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The Dutch Pneumothorax Study: analogue versus digital drainage in PSP, a randomized trial

Marielle Blacha, Dieuwertje Ruigrok, Peter Kunst, Paul Bresser, Ben Tomlow, Wim Boersma, Jacobine Herbrink, Ivo Van Der Lee, Kris Mooren
European Respiratory Journal 2019 54: PA2017; DOI: 10.1183/13993003.congress-2019.PA2017
Marielle Blacha
1Spaarne Gasthuis, Haarlem, Netherlands
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  • For correspondence: marielleblacha@hotmail.com
Dieuwertje Ruigrok
1Spaarne Gasthuis, Haarlem, Netherlands
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Peter Kunst
2OLVG, Amsterdam, Netherlands
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Paul Bresser
2OLVG, Amsterdam, Netherlands
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Ben Tomlow
3Isala Klinieken, Zwolle, Netherlands
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Wim Boersma
4Noordwest Ziekenhuisgroep, Alkmaar, Netherlands
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Jacobine Herbrink
5van Weel-Bethesda Ziekenhuis, Dirksland, Netherlands
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Ivo Van Der Lee
1Spaarne Gasthuis, Haarlem, Netherlands
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Kris Mooren
1Spaarne Gasthuis, Haarlem, Netherlands
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Abstract

Patients with a primary spontaneous pneumothorax (PSP) who are treated with chest tube drainage are traditionally connected to an analogue chest drainage system, containing a water seal and using a visual method of monitoring air leakage. Electronic systems with continuous digital monitoring of air leakage provide better insight into actual air leakage and changes in time, which potentially leads to a shorter hospital stay.

We performed a randomized controlled trial comparing the digital with analogue system. In 102 patients enrolled with PSP we found no differences in total duration of chest tube drainage and hospital stay between the groups. Clinically relevant recurrence within twelve weeks occurred in 20% of patients in the analogue group versus 14% of patients in digital group, which was not a statistically significant difference. We defined a subgroup of uncomplicated pneumothorax subjects (n=83) which included patients without prolonged air leakage, thus those patients who did not need additional interventions like thoracoscopic pleurodesis or pleurectomy. In this subgroup a statistically significant decrease in duration of chest tube drainage was observed and therefore hospital stay was significantly shortened in the digital group (median 1 day versus 3 days in the analogue group). We conclude that in the subgroup of patients with PSP who could be treated with drainage only (uncomplicated PSP), digital drainage might be helpful in shortening hospital stay.

  • Pleura
  • RCT (Randomized Controlled Trial)

Footnotes

Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA2017.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2019
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The Dutch Pneumothorax Study: analogue versus digital drainage in PSP, a randomized trial
Marielle Blacha, Dieuwertje Ruigrok, Peter Kunst, Paul Bresser, Ben Tomlow, Wim Boersma, Jacobine Herbrink, Ivo Van Der Lee, Kris Mooren
European Respiratory Journal Sep 2019, 54 (suppl 63) PA2017; DOI: 10.1183/13993003.congress-2019.PA2017

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The Dutch Pneumothorax Study: analogue versus digital drainage in PSP, a randomized trial
Marielle Blacha, Dieuwertje Ruigrok, Peter Kunst, Paul Bresser, Ben Tomlow, Wim Boersma, Jacobine Herbrink, Ivo Van Der Lee, Kris Mooren
European Respiratory Journal Sep 2019, 54 (suppl 63) PA2017; DOI: 10.1183/13993003.congress-2019.PA2017
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