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Retrospectiv. Comparativ. Analysis of Thoracic Empyema in Patients Older/Younger than 65

Open Journal of Thoracic Surgery 2018年第4期8卷 86-93页

作者： J. Hogan v. v.ltzoglou N. Kostoulas v. pagliarulo Marius Roman J. P. Duffy A. Majewski E. Addae-Boateng M. Hawari Department of Thoracic Surgery Norwich and Norfolk University Hospital Norwich UK Department of Thoracic Surgery Nottingham University Hospitals NHS Trust Nottingham UK

Objectiv.s:Thoracic empyema is characterized by the collection of infected fluid/pus in the pleural space. A multitude of etiologies and surgical approaches exist. The current study aims to assess outcomes in elderly and young patients undergoing surgery for thoracic empyema. Methods: A retrospectiv. comparativ. analysis was undertaken comparing outcomes in elderly and young patients undergoing surgery with an established diagnosis of empyema. Two groups were generated for comparison 1) patients older than 65 and 2) patients younger than 65. Demographics, comorbidities, post-operativ. complications, surgical approach and mortalities were compared between groups. Results: 526 patients underwent surgery for empyema during the study period (1993-2016). Group A (65) comprised 108 patients. With respect to group A, the median age at surgery was 45.30 years. Median post-operativ. stay was 10.50 days (9.10 v.. 11.90 in v.TS and open respectiv.ly). 30-day mortality in group A was 1.90% (3.30% v.. 0.47% in v.TS and open respectiv.ly). Group B comprised 108 patients (median age 72.70 years). Median post-operativ. stay was 14.40 days (11.20 v.. 17.8, v.TS v.. open, p = 0.001). Ov.rall 30-day mortality was 8.30 % (7.5% v.. 9% in v.TS and open respectiv.ly, p = 0.03). Conclusions: The associated mortality and in-patient stay was significantly greater in elderly cohorts when compared to younger. Minimal access approaches confer a number of adv.ntages in elderly patients including shorter hospital stay and reduced mortality.

关键词： Empyema v.deo Assisted Thoracoscopy Elderly Surgery Outcomes

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