Pleural procedures: an audit of practice and complications in a regional Australian teaching hospital

Pleural procedures: an audit of practice and complications in a regional Australian teaching hospital

Background Pleural procedures are essential for the investigation and management of pleural disease and can be associated with significant morbidity and mortality. There is a lack of pleural procedure complication data in the Australian and New Zealand region. Aims To review pleural procedure practi...

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Bibliographic Details
Published in:Internal medicine journal Vol. 54; no. 1; pp. 172 - 177
Main Authors: Wen, Kevin Z., Brereton, Christopher J., Douglas, Eric M., Samuel, Sameh R. N., Jones, Andrew C.
Format: Journal Article
Language:English
Published: Melbourne John Wiley & Sons Australia, Ltd 01-01-2024
Wiley Subscription Services, Inc
Subjects:
Audits
Australia - epidemiology
Catheters, Indwelling - adverse effects
Chest
chest drains
complications
Hospitals, Teaching
Humans
indwelling pleural catheter
Medical records
Morbidity
Pain
Pleural Diseases - epidemiology
Pleural Diseases - therapy
Pleural Effusion - diagnostic imaging
Pleural Effusion - epidemiology
Pleural Effusion - therapy
Pleural Effusion, Malignant - etiology
pleural procedures
Pneumothorax
Retrospective Studies
Surgical drains
thoracocentesis
Thorax
Treatment Outcome
Australia
chest drains
thoracocentesis
complications
pleural procedures
indwelling pleural catheter
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Summary:Background Pleural procedures are essential for the investigation and management of pleural disease and can be associated with significant morbidity and mortality. There is a lack of pleural procedure complication data in the Australian and New Zealand region. Aims To review pleural procedure practices at Wollongong Hospital with an emphasis on the assessment of complications, use of thoracic ultrasound (TUS), pathology results and comparison of findings with international data. Methods Retrospective analysis of medical records was performed on pleural procedures identified through respiratory specialist trainee logbooks at Wollongong Hospital from January 2018 to December 2021. Comparison of complication rates was made to the British Thoracic Society 2011 a national pleural audit. Results One hundred and twenty‐one pleural procedures were identified. There were 71 chest drains, 49 thoracocentesis and one indwelling pleural catheter (IPC) insertion. Ninety‐seven per cent of procedures were performed for pleural effusions and 3% for pneumothorax. This audit demonstrated a complication rate (excluding pain) of 16.9% for chest drains and 4.1% for thoracocentesis. This gave an overall complication event rate of 10.8% (excluding pain) for pleural procedures. There was no major bleeding, organ puncture, pleural space infection or death. Bedside TUS was used in 99% of procedures. Conclusion Complication rates for pleural procedures performed by respiratory specialist trainees at Wollongong Hospital are comparable with international outcomes. This audit provides data for comparison on pleural procedure complication rates in Australia. Future studies are required to determine complication rates with IPCs.
Bibliography:Conflict of interest: None.
Funding: None.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1444-0903
1445-5994
DOI:10.1111/imj.16147