| Popis: |
Background Empyema thoracis is a serious infectious disease and is associated with high morbidity and mortality. The perioperative outcomes between culture-positive and culture-negative empyema after thoracoscopic decortication remained controversial, especially since there were no studies that reported the survival outcomes between culture-positive and culture-negative empyema. Methods This single-institute study involved a retrospective analysis. Patients with empyema thoracis who underwent thoracoscopic decortication between January 2012 and December 2021 were included in the study. Patients were grouped into a culture-positive group and a culture-negative group according to culture results obtained no later than two weeks after surgery. Results There were 1,087 empyema patients who received surgery, and 824 patients were enrolled after exclusion. Among these, 366 patients showed positive culture results and 458 patients showed negative results. Longer ICU stays (11.69 vs. 5.64 days, p Conclusions Culture-positive and culture-negative empyema patients who underwent thoracoscopic decortication showed similar short-term and long-term survival outcomes. A higher risk of death was associated with advanced age, a higher CCI score, phase III empyema and a cause other than pneumonia. |
