08/07/2025
Patients who underwent active chest tube clearance:
⬇️ Re-exploration
⬇️ Pneumonia
⬇️ POAF
Clinical findings support the use of ATC.
After heart surgery, the chest tube removes lost mediastinal blood. Clogging of the chest tube may induce inadequate evacuation of fluids surrounding the lungs and heart, leading to deadly consequences. This meta-analysis compared the effectiveness of active chest tube clearance (ATC) with conventional chest tube (CT) in lowering the incidence of retained blood complications after heart surgery. We conducted a systematic search of the available databases to identify cohort studies or clinical trials that met our inclusion criteria. Studies that compared active tube clearance and conventional tube in cardiac surgery were included. The fixed or random-effects model was used to determine the pooled effect estimates upon the heterogeneity of collected data. This review included 7003 people from five cohort studies and three clinical trials. This meta-analysis provides evidence on the positive effect of active maintenance of chest tube patency during the first hours of cardiac surgery, which resulted in reducing the incidence of complications.
More on this systematic review and meta-analysis can be found here: https://lnkd.in/gJUvd5gM
AUTHORS & AFFILIATIONS:
Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Mohammed Tarek Hasan, Abdulrahman Ibrahim Hagrass, Mohamed Nabil Elkhrashy, Mohamed Hamouda, Anas Zakarya Nourelden & Ahmed Bostamy Elsnhory
International Medical Research Association (IMedRA), Cairo, Egypt
Mohammed Tarek Hasan, Abdulrahman Ibrahim Hagrass, Mohamed Nabil Elkhrashy, Mohamed Hamouda, Noura Mohamed shada, Sarah M. Hashem, Mohammed Al-kafarna, Hossam Waleed Almadhoon, Khaled Mohamed Ragab, Anas Zakarya Nourelden & Ahmed Bostamy Elsnhory
Gamal Abdel Nasser Axis, The 3rd Settlement, New Cairo, Egypt
Abdulrahman Ibrahim Hagrass
Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
Noura Mohamed shada & Sarah M. Hashem
Faculty of Pharmacy, Al-Azhar University, Gaza, Palestine
Mohammed Al-kafarna
Faculty of Dentistry, Al-Azhar University, Gaza, Palestine
Hossam Waleed Almadhoon
Faculty of Medicine, Minia University, Minia, Egypt
Khaled Mohamed Ragab
CONTRIBUTIONS:
Conception and design of the work by Khaled Mohamed Ragab and Ahmed Bostamy Elsnhory.
Selection process and data collection by Mohammed Tarek Hasan, Mohamed Nabil Elkhrashy, Mohamed Hamouda, Noura Mohamed shada, and Sarah M. Hashem.
Data analysis and interpretation by Abdulrahman Ibrahim Hagrass and Khaled Mohamed Ragab.
Drafting the article by Mohammed Al-kafarna and Hossam Waleed Madhoon.
Critical revision and editing of the article by Abdulrahman Ibrahim Hagrass, Ahmed Bostamy Elsnhory, and Anas Zakarya Nourelden.
CORRESPONDING AUTHOR:
Correspondence to Abdulrahman Ibrahim Hagrass.
After heart surgery, the chest tube removes lost mediastinal blood. Clogging of the chest tube may induce inadequate evacuation of fluids surrounding the lungs and heart, leading to deadly consequences. This meta-analysis compared the effectiveness of active chest tube clearance (ATC) with conventio...