20.500.12556/RUL-168204 The impact of a chest drainage system on retained blood-associated complications after cardiac surgery OBJECTIVES: Ineffective drainage can lead to retained blood syndrome (RBS), bleeding-associated complications and more postoperative atrial fibrillation (AF). The present study compares outcomes of conventional, active tube clearance (ATC) and portable digital drainage systems after myocardial revascularization. METHODS: Data from 1222 patients undergoing elective myocardial revascularization with or without a concomitant aortic or mitral valve procedure were considered; data from 1065 patients were retrieved and data from 1049 patients were analysed retrospectively. Patients who received conventional treatment were compared to those treated with ATC and portable digital drainage. Propensity weighting, including comorbidities, medication and perioperative characteristics, was applied for outcome assessment. RESULTS: In propensity-adjusted patients, 14.6% of conventional patients had interventions for RBS, with 4.1% underdoing early reexploration for bleeding. In the ATC group, 6.9% required interventions for RBS [odds ratio (OR) 0.43, P < 0.001] with a 3.7% reexploration rate. Patients in the portable digital drainage group had RBS in 5.1% (OR 0.31, P < 0.001) with a 1.2% rate of re-exploration (OR 0.29, P < 0.001). Postoperative AF dropped by 37% from 29.8% in the conventional to 18.7% in the portable digital drainage cohort (OR 0.31, P < 0.001). In-hospital mortality was similar with 1.6% (6 of 369) in the conventional versus 1.1% (2 of 188) in the ATC versus 0.8% (4 of 492) in the portable digital drainage cohort (P ¼ 0.358). CONCLUSIONS: Active tube clearance and portable digital drainage cohorts had fewer RBS interventions. In addition, portable digital drainage was associated with reduced early re-exploration for bleeding and lower postoperative AF. Immediately effective chest drainage is crucial to minimize RBS complications postoperatively. coronary disease active tube clearance chest tube management portable digital drainage postoperative atrial fibrillation re-exploration for bleeding retained blood syndrome true false true Angleški jezik Ni določen Članek v reviji 2025-04-02 13:37:17 2025-04-02 13:37:19 2025-04-03 04:02:37 0000-00-00 00:00:00 2025 0 0 Str. i9-i17 suppl. 1 Vol. 67 Mar. 2025 0000-00-00 Zaloznikova NiDoloceno NiDoloceno 0000-00-00 0000-00-00 2025-03-01 617:616.1 1010-7940 10.1093/ejcts/ezaf007 231182851 ezaf007.pdf ezaf007.pdf 1 63166DDF90633D6B3B4145450C0C218A d746bf9bcb9240cc819044722c623c06319478400636b4babb4b35c0d2eae889 6b6fad63-0fb6-11f0-b232-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=201307 https://academic.oup.com/ejcts/article/67/Supplement_1/i9/8099269 1 cb33cd33-0fb5-11f0-b232-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=201306 Zdravstvena fakulteta 0 0 0