{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:27:08Z","timestamp":1787873228388,"version":"build-2784847793"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pleural procedures are essential for the investigation and management of pleural disease and can be associated with significant morbidity and mortality. There is a lack of pleural procedure complication data in the Australian and New Zealand region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To review pleural procedure practices at Wollongong Hospital with an emphasis on the assessment\u00a0of complications, use of thoracic ultrasound (TUS), pathology results and comparison of findings with international data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of medical records was performed on pleural procedures identified through respiratory specialist trainee logbooks at Wollongong Hospital from January 2018 to December 2021. Comparison of complication rates was made to the British Thoracic Society 2011 a national pleural audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and twenty\u2010one pleural procedures were identified. There were 71 chest drains, 49 thoracocentesis and one indwelling pleural catheter (IPC) insertion. Ninety\u2010seven per cent of procedures were performed for pleural effusions and 3% for pneumothorax. This audit demonstrated a complication rate (excluding pain) of 16.9% for chest drains and 4.1% for thoracocentesis. This gave an overall complication event rate of 10.8% (excluding pain) for pleural procedures. There was no major bleeding, organ puncture, pleural space infection or death. Bedside TUS was used in 99% of procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Complication rates for pleural procedures performed by respiratory specialist trainees at Wollongong Hospital are comparable with international outcomes. This audit provides data for comparison on pleural procedure complication rates in Australia. Future studies are required to determine complication rates with IPCs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16147","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T13:34:40Z","timestamp":1685540080000},"page":"172-177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Pleural procedures: an audit of practice and complications in a regional Australian teaching hospital"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4810-0259","authenticated-orcid":false,"given":"Kevin Z.","family":"Wen","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Wollongong Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8302-702X","authenticated-orcid":false,"given":"Christopher J.","family":"Brereton","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Wollongong Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Science, Medicine and Health University of Wollongong  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric M.","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Wollongong Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0132-7561","authenticated-orcid":false,"given":"Sameh R. N.","family":"Samuel","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Wollongong Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Science, Medicine and Health University of Wollongong  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Wollongong Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Science, Medicine and Health University of Wollongong  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1183\/2312508X.10022819"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013213"},{"key":"e_1_2_6_4_1","unstructured":"The Royal Australasian College of Physicians.Adult Respiratory Medicine Advanced Training Curriculum [Internet]. The Royal Australasian College of Physicians (RACP). 2013 [Updated 2013; Cited 2022 Jun 3]. Available from URL:https:\/\/www.racp.edu.au\/docs\/default-source\/trainees\/advanced-training\/respiratory-and-sleep-medicine\/respiratory-medicine-(adult-medicine)-advanced-training-program-curriculum.pdf?sfvrsn=d5c92c1a_4"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.08.026"},{"key":"e_1_2_6_6_1","first-page":"26","article-title":"Chest tube drainage of pleural effusions \u2013 an audit of current practice and complications at Hutt Hospital","volume":"125","author":"Epstein E","year":"2012","journal-title":"N Z Med J"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.137026"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2011-200077"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2013-204812"},{"key":"e_1_2_6_10_1","unstructured":"Queensland Government.Chest drain course for doctors CHEST [Internet]. Clinical Skills Development Service. [Cited 2022 Jun 3]. Available from URL:https:\/\/central.csds.qld.edu.au\/central\/courses\/135"},{"key":"e_1_2_6_11_1","article-title":"Interventions for the management of malignant pleural effusions: a network meta\u2010analysis","volume":"2016","author":"Clive AO","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_12_1","doi-asserted-by":"crossref","unstructured":"Respirology 2008 13 A study of the complications of small bore \u2018Seldinger\u2019 intercostal chest drains","DOI":"10.1111\/j.1440-1843.2008.01296.x"},{"key":"e_1_2_6_13_1","unstructured":"Agency for Clinical Innovation.Consensus Guideline Pleural Drains in Adults [Internet]. ACI Respiratory Network; 2016. [Updated 2016; Cited 2023 Jan 25]. Available from URL:https:\/\/aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0018\/201906\/PleuralDrains_Guideline-021116.pdf"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0000000000000285"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-206114"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jor1020014"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.04.160"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201807-1415ST"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.16147","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T03:14:39Z","timestamp":1706152479000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.16147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,16]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/imj.16147"],"URL":"https:\/\/doi.org\/10.1111\/imj.16147","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,16]]},"assertion":[{"value":"2023-03-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}