Effects of Local Protocols on Duration of Chest Tube Therapy Following Thoracic Surgery
The effect of local chest-tube management protocols on the duration of chest-tube therapy following thoracic surgery was analyzed in four German specialized Thoracic Surgery Units. The primary study objective was the duration of chest tube therapy in postoperative patients.
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Prospective, Non Randomized Investigator Initiated Multi-centre Trial on the Effects of Local Treatment Protocols on the Duration of Chest Tube Therapy Following Thoracic Surgery in Germany|
- chest tube therapy duration [ Time Frame: participants are followed for the duration of hospital stay, an expected average of 5 days ] [ Designated as safety issue: No ]number of days following thoracic surgery until chest tube was removed
- presence of pulmonary air leak [ Time Frame: participants are followed for the duration of hospital stay, an expected average of 4 days ] [ Designated as safety issue: No ]number of days the Medela Thopaz device detected a pulmonary air leak following thoracic surgery
|Study Start Date:||April 2009|
|Study Completion Date:||October 2011|
|Primary Completion Date:||August 2009 (Final data collection date for primary outcome measure)|
Patients undergoing elective pulmonary wedge resection, anatomic segmentectomy, or lobectomy.
Procedure: Chest tube removal
Chest tube removal on the basis of local recommendations for postoperative chest tube management
The management of chest tubes is probably one of the most critical aspects in patient care in thoracic surgery and defines the required length of postoperative hospital stay in the majority of patients. So far, no generally accepted recommendations exist for postoperative chest tube management to streamline the postoperative stay. Instead, decision making in most thoracic surgery units is based on team preferences and individual training rather than scientific data. Therefore, digital pleural drainage systems represent a useful tool to standardize existing intradepartmental protocols for chest tube management. However, for the development of generally accepted protocol-recommendations, the diverging interdepartmental treatment protocols have to be analyzed and compared for superiority. In this IIT, the effect of different chest tube management protocols on chest tube duration is analyzed in four German Thoracic Surgery units.
|Evangelische Lungenklinik Berlin|
|Berlin, Germany, 13125|
|Klinikum Bremen-Ost gGmbH|
|Bremen, Germany, 28325|
|Gerlingen, Germany, 70839|
|Katholisches Klinikum Koblenz|
|Koblenz, Germany, 56073|
|Study Director:||Albert Linder, MD||Klinikum Bremen-Ost gGmbH|
|Principal Investigator:||Thorsten Walles, MD||Schillerhoehe Hospital|
|Study Chair:||Josef Wolf||Medela GmbH & Co. Handels KG|