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Time to Percutaneous Drain Placement and Impact on Patient Outcomes
Tien Pham1, Jacob C O'Dell2, Jocelyn E Hunter Rose3
1School of Medicine, University of Kansas, Kansas City, Kansas, USA.
Surgical Infections
|March 11, 2025
Summary
For intra-abdominal infections, delaying percutaneous drain placement after imaging does not increase complication rates. This finding holds true even for critically ill patients, suggesting timely drainage is not linked to adverse outcomes.
Area of Science:
- Medical Imaging
- Infectious Diseases
- Interventional Radiology
Background:
- Percutaneous drains are standard for controlling intra-abdominal infections.
- The impact of delayed source control on outcomes is known, but its effect with percutaneous drainage is less understood.
Purpose of the Study:
- To investigate the association between time from diagnostic imaging to percutaneous drain placement and complication rates in patients with abdominal, retroperitoneal, or pelvic infections.
Main Methods:
- Retrospective analysis of 170 adult patients undergoing percutaneous drainage for infections (2020-2021).
- Data collected included demographics, comorbidities, and Sequential Organ Failure Assessment (SOFA) scores.
- Statistical analyses included univariate and logistic regression.
Main Results:
- 52% of patients (94/170) experienced complications.
- Median time from imaging to drain placement was 20.6 hours.
- No significant difference in time to drainage was observed between patients with and without complications.
Conclusions:
- In this study population, the time interval between imaging diagnosis and percutaneous drain placement was not associated with increased complication rates.
- This lack of association was consistent across all patients, including those with severe illness (SOFA score ≥ 3).
