Predictors of outcome of chest tube drainage of nonpurulent exudative pleural effusions.

Autor:	Nwagboso CI; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria., Echieh CP; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar, Calabar, Nigeria., Eze JN; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria., Ogbudu SO; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar, Calabar, Nigeria., Njoku CH; Pulmonology Unit, Dept of Internal Medicine, University of Calabar Teaching Hospital, Calabar, Nigeria.; Pulmonology Unit, Dept of Internal Medicine, University of Calabar, Calabar, Nigeria., Etiuma AU; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar, Calabar, Nigeria., Bassey OO; Division of Cardiothoracic Surgery, Dept of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.
Jazyk:	angličtina
Zdroj:	ERJ open research [ERJ Open Res] 2022 Apr 04; Vol. 8 (2). Date of Electronic Publication: 2022 Apr 04 (Print Publication: 2022).
DOI:	10.1183/23120541.00604-2021
Abstrakt:	Background: Although chest tube drainage is the primary management method for many pleural effusions, it has a failure rate of 9.4-48%. In this study, we examined the factors that predict the outcome of management of nonpurulent exudative effusions. The aim of this study was to determine the predictors of outcomes of chest tube drainage of pleural effusions. Methodology: Consecutive patients who had a chest tube drainage of nonpurulent exudative pleural effusions were followed up in a prospective observational cohort study until extubation and discharge. Data on the management of the patients were recorded, analysed and compared between groups of patients with good and poor outcomes. Results: Of the 52 patients studied, 38 had good outcomes, while 14 had poor outcomes. The mean±sd age was 39.7±15.9 years. Multivariate analysis demonstrated that empyema thoracis complicating drainage was an independent predictor of a poor outcome, while the duration of drainage ≤14 days and duration of illness before presentation <30 days were predictive of a good outcome. Conclusion: Our results show that the development of empyema thoracis during drainage, a long duration of drainage and a prolonged period of illness before presentation are predictive of the outcome of chest tube drainage. Competing Interests: Conflict of interest: C.I. Nwagboso has nothing to disclose. Conflict of interest: P.C. Echieh has nothing to disclose. Conflict of interest: J.N. Eze has nothing to disclose. Conflict of interest: S.O. Ogbudu has nothing to disclose. Conflict of interest: C.H. Njoku has nothing to disclose. Conflict of interest: A.U. Etiuma has nothing to disclose. Conflict of interest: O.O. Bassey has nothing to disclose. (Copyright ©The authors 2022.)
Databáze:	MEDLINE
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