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Posterior Pericardial Drainage in Patients with Heart Surgery

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Last updated: 24 Dec 2024

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Abstract

Aim of the Study: To assess the merits and demerits of posterior pericardial drainage in patients undergoing heart surgery. Materials and Methods: A systematic review and meta-analysis of observational studies and randomized  controlled trials was conducted. We searched for relevant trials in the Cochrane Library, MEDLINE (from 1980), Embase from 1970 the Transfusion Evidence Library from 1980, and ongoing trial databases; all searches current to 30 September 2017. Results: The search yielded Sixteen randomized controlled trials which included 2755 patients. Results revealed that Posterior pericardial drainage was associated with a significant 90% reduction of the odds of cardiac tamponade versus the control group: (OR 95% confidence interval) 0.13; P < 0.001. The ORs of death or cardiac arrest were significantly decreased by approximately 50% in the posterior pericardial drainage group compared to controls:  OR (95% CI): 0.47, P = .028; I2 = 0% Conclusion: Posterior pericardial drainage has been reported in the literature to significantly reduce the prevalence of early pericardial effusion as well as cardiac tamponade. A significant enhanced survival rate was recorded  postcardiac surgery.  

Keywords

posterior pericardiotomy, systematic review, atrial fibrillation, cardiac tamponade, coronary artery bypass grafting, pericardial effusion

Authors

First Name

Yazid Ali M

Last Name

Algadhi

MiddleName

-

Affiliation

King Khalid University

Email

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City

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Orcid

-

First Name

Abdullah Mohammed Ibrahim

Last Name

Mosa

MiddleName

-

Affiliation

King Khalid University

Email

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City

-

Orcid

-

First Name

Ibrahim MohammedMahdi

Last Name

Khayyat

MiddleName

-

Affiliation

King Saud University

Email

-

City

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Orcid

-

First Name

Mohammed Baqer

Last Name

Al Khalaf

MiddleName

-

Affiliation

King Faisal University

Email

-

City

-

Orcid

-

First Name

Mohammad Noor

Last Name

Qadrouh

MiddleName

-

Affiliation

Maastricht University

Email

-

City

-

Orcid

-

First Name

Badr Fouad H

Last Name

Mogharbel

MiddleName

-

Affiliation

King Faisal University

Email

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City

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Orcid

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First Name

Raed Saleh G

Last Name

Alanazi

MiddleName

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Affiliation

Qassim University

Email

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City

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Orcid

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First Name

Alsuhaymi Zuhair

Last Name

Hamdan A

MiddleName

-

Affiliation

Mikhwah General Hospital

Email

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City

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Orcid

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First Name

Khalid Saeed Ahmed

Last Name

Alghamdi

MiddleName

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Affiliation

Al Baha University

Email

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City

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Orcid

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First Name

Mojahid Ibrahim H

Last Name

Ghazi

MiddleName

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Affiliation

University Of Jeddah

Email

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City

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Orcid

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First Name

Tamanni Muhsen M.

Last Name

Alghamdi

MiddleName

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Affiliation

King Abdulaziz Hospital

Email

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City

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Orcid

-

First Name

Afnan Hedian M

Last Name

Alsofyani

MiddleName

-

Affiliation

Taif University

Email

-

City

-

Orcid

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Volume

69

Article Issue

8

Related Issue

2381

Issue Date

2017-10-01

Receive Date

2018-09-05

Publish Date

2017-10-01

Page Start

3,003

Page End

3,010

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 69_Issue 8_Pages 3003-3010.pdf

PDF . 476.7kB

Link

https://ejhm.journals.ekb.eg/article_12714.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=12714

Order

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Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Posterior Pericardial Drainage in Patients with Heart Surgery

Details

Type

Article

Created At

22 Jan 2023