Treatment of encapsulated pleural effusions in children: a prospective trial

Pediatrics International : Official Journal of the Japan Pediatric Society
Jiri KobrJaroslav Racek

Abstract

The aim of this study was to improve the efficacy of treatment of complicated pleural effusions. In this prospective study, 76 consecutive children (average age 5.0 +/- 4.14 years) fulfilling the required classification criteria were duly treated with chest tube placement and divided into two groups depending on the presence of encapsulated or non-encapsulated effusions. Treatment of the former group was supplemented by intrapleural fibrinolysis. The effectiveness of treatment was assessed in terms of chest tube dwell-time and total length of hospitalization. Regression analysis was performed using independent factors that were associated with these dependent factors. Value differences for P < 0.05 were considered significant. The ultrasound pleural distance and lactic-dehydrogenase content in the pleural fluid was significantly associated with the length of treatment (P < 0.01). Improved response to treatment, reduced duration of hospitalization (9.2 +/- 1.9 vs 11.5 +/- 0.9; P < 0.01) and tube dwell-time (7.6 +/- 1.3 vs 9.5 +/- 0.9; P < 0.01) was achieved in the intrapleural-fibrinolysis-treated group (n= 38) compared with controls (n= 38), with virtually the same total tube output (606.1 +/- 257.5 vs 673.1 +/- 347.4; P= 0.175...Continue Reading

References

Jan 28, 1998·American Journal of Respiratory and Critical Care Medicine·C W DaviesR J Davies
Aug 12, 2000·Journal of Paediatrics and Child Health·P W ChanR Dinwiddie
Nov 28, 2001·The Annals of Thoracic Surgery·D SchneiterW Weder
Jan 18, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Carrie L ByingtonMatthew H Samore
May 8, 2002·Thorax·UNKNOWN British Thoracic Society Standards of Care Committee
May 9, 2002·British Medical Bulletin·Susan King, Anne Thomson
Feb 4, 2003·Pediatrics·Naomi B BishopBruce M Greenwald
May 3, 2003·Thorax·R J O DaviesUNKNOWN Pleural Diseases Group, Standards of Care Committee, British Thoracic Society
Aug 2, 2003·Radiology·Robert G Wells, Peter L Havens
Dec 23, 2004·Respirology : Official Journal of the Asian Pacific Society of Respirology·Steven E MutsaersSteven Idell
Feb 1, 2005·Thorax·I M Balfour-LynnUNKNOWN Paediatric Pleural Diseases Subcommittee of the BTS Standards of Care Committee
Mar 5, 2005·The New England Journal of Medicine·Nicholas A MaskellUNKNOWN First Multicenter Intrapleural Sepsis Trial (MIST1) Group
Sep 25, 2007·Acta Paediatrica·Elina LahtiOlli Ruuskanen

❮ Previous
Next ❯

Citations

Sep 2, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·John S BradleyUNKNOWN Pediatric Infectious Diseases Society and the Infectious Diseases Society of America

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

European Journal of Pediatrics
Metin AydoğanEmin Sami Arisoy
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Gülşen EkingenUfuk Senel
Seminars in Thoracic and Cardiovascular Surgery
John A HawkinsG Peter Feola
© 2022 Meta ULC. All rights reserved