Outcome of parapneumonic empyema managed surgically or by fibrinolysis: a multicenter study.

ABSTRACT:

Background

Parapneumonic empyema (PPE) management remains debated. Here we present the outcome of a comparable population with PPE treated over a 4-year period in two Thoracic Surgery University Centers with different approaches: one with an early "surgical" and the other with a "fibrinolytic" approach.

Methods

All operable patients with PPE managed in both centers between January 2014 and January 2018 were reviewed. Patients with persistent pleural effusion/loculations following drainage were managed by a "surgical" approach in one center and by "fibrinolytic" approach in the other. For each patient, we recorded the age, sex, hospital stay, morbidity/mortality and change in pleural opacity on chest X-ray before and at the end of the treatment.

Results

During the stud

SUBMITTER: Federici S 

PROVIDER: S-EPMC8662487 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature