Paediatric empyema: worsening disease severity and challenges identifying patients at increased risk of repeat intervention.
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In brief
In brief
Retrospective study of pediatric empyema cases (2011-2018) at an Australian tertiary hospital reveals increasing disease incidence and severity. Compares outcomes between chest drainage with fibrinolytic therapy versus VATS, examining factors associated with need for repeat intervention in this common pneumonia complication.
Written by the GCMD Library team from the article.
OBJECTIVE:
Empyema is the most common complication of pneumonia. Primary interventions include chest drainage and fibrinolytic therapy (CDF) or video-assisted thoracoscopic surgery (VATS). We describe disease trends, clinical outcomes and factors associated with reintervention.
DESIGN/SETTING/PATIENTS:
Retrospective cohort of paediatric empyema cases requiring drainage or surgical intervention, 2011-2018, admitted to a large Australian tertiary children's hospital.
RESULTS:
During the study, the incidence of empyema increased from 1.7/1000 to 7.1/1000 admissions (p