Echo-guided management of complicated parapneumonic effusion in children

2006 ◽  
Vol 41 (12) ◽  
pp. 1226-1232 ◽  
Author(s):  
Chih-Yung Chiu ◽  
Kin-Sun Wong ◽  
Yhu-Chering Huang ◽  
Shen-Hao Lai ◽  
Tzou-Yien Lin
Keyword(s):  
Parapneumonic Effusion ◽  
Complicated Parapneumonic Effusion

scholarly journals Diagnostic Value of C-Reactive Protein in Discrimination between Uncomplicated and Complicated Parapneumonic Effusion

Diagnostics ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 829
Author(s):  
Yana Kogan ◽  
Edmond Sabo ◽  
Majed Odeh
Keyword(s):  
Area Under The Curve ◽  
Diagnostic Value ◽  
Parapneumonic Effusion ◽  
C Reactive Protein ◽  
Diagnostic Efficacy ◽  
Reactive Protein ◽  
Significant Difference ◽  
Study Population ◽  
Complicated Parapneumonic Effusion

Objectives: The role of serum C-reactive protein (CRPs) and pleural fluid CRP (CRPpf) in discriminating uncomplicated parapneumonic effusion (UCPPE) from complicated parapneumonic effusion (CPPE) is yet to be validated since most of the previous studies were on small cohorts and with variable results. The role of CRPs and CRPpf gradient (CRPg) and of their ratio (CRPr) in this discrimination has not been previously reported. The study aims to assess the diagnostic efficacy of CRPs, CRPpf, CRPr, and CRPg in discriminating UCPPE from CPPE in a relatively large cohort. Methods: The study population included 146 patients with PPE, 86 with UCPPE and 60 with CPPE. Levels of CRPs and CRPpf were measured, and the CRPg and CRPr were calculated. The values are presented as mean ± SD. Results: Mean levels of CRPs, CRPpf, CRPg, and CRPr of the UCPPE group were 145.3 ± 67.6 mg/L, 58.5 ± 38.5 mg/L, 86.8 ± 37.3 mg/L, and 0.39 ± 0.11, respectively, and for the CPPE group were 302.2 ± 75.6 mg/L, 112 ± 65 mg/L, 188.3 ± 62.3 mg/L, and 0.36 ± 0.19, respectively. Levels of CRPs, CRPpf, and CRPg were significantly higher in the CPPE than in the UCPPE group (p < 0.0001). No significant difference was found between the two groups for levels of CRPr (p = 0.26). The best cut-off value calculated by the receiver operating characteristic (ROC) analysis for discriminating UCPPE from CPPE was for CRPs, 211.5 mg/L with area under the curve (AUC) = 94% and p < 0.0001, for CRPpf, 90.5 mg/L with AUC = 76.3% and p < 0.0001, and for CRPg, 142 mg/L with AUC = 91% and p < 0.0001. Conclusions: CRPs, CRPpf, and CRPg are strong markers for discrimination between UCPPE and CPPE, while CRPr has no role in this discrimination.

Predicting Factors for Failure of Medical Treatment in Patients With Complicated Parapneumonic Effusion or Empyema

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 705A
Author(s):  
Sung Kyoung Kim ◽  
Hyeon Hui Kang ◽  
Ju Sang Kim ◽  
Sang Haak Lee ◽  
Joong Hyun Ahn ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Parapneumonic Effusion ◽  
Predicting Factors ◽  
Complicated Parapneumonic Effusion

Efficacy of Pigtail Catheter Drainage in Patients with Thoracic Empyema or Complicated Parapneumonic Effusion

2003 ◽  
Vol 54 (2) ◽  
pp. 219 ◽  
Author(s):  
Jeong Woo Park ◽  
Seung Min You ◽  
Won Jong Seol ◽  
Eun Ki Paik ◽  
Kyu Hoon Lee ◽  
...  
Keyword(s):  
Parapneumonic Effusion ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Thoracic Empyema ◽  
Complicated Parapneumonic Effusion

ADHERENCE TO ACCP GUIDELINE IMPROVES OUTCOMES IN COMPLICATED PARAPNEUMONIC EFFUSION AND EMPYEMA THORACIS

CHEST Journal ◽  
2006 ◽  
Vol 130 (4) ◽  
pp. 104S ◽  
Author(s):  
Wah Shing Leung ◽  
Kay Yan Tsang ◽  
Veronica Lee Chan ◽  
Alsa Lin ◽  
Chung Ming Chu
Keyword(s):  
Parapneumonic Effusion ◽  
Empyema Thoracis ◽  
Complicated Parapneumonic Effusion

INTRAPLEURAL ALTEPLASE FOR THE COMPLICATED PARAPNEUMONIC EFFUSION

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 320S
Author(s):  
Beth Y. Besecker ◽  
Lindsay Pell ◽  
Maria Lucarelli ◽  
Mary Beth Shirk
Keyword(s):  
Parapneumonic Effusion ◽  
Complicated Parapneumonic Effusion
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