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The Long-term Outcomes of Pediatric Pleural Empyema

The Long-term Outcomes of Pediatric Pleural Empyema 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

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References (30)

Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/archpediatrics.2012.1055
pmid
22945017
Publisher site
See Article on Publisher Site

Abstract

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

Journal

JAMA PediatricsAmerican Medical Association

Published: Nov 1, 2012

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