Paediatric empyema: worsening disease severity and challenges identifying patients at increased risk of repeat intervention.
Author / Expert
Archives of Disease in Childhood (Haggie S, Gunasekera H, Pandit C, Selvadurai H, Robinson P, Fitzgerald DA - curated by Josefina Saez SCHCP)
Topic overview
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
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