Radiological catheter drainage of abscesses in children

Chennapragada, S. Murthy; Prelog, Kristina; Wong, C K F

doi:10.1080/02841850600776816

Cited by 4 publications

(6 citation statements)

References 22 publications

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“…These include standardizing US scanning technique, 23 establishing clinical pathways that combine US with laboratory data to improve diagnostic accuracy, 24 and developing training and credentialing programs to enhance the US capabilities of existing personnel 25 . With respect to justifying use of US in this cohort, the efficacy of US in guiding percutaneous drainage of intra-abdominal abscesses in children has been reported to be between 85% and 90%, comparable to rates reported for CT-guided drainage 26–28 . As such, the Society of Interventional Radiology recommends for the percutaneous drainage of abscesses in children that US should be used whenever possible to spare potential radiation exposure, including substituting US for CT where feasible 29 .…”

Section: Discussionmentioning

confidence: 93%

“…25 With respect to justifying use of US in this cohort, the efficacy of US in guiding percutaneous drainage of intra-abdominal abscesses in children has been reported to be between 85% and 90%, comparable to rates reported for CT-guided drainage. [26][27][28] of abscesses in children that US should be used whenever possible to spare potential radiation exposure, including substituting US for CT where feasible. 29 The number of patients in this study successfully diagnosed (and percutaneously drained) with US alone represents a proof of concept of this approach, and it is noteworthy that the 2 hospitals with the highest CT-associated DER were also positive outliers in use of US as the first-line imaging modality.…”

Section: Discussionmentioning

confidence: 99%

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Utilization and Performance Benchmarking for Postoperative Imaging in Children With Complicated Appendicitis

Kashtan

Rangel

2020

Annals of Surgery

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Objective: The aim of this study was to characterize hospital-level variation and establish diagnostic performance benchmarks for postoperative imaging in children with complicated appendicitis. Summary Background Data: Wide variation in preoperative imaging in children with suspected appendicitis has been previously described. Variation in the use and accuracy of postoperative imaging to diagnose suspected organ space infection (OSI) following appendectomy has not been characterized. Methods: Multicenter retrospective analysis of children who underwent appendectomy for complicated appendicitis using data from the NSQIP-Pediatric Appendectomy Pilot Collaborative. Resource utilization measures included rates of postoperative imaging [ultrasound (US) and computed tomography (CT)] and imaging-associated diagnostic efficiency ratio (DER; number of OSIs diagnosed/study obtained). Radiation stewardship measures included US utilization process measures (rate of US as the initial diagnostic study and rate of CTs preceded by an attempt at US) and CTassociated DER. Hospital-level observed-to-expected ratios (O/Es) were calculated for each measure after adjusting for demographic characteristics and disease severity using multivariable regression. Results: A total of 1316 patients from 20 hospitals were included. Overall, 18.3% of patients underwent postoperative imaging (hospital range: 4.8%-33.3%), and O/Es varied 3.5-fold among hospitals (P < 0.01). The overall imaging-associated DER was 0.56 OSIs/study (hospital range: 0-1.00), and O/Es varied 2.7-fold among hospitals (P < 0.01). Significant variation was also observed for US as the initial diagnostic study (overall: 41.5%; O/E range: 0.40-2.01, P < 0.01), CTs preceded by US (overall: 27.3%; O/E range: 0-3.66, P < 0.01), and CT-associated DER (overall: 0.69 OSI's/CT; O/E range: 0-1.80, P < 0.01). Fifty percent of hospitals were a statistical outlier on at least 1 measure. Conclusion: Significant variation exists across hospitals in imaging practices to diagnose suspected OSI following appendectomy. Imaging utilization benchmarking may assist hospitals in prioritizing quality improvement efforts to optimize resource utilization and radiation stewardship.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Utilization and Performance Benchmarking for Postoperative Imaging in Children With Complicated Appendicitis

Kashtan

Rangel

2020

Annals of Surgery

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“…Imaging-guided percutaneous aspiration or drainage using sonographic guidance was first reported in 1974 in adults and now has been applied in children [6][7][8][9][10][11][12]. Tan et al [22] reported a series of six cases, three of whom were solitary abscesses that were treated by open drainage in two and antibiotics alone in one with good results.…”

