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ARTICLE The Long-term Outcomes of Pediatric Pleural Empyema A Prospective Study Eyal Cohen, MD, MSc; Sanjay Mahant, MD, MSc; Sharon D. Dell, MD; Jeffrey Traubici, MD; Alejandra Ragone, MD; Anu Wadhwa, MD, MEd; Bairbre Connolly, MB; Michael Weinstein, MD Objective: To describe the long-term outcomes of pe- was 4.5 (3.4) years. Outcome data was obtained in 100% diatric pleural empyema. at 1 month, 90% at 6 months, and 72% at 1 year. Seventy- one percent had effusions occupying a quarter or more of Design: Prospective observational study from October the hemithorax and 62% of effusions were drained. Fever, 2008 to October 2011. cough, parental work loss, child school loss, radiographic abnormalities, and abnormal spirometry results were com- Setting: Tertiary care children’s hospital. mon in the first month and then declined. By the last ob- servation, 2% of patients had abnormal radiographs (aside Participants: Children with pleural empyema (locula- tions and/or septations identified on radiologic imaging from pleural thickening), 6% had mild obstruction on spi- or frank pus on thoracentesis). rometry, and Pediatric Quality of Life Inventory scores were better than for children with asthma (P.001). Patients Main Outcome Measures: Children were seen 1, 6, with abnormal outcomes in 1
JAMA Pediatrics – American Medical Association
Published: Nov 1, 2012
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