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Predictive Factors of Pulmonary Hydatid Complications in Children
Nahla Kechiche1, Arije Zouaoui1, Asma Ben Cheikh2
1Pediatric Surgery Department, University Hospital of Monastir, University of Monastir, Tunisia.
Insights
Pediatric pulmonary hydatid cyst complications are frequent. This study identified key pre- and post-operative predictive factors, including rural origin and fever, to improve management and reduce child morbidity.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Parasitology
Background:
- Pulmonary echinococcosis (hydatid cyst) in children often leads to severe complications.
- Identifying predictive factors for complications is crucial for effective management.
Purpose of the Study:
- To determine predictive factors for pre- and post-operative complications in pediatric pulmonary hydatid cysts.
Main Methods:
- Retrospective descriptive and analytic study (2010-2018).
- Two groups analyzed to identify predictive factors for complications.
- Statistical analysis using IBM SPSS 21.0 with a significance level of p < 0.05.
Main Results:
- 138 patients (69%) presented with complicated pulmonary hydatid cysts preoperatively.
- Independent pre-operative factors: rural area, fever, right-sided location, positive hydatid serology.
- Independent post-operative factors: not performing capitonnage, solitary cyst.
Conclusions:
- Understanding independent predictive factors for complications is essential for managing pediatric pulmonary hydatid cysts.
- This knowledge can help reduce morbidity in affected children.
Background:
Pulmonary echinococcosis in children has frequent and severe complications. The aim of our study was to determine predictive factors of pre and postoperative complications of pediatric pulmonary hydatid cyst.
Methods:
We conducted a retrospective descriptive and analytic study conducted from January 2010 to December 2018. The study population was divided into two groups to determine predictive factors of pre- and post-operative complications of pediatric pulmonary echinococcosis. Data were analyzed by IBM SPSS 21.0. A p-value of 0.05 was accepted as significant.
Results:
The study included 106 boys and 94 girls with a median age of 8 years. One hundred and thirty-eight patients (69%) had complicated pulmonary hydatid cyst preoperatively. Univariate analysis identified 12 predictive factors of pre-operative complications: rural origin (p = 0.0001), hydatid contact (p < 0.001), long period between the onset of symptoms and the first medical consultation (p = 0.0001), the autumn and the winter (cold seasons) (p = 0.0001), chest pain (p = 0.0001), hemoptysis (p = 0.023), fever (p = 0.0001), right side (p = 0.01), apical and para hilar location (p = 0.01), superior lobe (p = 0.05), superior right lobe (p = 0.0001), cyst size>5 cm (p = 0.02), positive hydatid serology (p < 0.0001). It identified 2 predictive factors of post-operative complications: giant cyst (p = 0.009) and not performing a capitonnage (p = 0.016). Multivariate analysis showed 4 independent pre-operative predictive factors of complications: rural area (p < 0.0001), fever (p = 0.006), right side (p = 0.02) and positive hydatid serology (p < 0.001). It identified 2 postoperative independent predictive factors of complications: not performing. capitonnage (p = 0.029) and solitary hydatid pulmonary cyst (p = 0.02).
Conclusion:
Pulmonary hydatid cyst management in children needs a thorough appreciation of independent predictive factors of pre and postoperative complications in order to reduce their morbidity.
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