Clinical Outcome and Risk Factors for Emergency Department Adult Patients with Thoracic Empyema after Video-Assisted Thoracic Surgical Procedure

Surgical Infections
Yuan-Ming TsaiTsai-Wang Huang

Abstract

Background: Empyema is a purulent infection of the pleural cavity that is most relevant to parapneumonia effusion. Video-assisted thoracoscopic surgery (VATS) is an option for stage 2 (fibrinopurulent) and stage 3 (organizational). Surgeons may see critically ill patients with pleural empyema who present to the emergency department (ED). The purpose of this work is to investigate the outcomes of ED adult patients with thoracic empyema undergoing a thoracoscopic surgical procedure and to identify possible risk factors for death. Methods: We reviewed retrospectively the clinical characteristics and treatment outcomes of patients with thoracic empyema who received this diagnosis at our center from January 2012 to June 2014. Patients <20 years old were excluded from this study. The prognostic values of age, sex, comorbidities, clinical presentations, location, stage, and laboratory examinations were evaluated. Uni-variable analysis and multi-variable modeling were performed to determine significant risk factors for post-operative death. Results: Seventeen of 160 patients died post-operatively. Two groups (survivors and non-survivors) significantly differed in age (p = 0.013), sex (p = 0.026), comorbidity (p = 0.017), cough (p ...Continue Reading

References

Jun 1, 1995·American Journal of Respiratory and Critical Care Medicine·J E HeffnerJ M DeLeo
Apr 1, 1996·QJM : Monthly Journal of the Association of Physicians·A D FergusonC R Swinburn
May 1, 1997·The European Respiratory Journal·H Hamm, R W Light
Jun 1, 1997·Chest·M A WaitA Dal Nogare
Jan 6, 1999·The Annals of Thoracic Surgery·A K MandalU Chettipally
Jun 28, 2001·The Annals of Thoracic Surgery·D A Waller, A Rengarajan
Aug 20, 2005·Journal of the American Geriatrics Society·Tzu-Hsiu TsaiPan-Chyr Yang
Nov 24, 2006·Surgical Endoscopy·L SolainiP Bagioni
Jan 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Farhood FarjahDavid R Flum
Jul 25, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas F Molnar
Apr 22, 2009·The Annals of Thoracic Surgery·Curtis J WozniakAlex G Little
Jul 28, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Giuseppe CardilloMassimo Martelli
Jan 8, 2010·Interactive Cardiovascular and Thoracic Surgery·Yousef ShahinAndrzej Majewski
Jan 26, 2012·PloS One·Daniel J B MarksAlimuddin I Zumla
Apr 29, 2014·Asian Cardiovascular & Thoracic Annals·Krishna S VyasJoseph B Zwischenberger
Mar 31, 2015·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Baofu ChenChengchu Zhu
Sep 14, 2015·Journal of the Chinese Medical Association : JCMA·Chien-Ho TsaiMei-Kang Yuan

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

Statistical Package for Social Sciences

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.