Adverse events related to thoracentesis and chest tube insertion: evaluation of the national collection of subject safety incidents in Japan.
Adverse events
Chest tube insertion
Complications
Thoracentesis
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
16
10
2020
accepted:
07
12
2020
pubmed:
3
1
2021
medline:
14
4
2022
entrez:
2
1
2021
Statut:
ppublish
Résumé
Thoracentesis and chest tube insertion are procedures commonly performed in routine clinical practice and are considered mandatory skills for all physicians. Adverse events secondary to these procedures have been widely reported; however, epidemiology data concerning life-threatening events associated with these procedures are lacking. We retrospectively analyzed data from the Japan Council for Quality Health Care open database regarding subject safety incidents involving thoracentesis and chest tube insertion. The adverse events extracted from the database included only events associated with thoracentesis and chest tube insertion reported between January 2010 and April 2020. We identified 137 adverse events due to thoracentesis or chest tube insertion. Our analysis also revealed at least 15 fatal adverse events and 17 cases of left/right misalignment. Not only resident doctors but also physicians with 10 years or more of clinical experience had been mentioned in these reports. The most common complications due to adverse events were lung injury (55%), thoracic vascular injury (21%), and liver injury (10%). Surgical treatment was required for 43 (31%) of the 137 cases, and the mortality risk was significantly higher for thoracic vascular injury than for other complications (p = 0.02). We identified at least 15 fatal adverse events and 17 cases of left/right misalignment over a 10-year period in the Japan Council for Quality Health Care open database. Our findings also suggest that care should be taken to avoid thoracic vascular injury during chest tube insertion and that immediate intervention is required should such an injury occur.
Identifiants
pubmed: 33386863
doi: 10.1007/s00068-020-01575-y
pii: 10.1007/s00068-020-01575-y
pmc: PMC7775838
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
981-988Informations de copyright
© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.
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