دورية أكاديمية
Indications and morbidity of tube thoracostomy performed for traumatic and non-traumatic free pleural effusions in a low-income setting
| العنوان: | Indications and morbidity of tube thoracostomy performed for traumatic and non-traumatic free pleural effusions in a low-income setting |
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| المؤلفون: | Alain Chichom Mefire, Marcus Fokou, Louis Din Dika |
| المصدر: | The Pan African Medical Journal, Vol 18, Iss 256 (2014) |
| بيانات النشر: | The Pan African Medical Journal, 2014. |
| سنة النشر: | 2014 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | tube thoracostomy, pleural effusion, traumatic, non-traumatic, indications, complications, Medicine |
| الوصف: | INTRODUCTION: Tube thoracostomy (TT) is widely used to resolve a number of pleural conditions. Few data are available on the complications of TT performed for non-traumatic conditions, especially in low income setting. The aim of this study is to analyse the indications and complications of TT performed for both traumatic and non-traumatic conditions of the chest in a low-income environment. METHODS: This retrospective study conducted over a four years period in a the Regional Hospital, Limbe in South-West Cameroon analyses the rate and nature of complications after TT performed for both traumatic and non-traumatic conditions. Different factors related to complications are analysed. RESULTS: We analysed 134 patients who had 186 chest tubes inserted. After placement, tubes were either connected to a water seal system (40%) or submitted to suction (60%). Most (91%) procedures were performed for a non-traumatic condition. Non-infectious pleural effusion in patients with HIV infection or pulmonary tuberculosis was the most common indication. Sixty six per-cents of procedures were carried out by a general surgeon. The complication rate was 19.35%. The most common complications included tube dislocation and pneumothorax. Most complications were solved by replacement of the tube. The nature of operator (general surgeon vs general practitioner) was a significant predictor of outcome (p=0.01). No procedure related death was recorded. CONCLUSION: TT is a safe and efficient procedure to drain pleural collections of both traumatic and non-traumatic origins, even in low-income settings. The incidence of complications could be reduced by a better training of general practitioners on this procedure. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English French |
| تدمد: | 1937-8688 90884124 |
| العلاقة: | https://www.panafrican-med-journal.com/content/article/18/256/pdf/256.pdfTest; https://doaj.org/toc/1937-8688Test |
| DOI: | 10.11604/pamj.2014.18.256.3963 |
| الوصول الحر: | https://doaj.org/article/40dce90884124e90905cd5f1e51e92bcTest |
| رقم الانضمام: | edsdoj.40dce90884124e90905cd5f1e51e92bc |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19378688 90884124 |
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| DOI: | 10.11604/pamj.2014.18.256.3963 |