University of Leicester
Browse
OJTS_2018122515114112.pdf (230.6 kB)

Retrospective Comparative Analysis of Thoracic Empyema in Patients Older/Younger than 65

Download (230.6 kB)
journal contribution
posted on 2021-04-12, 10:28 authored by J Hogan, V Valtzoglou, N Kostoulas, V Pagliarulo, Marius Roman, JP Duffy, A Majewski, E Addae-Boateng, M Hawari
Objectives: 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 retrospective comparative 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-operative 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 418 patients and group B (>65) comprised 108 patients. With respect to group A, the median age at surgery was 45.30 years. Median post-operative stay was 10.50 days (9.10 vs. 11.90 in VATS and open respectively). 30-day mortality in group A was 1.90% (3.30% vs. 0.47% in VATS and open respectively). Group B comprised 108 patients (median age 72.70 years). Median post-operative stay was 14.40 days (11.20 vs. 17.8, VATS vs. open, p = 0.001). Overall 30-day mortality was 8.30 % (7.5% vs. 9% in VATS and open respectively, 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 advantages in elderly patients including shorter hospital stay and reduced mortality.

History

Citation

Hogan, J., Valtzoglou, V., Kostoulas, N., Pagliarulo, V., Roman, M., Duffym J.P., Majewskim A., Addae-Boateng, E. and Hawari, M. (2018) Retrospective Comparative Analysis of Thoracic Empyema in Patients Older/Younger than 65. Open Journal of Thoracic Surgery, 8, 86-93. https://doi.org/10.4236/ojts.2018.84015

Version

  • VoR (Version of Record)

Published in

Open Journal of Thoracic Surgery

Volume

08

Issue

04

Pagination

86 - 93

Publisher

Scientific Research Publishing

issn

2164-3059

eissn

2164-3067

Acceptance date

2018-10-10

Copyright date

2018

Available date

2021-04-12

Language

en

Usage metrics

    University of Leicester Publications

    Categories

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC