To compare flexible fiberoptic bronchoscopy (FFB) at a university teaching hospital and a community based hospital.
A retrospective review of FFB performed in a university teaching hospital and a community based hospital was done with comparison of indications and complications associated with this procedure.
A total of 358 FFB procedures were reviewed –181 at a university teaching hospital and 177 at a community based hospital. The age, gender, and smoking status of patients undergoing FFB in both hospitals did not differ significantly. The most common indications were the presence of a lung mass on chest radiograph (31.8% university versus 34.5% community hospital) and hemoptysis (24.0% university hospital versus 20.9% community hospital). Indications for FFB differed somewhat between hospitals with chronic cough being a more common indication in the community based hospital (12.4% versus 4.5% university hospital) and diffuse lung disease a more common indication in the university hospital (9.4% versus 2.3% community hospital). The bronchoscopy procedures differed with transbronchial biopsy performed more frequently at the university hospital (12.8%) than the community hospital (1.1%). Complications associated with FFB were low at both hospitals, with slightly higher complication rates at the community hospital (4.5% community hospital versus 2.7% university hospital).
The results suggest that except for small differences, the indications, conduct and complication rates associated with FFB are similar regardless of whether the procedure is undertaken at either a university teaching hospital or a community hospital.
There is no increase in the complication rate associated with FFB at a university teaching hospital where the procedure is often performed by supervised trainees in comparison with a community based hospital.
B. McNab, None.