Intercostal Neuropathy and Pain Due to Pleuritis

Trejo-Gabriel-Galán, J.M.; Macarrón-Vicente, Jesús; Lázaro, Lourdes; Rodriguez-Pascual, Luis; Calvo, Ignacio

doi:10.1111/pme.12068

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…In our study, there was no statistical significance in the symptoms of fever, cough, and dyspnea, but chest pain was the significant risk factor differentiating the two groups. This surprising risk factor may be induced by compression of the intercostal nerves [20].…”

Section: Discussionmentioning

confidence: 99%

Predictors and Clinical Outcomes in Empyema Thoracis Patients Presenting to the Emergency Department Undergoing Video-Assisted Thoracoscopic Surgery

Tsai

Gamper

Huang

et al. 2019

JCM

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Background: Video-assisted thoracoscopic surgery (VATS) is widely used for the treatment of empyema. We evaluated clinical symptoms, laboratory examinations, and thoracentesis to assess patients in the emergency department (ED) with empyema thoracis, undergoing VATS to identify predictors of adverse outcomes. Methods: This retrospective study was conducted by reviewing records of ED patients with pleural empyema admitted for VATS from January 2007 to June 2014. Demographic data, clinical symptoms, and laboratory examinations were compared for survivors (Group I) and non-survivors (Group II). Logistic regression analysis was used to identify parameters related to postoperative mortality. Results: From 380 patients, 7.6% (n = 29) died postoperatively. Survivors and non-survivors exhibited differences in age, gender, presence of cough, dyspnea, chest pain, empyema stage, cerebrovascular disease, malignancy, the glucose level of pleural fluid, serum hemoglobin, platelet count, blood urea nitrogen, and potassium levels. The logistic analysis demonstrated that the most significant factor related to the postoperative morbidity is chest pain (p = 0.018). Conclusions: VATS could be a safe option for pediatric and geriatric patients. Age does not appear to affect postoperative mortality. A high degree of awareness is essential for perioperative management and early surgical treatment when ED patients present with the clinical symptom of chest pain.

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Section: Discussionmentioning

confidence: 99%