Briones Richard C, Briones Marla Vina A, Cruz Kathleen S, Dongaban Realyb B
Bicol Medical Center, Naga City, Camarines Sur, Philippines.
Naga City, Camarines Sur, Philippines.
Acta Med Philipp. 2025 Jun 13;59(7):45-54. doi: 10.47895/amp.vi0.9493. eCollection 2025.
Closed tube thoracostomy is one of the most common hospital procedures known for its effectivity and safety; however, complications may occur, leading to poor patient outcomes. To date, the burden of morbidity among patients who underwent closed tube thoracostomy in the Philippines remains unknown. Therefore, this study aims to determine the in-hospital morbidity rate among patients who underwent closed tube thoracostomy in a tertiary government hospital.
This is a descriptive cross-sectional study of admitted patients who underwent closed tube thoracostomy at Bicol Medical Center from 2015 to 2020. Data were collected by reviewing medical charts.
A total of 376 patients were included in the study. Morbidity rate was 15.16% (95% CI: 11.69-19.19%), and majority were due to improper chest tube placement. Compared to those without complications, a higher proportion of patients with complications had pleural effusion and had chest tube failure (both p≤0.05). The median operative time was also significantly longer in patients with complications compared to those without complications (p=0.0012). Mortality was significantly lower in patients with complications than those without complications. Total and postoperative length of stay were significantly longer in patients with complications than those without complications (p<0.00001).
Complications after closed tube thoracostomy are common. Across all variables analyzed, only indication of chest tube insertion, operative time, and occurrence of chest tube failure were found to differ between patients with and without complications. Moreover, patients with complications had longer length of stay than those without. Reducing positional tube complications may help decrease in-hospital morbidity.
闭式胸腔引流术是最常见的医院操作之一，以其有效性和安全性著称；然而，仍可能发生并发症，导致患者预后不佳。迄今为止，菲律宾接受闭式胸腔引流术患者的发病负担仍不明确。因此，本研究旨在确定在一家三级政府医院接受闭式胸腔引流术患者的院内发病率。
这是一项对2015年至2020年在比科尔医疗中心接受闭式胸腔引流术的住院患者进行的描述性横断面研究。通过查阅病历收集数据。
本研究共纳入376例患者。发病率为15.16%（95%置信区间：11.69 - 19.19%），多数原因是胸腔闭式引流管放置不当。与无并发症的患者相比，有并发症的患者中胸腔积液和胸腔闭式引流管失败的比例更高（均p≤0.05）。有并发症的患者中位手术时间也显著长于无并发症的患者（p = 0.0012）。有并发症的患者死亡率显著低于无并发症的患者。有并发症的患者总住院时间和术后住院时间均显著长于无并发症的患者（p < 0.00001）。
闭式胸腔引流术后并发症很常见。在所有分析的变量中，仅发现胸腔闭式引流管插入指征、手术时间和胸腔闭式引流管失败的发生率在有并发症和无并发症的患者之间存在差异。此外，有并发症的患者住院时间比无并发症的患者更长。减少引流管位置相关并发症可能有助于降低院内发病率。
