Type of publication:
Conference abstract
Author(s):
Mannan S.; Waseem T.; Safwan N.; Ganaie M.;
Citation:
Pleural infection presentation and timeline of events: Real-world data from a tertiary hospital in the UK.
Abstract:
Background: Pleural infection remains a significant burden on mortality and morbidity in the Western world even with the advancement of clinical management.
Objective(s): This paper aims to study the clinical course of empyema thoracic patients managed in a tertiary hospital in the UK.
Method(s): We did a retrospective observational study of the hospital's electronic records of patients who were diagnosed and managed for empyema thoracic from January 2021 to December 2022.
Result(s): The total cohort was 104 empyema thoracic patients. The mean age was 60. The affected males were almost double than females (68 vs 36). We did a retrospective RAPID score of our cohort. The RAPID score could not be calculated for 35 patients due to the unavailability of pleural fluid data. High inpatient mortality (23%) was observed in the medium- risk (RAPID score 3-4) group and high 3-month mortality (25%) was observed in the high-risk (RAPID score 5-7) group. The majority of the patients were managed conservatively. No difference was noticed in the median length of hospital stay (11d) in all the risk groups. A high rate of (37%) surgical management was observed in the low-risk (RAPID score 0-2) group.
Conclusion(s): Our cohort's data comply with the predicted mortality risk of the RAPID score. We emphasize that RAPID score calculation can be a significant tool in the management of empyema thoracic patients.
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