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Related Experiment Videos

Lung function in children following empyema.

G J Redding1, L Walund, D Walund

  • 1Department of Pediatrics, University of Washington School of Medicine, Seattle 98195.

American Journal of Diseases of Children (1960)
|December 1, 1990
PubMed
Summary
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Children recovering from empyema (pleural infection) may experience mild airway obstruction, impacting lung function. This study found no restrictive changes but identified obstructive abnormalities in half of the participants.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Respiratory Medicine

Background:

  • Empyema, a serious pleural infection, can affect lung development and function in children.
  • Understanding the long-term respiratory sequelae of childhood empyema is crucial for effective management.
  • Previous studies have indicated potential impacts on lung function, but data on mild obstructive changes are less defined.

Purpose of the Study:

  • To evaluate the impact of childhood empyema on subsequent lung function and exercise response.
  • To compare lung function outcomes in children treated with and without chest tube drainage.
  • To identify the prevalence of restrictive and obstructive spirometric abnormalities post-empyema.

Main Methods:

  • Spirometry and exercise response testing were conducted in 15 children post-recovery from empyema.

Related Experiment Videos

  • Participants were categorized based on treatment: chest tube drainage versus no chest tube drainage.
  • Lung function parameters, including forced expiratory volume in 1 second (FEV1) and forced expiratory flow (FEF), were analyzed.

    • Main Results:

    • No children exhibited restrictive spirometric changes (total lung capacity or vital capacity <80% predicted).
    • Seven out of 15 children (47%) showed mild airway obstruction (FEV1 <80% or FEF <75% predicted).
    • Obstructive abnormalities were found equally in children treated with or without chest tubes, with no reduced exercise tolerance observed.

    Conclusions:

    • Childhood empyema can lead to mild, often asymptomatic, obstructive lung function abnormalities.
    • Chest tube drainage did not appear to influence the frequency of these mild obstructive changes.
    • Further research is warranted to understand the long-term clinical significance of these findings in pediatric populations.