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Postgrad Med J 75:471-474 doi:10.1136/pgmj.75.886.471
  • Clinical audit

A regional survey of chest drains: evidence-based practice?

Table 2

 Specialties of the consultant responders. Responses to sections D and E of the survey

Questions CTS CM A&E GS p value
Yes No Abstain Yes No Abstain Yes No Abstain Yes No Abstain
Section D - drain removal
Further confirmation after air leak stops? 35.7 57.1 7.1 28.0 72.0 0.0 0.0 53.8 46.2 7.1 87.5 5.4 0.009
Routine chest radiograph? 14.3 78.6 7.1 36.0 64.0 0.0 38.5 7.7 38.5 78.6 17.9 3.6 <0.001
Duration (days) of air leak to prompt further action?2-150 9.6 +/− 1.5  (78.6%) 5.8 +/− 0.6 (96.0%) 1+/−1 (15.4%) 4.7 +/− 0.4 (70.2%)  0.001
Daily drainage (ml) allowed before drain removal2-150 98.9 +/− 22.5 (85.7%) 83.4 +/− 11.5 (68%) 86.7 +/− 41 (23.1%) 69+/−8.6 (63.2%)  0.35
Section E - drain removal technique
Suction during removal? 28.6 57.1 14.3 4.0 96.0 0.0 0.0 46.2 53.8 10.7 83.9 5.4 0.05
Valsalva manoeuvre? 57.1 28.6 14.3 36.0 64.0 0.0 23.1 23.1 53.8 69.6 26.8 3.6 0.02
  • Results are expressed as percentages of those who responded per specialty. CTS = Cardiothoracic Surgery, CM = Chest Medicine, A&E = Accident and Emergency, GS = General Surgery.

  • 2-150 Results are expressed as mean +/− SEM per specialty and numbers in brackets indicate the response rates. The p values relate to comparisons of positive responses (Yes) between the specialties.

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