Low diffusion capacity of the lung predicts pneumothorax and chest drainage after CT-guided lung biopsy

BMC Research Notes

Research Note

Haseem Ashraf¹  Espen Asak Ruud¹  Jon Terje Geitung¹  Sigurd Heck²  Vidar Søyseth³  Knut Stavem³ 

[1] Department of Imaging, Akershus University Hospital, University of Oslo, Sykehusveien 25, 1478, LØrenskog, Norway;University of Oslo, Oslo, Norway;University of Oslo, Oslo, Norway;University of Oslo, Oslo, Norway;Department of Pulmonary Medicine, Akershus University Hospital, Lørenskog, Norway;

关键词: CT-guided lung biopsy;    Chest tube;    Diffusion capacity;    Lung function;    Pneumothorax;    Multivariable analysis.;   

DOI  :  10.1186/s13104-022-06234-6

 received in 2022-08-15, accepted in 2022-10-07,  发布年份 2022

来源: Springer

【 摘 要 】

ObjectivesComplications after CT-guided lung biopsy is a burden both for the individual patient and for the overall healthcare. Pneumothorax is the most common complication. This study determined the association between lung function tests and pneumothorax and chest drainage following CT-guided lung biopsy in consecutive patients in a large university hospital.ResultsWe prospectively registered 875 biopsy procedures from 786 patients in one institution from January 27th 2012 to March 1st 2017 and recorded complications including pneumothorax with or without chest drainage. Lung function data from 637 patients undergoing 710 of the procedures were available. The association of lung function measures with pneumothorax with or without chest drainage was assessed using multivariable logistic regression analyses. Diffusion capacity for carbon monoxide (DLCO) below 4.70 mmol/min/kPa was associated with increased occurrence of pneumothorax and chest drainage after CT guided lung biopsy. We found no association between FEV1, RV and occurrence of pneumothorax and chest drainage. We found low DLCO to be a risk factor of pneumothorax and chest drainage after CT-guided lung biopsy. This should be taken into account in planning and performing the procedure.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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