A Comparison of Hospitalization Durations of Surgical and Non-surgical Patients with Chronic Empyema in Chaoprayayommaraj Hospital: A Retrospective Cohort Study
Keywords:
Adult, Chest drain, Decortication, Empyema thoracis, Intrapleural FibrinolyticAbstract
Introduction: Empyema thoracis is commonly found in patients with pneumonia. Treatment includes a primary chest drain or decortication depending on staging and patient status.
Method: A retrospective cohort trial was conducted to compare the results between decortication and chest drain with fibrinolytic in patients receiving treatment at Chaoprayayommaraj Hospital from 1 January 2018 to 31 December 2021. The primary outcome was the duration of postoperative hospital stay. The secondary outcomes included post-procedural fever, oxygen consumption, procedural success rate, post-procedural conversion and complications, and death. Unpaired T-test and Chi-Square test were used to analyze data.
Result: The durations of postoperative hospital stay between surgical and non-surgical patients were significantly different (3.74 days, p = 0.05). Procedureal success rate, post-procedural fever, oxygen consumption, death, and complications were not statistically different.
Conclusion: Decortication can better lower the duration of postoperative hospital stay when compared with chest drain with fibrinolytic. However, post-procedural fever, oxygen consumption, death, and procedural success rate were not different between the two groups. This study suggested that patients who are fit for surgery should undergo decortication as a first-line treatment to reduce their hospital stay.
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