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Parapneumonic pleural effusion: reality and strategies in an Amazon university hospital

Claudia Giselle Santos Arêas1, Geraldo Roger Normando Júnior2, Orlando Sandoval Farias Júnior3

  • 1Health Sciences Institute, Federal University of Pará, Belém, Pará, Brazil.

Revista Do Colegio Brasileiro De Cirurgioes
|March 9, 2017
PubMed

Insights

Children with parapneumonic pleural effusion (PPE) often present with advanced disease and nutritional issues. Open thoracic drainage (OTD) is a viable treatment option in specific pediatric cases.

Area of Science:

  • Pediatric Surgery
  • Thoracic Medicine
  • Infectious Diseases

Background:

  • Parapneumonic pleural effusion (PPE) is a common pediatric condition.
  • Diagnostic and therapeutic limitations can complicate management.
  • Open thoracic drainage (OTD) is a surgical approach for complex cases.

Purpose of the Study:

  • To define the patient profile of children with PPE.
  • To analyze the postoperative outcomes of pediatric PPE cases.
  • To evaluate management strategies, including OTD, under challenging conditions.

Main Methods:

  • A prospective, analytical study of children with surgically addressed PPE.
  • Study conducted at an Amazon university hospital from October 2010 to October 2011.
  • Involved 46 pediatric patients.

Main Results:

  • Most patients (74%) were under three years old; 28% had inappropriate BMI.
  • Short stature was associated with worse outcomes (p=0.039).
  • Empyema was frequent (47.8%), leading to longer drainage (p=0.015); OTD was used in 24% with no deaths.

Conclusions:

  • Pediatric PPE patients often present with advanced disease and nutritional deficits, impacting outcomes.
  • Open thoracic drainage (OTD) is a valid therapeutic option for specific situations.
  • Further research is needed to confirm the role of OTD in pediatric PPE management.
Abstract

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