Risk Stratification in Patients with Complicated Parapneumonic Effusions and Empyema Using the RAPID Score

Touray, Sunkaru; Sood, Rahul; Lindstrom, Daniel P.; Holdorf, Jonathan; Ahmad, Sumera; Knox, Daniel

doi:10.1007/s00408-018-0146-2

Cited by 18 publications

(22 citation statements)

References 33 publications

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“…Categorisation of patients in to low risk (RAPID score 0-2), medium risk (RAPID score 3-4) and high risk (RAPID score 5-7) groups was associated with mortality at 3 months of 3%, 9% and 31%, respectively [108]. Since its publication, positive correlation of clinical outcomes with the RAPID score has been demonstrated [109] and prospective assessment has recently been completed in an international, multicentre study [110] due to publish later this year. This should add greater insight into its potential utility in the clinical setting.…”

Section: Risk Scoring and Altering The Treatment Pathwaymentioning

confidence: 99%

Pleural infection: moving from treatment to prevention

Bedawi¹,

Rahman²

2020

Pleural Disease

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Section: Risk Scoring and Altering The Treatment Pathwaymentioning

confidence: 99%

Pleural infection: moving from treatment to prevention

Bedawi¹,

Rahman²

2020

Pleural Disease

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“…Staphylococcus aureus , Streptococcus pneumoniae , and Streptococcus pyogenes are frequently reported as causative bacteria of empyema, 5 while the Streptococcus anginosus group, an oral bacteria group, has been reported as the causative bacteria of intrathoracic abscess 4,6 . Empyema often develops in patients with immunodeficiency, who are termed “immunocompromised hosts.” 7 Patients with diabetes mellitus, chronic kidney disease, and malignancy history, as well as those undergoing any cancer therapies, may be at risk for empyema; however, a detailed analysis has not been performed due to its complex conditions and rarity 8 …”

Section: Introductionmentioning

confidence: 99%

“…Prognosis of empyema remains poor, and surgery has a high frequency of postoperative complications and relapse after treatment, especially in patients with a long duration between onset and treatment. 8,12,16 Identifying high-risk patients may be effective at reducing the rate of complications, as preventative measures can be taken prior to surgery. Some facilities have previously reported that preoperative serum albumin level was a good predictor for postoperative complications of acute empyema.…”

mentioning

confidence: 99%

Preoperative undernutrition predicts postoperative complications of acute empyema

Sakai

Azuma

Koezuka

et al. 2021

Health Science Reports

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Introduction Surgery for acute empyema is associated with postoperative complications and relapse. Establishing a predictor for postoperative complications may improve prognosis. Objectives To demonstrate undernutrition as a predictor of complications after surgery for acute empyema. Methods We retrospectively analyzed 52 consecutive patients who underwent surgery for acute empyema from 2004 to 2019 and validated the correlation of undernutrition with serum albumin level, patient characteristics, hospital stay, and postoperative complications. Results The median preoperative serum albumin level was 2.4 g/dL (range: 1.1‐3.4). The levels in all patients were lower than the standard value (3.5 g/dL). Patients were divided into two groups based on the median serum albumin levels: the low serum albumin level group (group L, n = 28) and the high serum albumin level group (group H, n = 24). Group L patients were significantly older (64.5 vs 52.9 years, P = .002), had lower median body mass index (21.0 vs 24.2, P = .008), and significantly had Streptococcus anginosus group as the causative bacteria (50% vs 21%, P = .044). Their hospitalization duration was significantly longer (28.1 vs 14.8 days, P < .001), and postoperative complications were significant or tended to be more frequent (all incidence; 11 (39%) vs 2 (8%), P = .012, respiratory‐related; 7 (25%) vs 1 (4%), P = .056) in group L. Further analyses revealed that other undernutrition indicators also correlated with postoperative complications. Conclusions Preoperative serum albumin level is a valid predictor of complications after surgery for acute empyema. Preoperative nutrition management for empyema patients may reduce the occurrence of postoperative complications.

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“…Mortality rate increases 6-7 fold higher in complicated cases compared to pneumonias non-complicated PPE (5). In the United States, over 1 million PPEs were reported annually (6,7,8). Early intervention by proper antibiotics is the main point of the management of PPEs.…”

Section: Introductionmentioning

confidence: 99%

Impact of Using Automated Blood Culture System on the Isolation Success of Causative Agents of Parapneumonic Effusions

Batum¹,

Şenol²,

Çoşkun³

et al. 2021

hamidiyemedj

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Background: Complicated parapneumonic pleural effusion causes high morbidity and mortality. Identification of the etiological agent is the key element for appropriate treatment. The aim of this study is to investigate whether getting the higher isolation rate of causative bacterial agent is possible by additional bedside blood culture method for parapneumonic effusion samples.Materials and Methods: Parapneumonic effusion samples taken from patients with pneumonia between January 2015 and January 2018 were studied in the referral hospital for thoracic diseases in Turkey. Samples were processed by both standard and bedside BacT/Alert blood culture method. Isolation and identification of bacterial agents were done by standard microbiological methods. The descriptive statistics were applied.Results: Fifty one patients with pneumonia accompanied by parapneumonic effusion, who met the inclusion criteria, were included in the study. Bacterial agents were isolated by standard microbiological method in 3 (5.9%) patients and in 11 (21.5%) patients by blood culture bottle at the bedside method. Conclusion:The bedside blood culture bottle method has been found more sensitive than the standard culture method for the detection of bacterial pathogens in parapneumonic effusions.

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Risk Stratification in Patients with Complicated Parapneumonic Effusions and Empyema Using the RAPID Score

Cited by 18 publications

References 33 publications

Pleural infection: moving from treatment to prevention

Pleural infection: moving from treatment to prevention

Preoperative undernutrition predicts postoperative complications of acute empyema

Impact of Using Automated Blood Culture System on the Isolation Success of Causative Agents of Parapneumonic Effusions

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