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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Complications in Endoscopic Sinus Surgery: A TriNetX Network Analysis.

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Endoscopic sinus surgery (ESS) has low complication rates, but hemorrhage and emergency visits are increasing. Demographic factors influence risks, with meningitis rates declining over two decades.

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Area of Science:

  • Otolaryngology
  • Surgical Outcomes Research
  • Health Informatics

Background:

  • Endoscopic sinus surgery (ESS) is a common procedure with potential complications.
  • Understanding complication rates and trends is crucial for patient safety and surgical practice.

Purpose of the Study:

  • To analyze complication rates following ESS.
  • To identify demographic variations in complication risks.
  • To examine temporal trends in ESS-related complications.

Main Methods:

  • Utilized the TriNetX network to identify 127,333 patients undergoing ESS (2005-2024).
  • Analyzed diagnosis and procedural codes for complications like epistaxis, CSF leak, meningitis, and orbital injury.
  • Calculated complication rates, assessed relative risks for demographic factors, and used joinpoint regression for trend analysis.

Main Results:

  • Overall complication rates were low: CSF leak (0.28%), meningitis (0.24%), orbital (2.09%), and hemorrhage requiring intervention (2.27%).
  • Significant temporal trends observed: decreasing meningitis rates (APC -3.42%), increasing hemorrhage (APC 3.0%), and increasing 30-day ED visits (APC 5.43%).
  • Demographic differences in complication rates noted for sex, age, and race/ethnicity (p < 0.05).

Conclusions:

  • ESS complication rates show demographic variations.
  • While most complication rates remain stable, hemorrhage and emergency visits are increasing.
  • Meningitis rates have decreased, suggesting improvements in managing this specific complication.