The Empyema Thoracis in Samut Prakan Hospital
Keywords:
โรคหนองในเยื่อหุ้มปอด, ลอกผนังโพรงหนอง, ใส่สายระบายหนองในเยื่อหุ้มปอดAbstract
Background : Empyema thoracis is a disease with a high rate of mortality and morbidity. There is a high length of hospital stay and high costs. Therefore, the researcher would like to study and collect patient data to find appropriate treatment and summarize the results of treatment. To develop better treatment.
Objects : Predict outcome for patients with empyema thoracis, and compare outcome between patients who received chest tube drainage before surgery and the patients who had surgery without chest tube drainage.
Method : This is retrospective cohort study from medical records of 37 patients who were diagnosed empyema thoracis at Samut Prakan Hospital from 1 July 2022 to 30 June 2023. Collect data from basic characteristics of patients, treatment options, length of hospital stay and result. Used for statistical analysis.
Results : There were 37 patients, the average age was 56 year, 75% were male. The leading cause of empyema thoracis was pneumonia (91%). Treatment was decortication 23 cases (62%). 13 (56%) cases were performed without prior ICD. Average time between chest tube drainage to decortication was 8 days. The average length of hospital stay was 16 days. Average length of hospital stay in groups of chest tube drainage with decortication was 29 days and average length of hospital stay in group of decortication alone was 20 days. Two patients were died (5%) with severe septicemia. The patients who received decortication had longer hospital stay than those who did not received decortication (p<0.02)
Conclusion : Empyema thoracis is more common in male than female. Patients had co-morbidities and disabilities before treatment. The quick decision to decortication can reduce length of hospital stay.
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