Assessment of Post-Procedure Complications Following Chest Tube Drainage in Pleural Effusion Patients: An Observational Retrospective Study

Authors

  • Rejina Shahi Department of Pulmonary, Critical Care & Sleep Medicine, B.P. Koirala Institute of Health Sciences, Nepal https://orcid.org/0000-0002-4158-1484
  • Augraj Uprety Department of Pulmonary, Critical Care & Sleep Medicine, B.P. Koirala Institute of Health Sciences, Nepal
  • Prakash Aryal Department of Pulmonary, Critical Care & Sleep Medicine, B.P. Koirala Institute of Health Sciences, Nepal
  • Kum Bahadur Gurung Department of Pulmonary, Critical Care & Sleep Medicine, B.P. Koirala Institute of Health Sciences, Nepal
  • Srijan Pantha Department of Pulmonary, Critical Care & Sleep Medicine, B.P. Koirala Institute of Health Sciences, Nepal
  • Avatar Verma Department of Pulmonary, Critical Care & Sleep Medicine, National Academy of Medical Sciences, Nepal
  • Gunjan Regmi Department of Anesthesiology and Critical Care, Birat Medical College and Teaching Hospital, Nepal
  • Deebya Raj Mishra Department of Pulmonary, Critical Care & Sleep Medicine, B.P. Koirala Institute of Health Sciences, Nepal
  • Narendra Bhatta Department of Pulmonary, Critical Care & Sleep Medicine, B.P. Koirala Institute of Health Sciences, Nepal

DOI:

https://doi.org/10.3126/jbpkihs.v7i2.68882

Keywords:

Chest tube drainage, Patient outcomes, Pleural effusion, Post- procedure complications

Abstract

Background: Pleural effusion is common in routine medical practice due to various underlying diseases. Chest tube drainage is a common therapeutic intervention for managing pleural effusion. Despite being an effective procedure, it carries the risk of multiple complications, which can significantly impact patient outcomes. This study aims to determine the incidence and different types of post-procedure complications following chest tube drainage in patients with pleural effusion.

Methods: We conducted an observational retrospective study at the department of Pulmonary, Critical Care and Sleep Medicine at B P Koirala Institute of Health Sciences, reviewing medical records of patients who underwent chest tube drainage for pleural effusion fulfilling the inclusion criteria from June 1, 2023, to May 31, 2024. Data collected included patient baseline characteristics, clinical symptoms, procedural details, and post-procedure outcomes. The primary outcome measures were the incidence and types of complications after chest tube drainage in patients with pleural effusion.

Results: A total of 55 patients were included in the study; a majority of patients 65.5%, were male and of total patients 61.8% were smoker. The most common clinical presentation were shortness of breath 74%, cough 72.7% and chest pain 43.6%. The common complications observed were pain 27.2%, tube blockage 10.9%, subcutaneous emphysema 10.9%, site infection 5.45%, bleeding 3.6% and pneumothorax 3.6%.

Conclusion: Chest tube drainage for the management of pleural effusion is associated with a significant risk of immediate and delayed complications. Understanding the frequency and types of these complications can inform clinical practice and improve patient outcomes.

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Published

2024-12-31

How to Cite

Shahi, R., Uprety, A., Aryal, P., Gurung, K. B., Pantha, S., Verma, A., … Bhatta, N. (2024). Assessment of Post-Procedure Complications Following Chest Tube Drainage in Pleural Effusion Patients: An Observational Retrospective Study. Journal of BP Koirala Institute of Health Sciences, 7(2), 4–9. https://doi.org/10.3126/jbpkihs.v7i2.68882

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Original Articles