دورية أكاديمية
أعرض في EDS

Which Criterion for Wound Drain Removal is Better Following Posterior 1-Level or 2-Level Lumbar Fusion With Instrumentation: Time Driven or Output Driven?

التفاصيل البيبلوغرافية
العنوان: Which Criterion for Wound Drain Removal is Better Following Posterior 1-Level or 2-Level Lumbar Fusion With Instrumentation: Time Driven or Output Driven?
المؤلفون: Shi H; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China., Huang ZH; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China., Huang Y; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China., Zhu L; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China., Jiang ZL; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China., Wang YT; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China., Xie ZY; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China., Wu XT; Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China.
المصدر: Global spine journal [Global Spine J] 2023 May; Vol. 13 (4), pp. 1017-1023. Date of Electronic Publication: 2021 May 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: England NLM ID: 101596156 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2192-5682 (Print) Linking ISSN: 21925682 NLM ISO Abbreviation: Global Spine J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2017- : London : SAGE Publications
Original Publication: New York, NY : Thieme Medical Publishers
مستخلص: Study Design: Case-control study.
Objectives: To compare the outcomes of 2 different criteria (time driven and output driven) for wound drain removal and identify which one is better.
Methods: 743 patients who underwent posterior lumbar fusion with instrumentation involving 1 or 2 motion segments were enrolled in this study. Based on the different criteria for drain removal, the patients were divided into 2 groups. The drains were discontinued by time driven (postoperative day 2) in group I and output driven (<50 ml per day) in group II. Demographic characteristics, perioperative parameters and clinical outcomes were compared between the 2 groups.
Results: The demographic characteristics in both groups were comparable. The postoperative drain output, total blood loss, postoperative timing of ambulation, and postoperative duration of hospital stay in group I were lower than those in group II ( P < 0.001). There was a higher proportion of patients requiring postoperative blood transfusion in group II, but not to a level of statistical significance ( P = 0.054). There was no statistical significant difference in the incidence of surgical site infection (SSI) or symptomatic spinal epidural hematoma (SEH) between the 2 groups ( P > 0.05).
Conclusions: This study reveals that there are more benefits of wound drain removal by time driven than that by output driven for patients undergoing posterior 1-level or 2-level lumbar fusion with instrumentation, including less postoperative drain output, less total blood loss, earlier postoperative timing of ambulation and less postoperative duration of hospital stay without increasing the incidence of postoperative SSI or symptomatic SEH.
References: Spine (Phila Pa 1976). 2018 May 15;43(10):732-737. (PMID: 28922276)
Infect Control Hosp Epidemiol. 2017 Mar;38(3):340-347. (PMID: 27989249)
J Bone Joint Surg Am. 2019 Oct 2;101(19):1732-1740. (PMID: 31577678)
J Clin Neurosci. 2015 Jul;22(7):1081-7. (PMID: 25818940)
Spine (Phila Pa 1976). 2004 May 15;29(10):1066-8. (PMID: 15131430)
Clin Infect Dis. 2011 Oct;53(7):686-92. (PMID: 21890772)
Eur Spine J. 2017 Oct;26(10):2606-2615. (PMID: 28597302)
Spine (Phila Pa 1976). 2012 May 15;37(11):966-73. (PMID: 22037527)
J Neurosurg Spine. 2011 Aug;15(2):202-5. (PMID: 21529204)
Eur Spine J. 2013 Mar;22(3):577-83. (PMID: 23001449)
Eur Spine J. 2005 May;14(4):409-14. (PMID: 15526220)
Clin Orthop Relat Res. 2010 Oct;468(10):2690-4. (PMID: 20091386)
Int Orthop. 2004 Oct;28(5):311-4. (PMID: 15316674)
Spine (Phila Pa 1976). 2017 Dec 1;42(23):1779-1784. (PMID: 28542107)
Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952. (PMID: 11074683)
World Neurosurg. 2012 Mar-Apr;77(3-4):564-8. (PMID: 22120372)
Spine (Phila Pa 1976). 2013 Nov 1;38(23):E1498-502. (PMID: 23873245)
Eur Spine J. 2016 Mar;25(3):708-15. (PMID: 25662908)
J Spinal Disord Tech. 2003 Dec;16(6):508-12. (PMID: 14657746)
Eur Spine J. 2019 Jan;28(1):146-154. (PMID: 30311037)
Eur Spine J. 2015 Feb;24(2):348-57. (PMID: 24760464)
Eur Spine J. 2017 Mar;26(3):733-737. (PMID: 27344569)
Am J Infect Control. 1999 Apr;27(2):97-132; quiz 133-4; discussion 96. (PMID: 10196487)
J Arthroplasty. 2011 Oct;26(7):1100-5.e1. (PMID: 21256705)
Spine J. 2020 Mar;20(3):435-447. (PMID: 31557586)
فهرسة مساهمة: Keywords: output driven; surgical site infection; symptomatic spinal epidural hematoma; time driven; wound drain removal
تواريخ الأحداث: Date Created: 20210504 Latest Revision: 20230519
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10189342
DOI: 10.1177/21925682211013770
PMID: 33942663
قاعدة البيانات: MEDLINE
الوصف
تدمد:2192-5682
DOI:10.1177/21925682211013770