Section: Discussionmentioning

confidence: 99%

Imaging-Guided Percutaneous Needle Aspiration or Catheter Drainage of Neonatal Liver Abscesses: 14-Year Experience

Lee

Tomlinson²,

Temple³

et al. 2008

American Journal of Roentgenology

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“…PD pavyksta pagydyti apie 90% ligoniø. Klinikinis pagerëjimas bûna po 2-3 parø: iðnyksta sepsio simptomai, sumaþëja iðskyrø pro drenà, darinio tûris [2,15,18].…”

Section: Abstract: Abdominal Abscess Percutaneous Drainageunclassified

“…Bakteriologiniame pasëlyje mikrobai iðaugo 44 atvejais (70,9%). Vidutinë drenavimo trukmë -17,7 paros (perkutaninio drenavimo trukmë, literatûros duomenimis, yra 14-21 para) [2,15]…”

Section: Diskusijaunclassified

Pilvo ertmės pūlinių gydymas perkutaniniu drenavimu

Radziminskas¹,

Razbadauskas²,

Paserbskis³

2007

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Ávadas / tikslasPilvo ertmës pûliniai -daþna chirurginë patologija, pasiþyminti diagnostikos ir gydymo ypatumais. Mûsø darbo tikslaiávertinti perkutaninio drenavimo operacijø rezultatus gydant ðià patologijà; propaguoti ðias minimaliai invazinës chirurgijos operacijas. Darbe apþvelgti literatûros duomenys ir Klaipëdos jûrininkø ligoninës patirtis. Ligoniai ir metodaiRetrospektyviai iðnagrinëtos 62 ligoniø, sirgusiø pilvo ertmës pûliniais ir 1996-2006 metais gydytø Klaipëdos jûrininkø ligoninëje perkutaninio drenavimo operacijomis, ligos istorijos. Vëlyvieji rezultatai vertinti remiantis ligoniø ambulatorinës stebësenos duomenimis. RezultataiKlaipëdos jûrininkø ligoninës abdominalinës chirurgijos skyriuje 1996-2006 m. perkutaninio drenavimo operacijomis gydyti 62 ligoniai, sergantys pilvo ertmës pûliniais. Minëta patologija buvo diagnozuota remiantis anamneze, medicininës apþiûros, vidaus organø echoskopijos, kompiuterinës tomografijos, laboratoriniø tyrimø duomenimis. Atliktos 74 operacijos, kontroliuojamos echoskopu: 72 perkutaninio drenavimo operacijos ir 2 punkcijos. Stacionarinio gydymo vidutinë trukmë -27,1 paros. Pavyko pagydyti 93,5% ligoniø. Mirë viena ligonë (1,6%), mirtis nesusijusi su perkutaninio drenavimo operacija. Pûlinio ertmës nepavyko drenuoti vienam ligoniui. Du ligoniai vëliau operuoti dël nepakankamo drenavimo -atliktos atviros chirurginës operacijos. Keturiems ligoniams buvo komplikacijø (6,5%): trims drenas migravo ið pûlinio ertmës ir jiems atliktos pakartotinës perkutaninio drenavimo operacijos, vienam ligoniui drenuojant buvo paþeista storoji þarna. Vienam ligoniui (1,6%) punkcijos metu diagnozuota infekuota kasos nekrozë ir jam buvo atlikta atvira nekrektomija. IðvadosPerkutaninio drenavimo operacijos -pirmo pasirinkimo bûdas gydant pilvo ertmës pûlinius.Pagrindiniai þodþiai: pilvo ertmës pûliniai, perkutaninis drenavimas

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Radiological catheter drainage of abscesses in children

Cited by 4 publications

References 22 publications

Utilization and Performance Benchmarking for Postoperative Imaging in Children With Complicated Appendicitis

Utilization and Performance Benchmarking for Postoperative Imaging in Children With Complicated Appendicitis

Imaging-Guided Percutaneous Needle Aspiration or Catheter Drainage of Neonatal Liver Abscesses: 14-Year Experience

Pilvo ertmės pūlinių gydymas perkutaniniu drenavimu

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