery; 2013.","DOI":"10.1016\/j.athoracsur.2013.07.055"},{"key":"2987_CR8","doi-asserted-by":"crossref","unstructured":"Karkhanis VS, Joshi JM. Pleural effusion: diagnosis, treatment, and management. Open Access Emerg Med. 2012;4.","DOI":"10.2147\/OAEM.S29942"},{"key":"2987_CR9","doi-asserted-by":"crossref","unstructured":"El-Akkawi AI, Media AS, Eykens Hj\u00f8rnet N, Nielsen DV, Modrau IS. Timing of chest tube removal following adult cardiac surgery: a Cluster Randomized Controlled Trial. Scandinavian Cardiovasc J. 2024;58(1).","DOI":"10.1080\/14017431.2023.2294681"},{"key":"2987_CR10","doi-asserted-by":"crossref","unstructured":"Andreasen JJ, S\u00f8rensen GVB, Abrahamsen ER, Hansen-Nord E, Bundgaard K, Bendtsen MD et al. Early chest tube removal following cardiac surgery is associated with pleural and\/or pericardial effusions requiring invasive treatment. Eur J Cardiothorac Surg. 2016;49(1).","DOI":"10.1093\/ejcts\/ezv005"},{"key":"2987_CR11","doi-asserted-by":"crossref","unstructured":"Bertrandt RA, Saudek DM, Scott JP, Madrzak M, Miranda MB, Ghanayem NS et al. Chest tube removal algorithm is associated with decreased chest tube duration in pediatric cardiac surgical patients. J Thorac Cardiovasc Surg. 2019;158(4).","DOI":"10.1016\/j.jtcvs.2019.03.120"},{"key":"2987_CR12","doi-asserted-by":"crossref","unstructured":"Grieshaber P, Heim N, Herzberg M, Niemann B, Roth P, Boening A. Active chest tube Clearance after Cardiac surgery is Associated with reduced Reexploration Rates. Ann Thorac Surg. 2018;105(6).","DOI":"10.1016\/j.athoracsur.2018.01.002"},{"key":"2987_CR13","doi-asserted-by":"crossref","unstructured":"Perrault LP, Pellerin M, Carrier M, Cartier R, Bouchard D, Demers P et al. The PleuraFlow Active Chest Tube Clearance System: Initial Clinical Experience in Adult Cardiac Surgery. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 2012;7(5).","DOI":"10.1177\/155698451200700508"},{"key":"2987_CR14","doi-asserted-by":"crossref","unstructured":"Sirch J, Ledwon M, P\u00fcski T, Boyle EM, Pfeiffer S, Fischlein T. Active clearance of chest drainage catheters reduces retained blood. J Thorac Cardiovasc Surg. 2016;151(3).","DOI":"10.1016\/j.jtcvs.2015.10.015"},{"key":"2987_CR15","doi-asserted-by":"crossref","unstructured":"St-Onge S, Ben Ali W, Bouhout I, Bouchard D, Lamarche Y, Perrault LP et al. Examining the impact of active clearance of chest drainage catheters on postoperative atrial fibrillation. J Thorac Cardiovasc Surg. 2017;154(2).","DOI":"10.1016\/j.jtcvs.2017.03.046"},{"key":"2987_CR16","doi-asserted-by":"crossref","unstructured":"Baribeau Y, Westbrook B, Baribeau Y, Maltais S, Boyle EM, Perrault LP. Active clearance of chest tubes is associated with reduced postoperative complications and costs after cardiac surgery: a propensity matched analysis. J Cardiothorac Surg. 2019;14(1).","DOI":"10.1186\/s13019-019-0999-3"},{"key":"2987_CR17","doi-asserted-by":"crossref","unstructured":"Churyla A, Kruse J, Fiehler M, Andrei AC, Kislitsina ON, Cox JL, et al. Does active chest tube clearance after cardiac surgery provide. Any Clear Benefits? Annals of Thoracic Surgery; 2022.","DOI":"10.1016\/j.athoracsur.2022.02.086"},{"key":"2987_CR18","doi-asserted-by":"crossref","unstructured":"Vasileios N, Achim H, Nestoras P, Dragan O, Patricia F, Daniele B et al. Active clearance of chest tubes after cardiac surgery: a propensity score matched analysis. Swiss Med Wkly. 2020;150(51).","DOI":"10.4414\/smw.2020.20394"},{"key":"2987_CR19","doi-asserted-by":"crossref","unstructured":"Jai U, Rao TLK, Kumar P, Kleinman BS, Belusko RJ, Kanuri DP et al. Radiographic pulmonary abnormalities after different types of cardiac surgery. J Cardiothorac Vasc Anesth. 1991;5(6).","DOI":"10.1016\/1053-0770(91)90013-J"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02987-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02987-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02987-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T20:19:44Z","timestamp":1724444384000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02987-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,23]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2987"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02987-2","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,23]]},"assertion":[{"value":"17 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study followed the principles of the Declaration of Helsinki and was approved by the Ethics Committee of the Heinrich Heine University, Dusseldorf (study number: 2023\u20132629).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"488"}}