Use of Jackson-Pratt drains in addition to standard chest tubes reduced cardiac tamponade incidence to 0.28% vs 1.78% (P=0.008) and atrial fibrillation to 9.2% vs 16.8% (P=0.039) after CABG.
Cohort (n=1,378)
No
Does the addition of Jackson-Pratt drains to standard thoracic drainage reduce postoperative complications such as cardiac tamponade and atrial fibrillation in patients undergoing primary CABG?
The addition of Jackson-Pratt drains to standard thoracic drainage after CABG significantly reduces the incidence of cardiac tamponade, reoperation, and postoperative atrial fibrillation.
Effect estimate: RR approximately 0.16 for cardiac tamponade
Absolute Event Rate: 0.28% vs 1.78%
p-value: p=0.008
The use of JP-D in conjunction with standard thoracic drainage after CABG was associated with improved postoperative outcomes, including reduced effusion-related complications and AF. These findings suggest potential benefits of JP-D in cardiac surgery, though prospective studies are warranted to confirm these results.
Yürük et al. (Thu,) conducted a cohort in Adults aged 18-75 undergoing primary coronary artery bypass grafting (CABG) without prior AF or additional cardiac procedures (n=1,378). Jackson-Pratt drain (JP-D) in addition to standard chest tube drains vs. Standard chest tube drains (CT-D) only was evaluated on Incidence of postoperative complications including cardiac tamponade, atrial fibrillation, reoperation, wound infection, and 30-day mortality (RR approximately 0.16 for cardiac tamponade, p=0.008). Use of Jackson-Pratt drains in addition to standard chest tubes reduced cardiac tamponade incidence to 0.28% vs 1.78% (P=0.008) and atrial fibrillation to 9.2% vs 16.8% (P=0.039) after CABG.