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Related Experiment Videos

Mortality in thoracic empyema.

P Jess, S Brynitz, A Friis Møller

    Scandinavian Journal of Thoracic and Cardiovascular Surgery
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Thoracic empyema is a serious condition with high mortality, especially in elderly patients. Factors like malignancy and lung abscess significantly increase the risk of death.

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    Area of Science:

    • Medicine
    • Pulmonology
    • Critical Care

    Background:

    • Thoracic empyema presents a wide mortality range (10-50%) in reported series.
    • Understanding factors influencing empyema mortality is crucial for patient outcomes.

    Purpose of the Study:

    • To elucidate factors influencing mortality in patients with thoracic empyema.
    • To analyze outcomes in a large cohort treated over a 15-year period.

    Main Methods:

    • Retrospective analysis of 259 patients treated for thoracic empyema between 1965 and 1980.
    • Stratification of mortality based on underlying pathology (malignant vs. benign).
    • Focus on benign conditions due to low cure rates in malignant cases.

    Main Results:

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    • Overall mortality was 33%, with 61% for malignant and 25% for benign empyema.
    • Mortality varied widely in benign cases, from 0% (pneumothorax, trauma) to 50% (lung abscess).
    • Concomitant diseases were more prevalent in non-survivors (80% vs. 40%). Staphylococcus aureus predominated in fatal cases.

    Conclusions:

    • Thoracic empyema is a severe complication, particularly in elderly and debilitated patients.
    • Underlying pathology, presence of other diseases, and specific pathogens significantly impact mortality.
    • Further research into risk stratification and targeted treatment is warranted.