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Li-na Lee - One of the best experts on this subject based on the ideXlab platform.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement
BMC Infectious Diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Background Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Methods Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Results Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. Conclusion In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement.
BMC infectious diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.
Chin-chung Shu - One of the best experts on this subject based on the ideXlab platform.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement
BMC Infectious Diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Background Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Methods Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Results Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. Conclusion In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement.
BMC infectious diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.
Dinar Gatautov - One of the best experts on this subject based on the ideXlab platform.
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Videothoracoscopy in the differential diagnosis disseminated pulmonary diseases
8.1 Thoracic Surgery, 2016Co-Authors: Dmitriy Pilkevich, Sergey Skornyakov, Marina Lehlyayder, Aleksey Medyakov, Nikita Gorbunov, Dinar GatautovAbstract:Aims: Disseminated pulmonary diseases to date remains difficult to diagnose the problem. Material and methods : This retrospective clinical study conducted on 258 patients (132 female) between 2006 and 2015. Median age was 43 years (range, 17-75 years). Pulmonary dissemination was accompanied intrachest lymphadenopathy (12), spontaneous pneumothorax (3), Pleural effusion (7). Incisived lung Biopsy was made at 77 patients, stapler Biopsy – 179 and Pleura Biopsy - 72. The median operative time and intraoperative bleeding were 21,5 min (range 5-105) and 7,4 ml (2-70), respectively. Results: At complex inspection of patients following diagnoses have been established: sarcoidosis (124), disseminated pulmonary tuberculosis (33), pneumoconiosis (8), alveolitis (17), interstitialis pneumonitis (35), pulmonary canceromatosis (13), chronic obstructive diseases of a lung (7), visceral pulmonary defeat at system diseases (2), histiocytosis X (6), diseases of accumulation (2), leiomyomatosis (2), pulmonary candidiasis (1), sarcoidosis and tuberculosis (1), пpочие (7). Additional intervention (diagnostic thoracotomy) was required after videothoracoscopy with incisived lung Biopsy which has changed the diagnosis. Thus diagnostic efficiency videothoracoscopy with incisived lung Biopsy has made 98,7 %, but stapler Biopsy – 99,4%. Complications it was observed on 6(2,3%) patients. Conclusions: 1. Surgical methods keep the value at the final stage of diagnostics disseminated pulmonary diseases. 2. Development endoscopic videoequipment and linear staplers allows to establish authentically the diagnosis at disseminated pulmonary diseases.
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Opportunity of videothoracoscopy in diagnostics and treatment of exudative pleurisy
European Respiratory Journal, 2015Co-Authors: Dmitriy Pilkevich, Sergey Skornyakov, Marina Lehlyayder, Aleksey Medyakov, Nikita Gorbunov, Dinar GatautovAbstract:Aim: of this search is to determinate possibility of using the videothoracoscopy Material and methods: Above 4000 patients with exudative pleurisy (years 1986-2011) were examined In Chelyabinsk Region Clinical Tuberculosis Dispensary. Design of research: 434 patients documents were studied retrospectively. The patients had exudative pleurisy of unknown etiology, diagnostic surgery was carried out for patients between 2008 – 2010 years. There were 145 female patients and 289 male patients. Average age - 41 years(from 12 to 83 years). 24 patients have had bilateral pleurisy, 11 have had relapse, 8 - iatrogenic pneumothorax. 439 videothoracoscopy and 6 opened Biopsy of the Pleura were performed. Except common Pleura Biopsy forceps Pleura Biopsy was implemented in 15 cases. Pleurodesis with use of talcum was carried out for 27 patients. Results: tuberculous pleurisy was diagnosed in 235 (54%) patients; HIV – 29(7%); nonspecific pleurisy – 61(14%); parapneumonic pleurisy – 58(13%); tumoral pleurisy – 51(12%); other illnesses – 29(7%); verification in primary operation equals to 98%. Endoscopic view of Pleura internal was not always pathognomonic for tuberculosis and tumoral etiology. There were postoperative complications in 7(1,6%) cases: 5 – slow straighten of lung and 5 – empyema. Conclusions: 1. Videothoracoscopy is the method of choice in identification of etiology and treatment of exudative pleurisy. 2. Verification in primary operation equals to 98% and becomes higher in earliest application. 3. Videothoracoscopy allows to carry out treatment manipulations (defragmentation of pleurisy,sanitation and aeration of Pleural cavity, drainage ets.), reduces time of treatment and rehabilitation of patients.
Jann-yuan Wang - One of the best experts on this subject based on the ideXlab platform.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement
BMC Infectious Diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Background Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Methods Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Results Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. Conclusion In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement.
BMC infectious diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.
Jann-tay Wang - One of the best experts on this subject based on the ideXlab platform.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement
BMC Infectious Diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Background Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Methods Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Results Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. Conclusion In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.
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In-hospital outcome of patients with culture-confirmed tuberculous pleurisy: clinical impact of pulmonary involvement.
BMC infectious diseases, 2011Co-Authors: Chin-chung Shu, Jann-tay Wang, Jann-yuan Wang, Li-na LeeAbstract:Outcomes for hospitalized patients with tuberculous pleurisy (TP) have rarely been reported, and whether or not pulmonary involvement affects outcomes is uncertain. This study aimed to analyze the in-hospital mortality rate of culture-confirmed TP with an emphasis on the clinical impact of pulmonary involvement. Patients who were hospitalized for Pleural effusion (PE) of unconfirmed diagnosis and finally diagnosed as TP were identified. We classified them according to the disease extent: isolated pleurisy (isolated pleurisy group) and pleurisy with pulmonary involvement (pleuro-pulmonary group). Among the 205 patients hospitalized before the diagnosis was established, 51 (24.9%) belonged to the isolated pleurisy group. Compared to the pleuro-pulmonary group, patients in the isolated pleurisy group were younger, had fewer underlying co-morbidities, and presented more frequently with fever and chest pain. Fewer patients in the isolated pleurisy group had hypoalbuminemia (< 3.5 g/dL) and anemia. The two groups were similar with regards to PE analysis, resistance pattern, and timing of anti-tuberculous treatment. Patients who had a typical pathology of TP on Pleural Biopsy received anti-tuberculous treatment earlier than those who did not, and were all alive at discharge. The isolated pleurisy group had a lower in-hospital mortality rate, a shorter length of hospital stay and better short-term survival. In addition, the presence of underlying comorbidities and not receiving anti-tuberculous treatment were associated with a higher in-hospital mortality rate. In culture-confirmed tuberculous pleurisy, those with pulmonary involvement were associated with a higher in-hospital mortality rate. A typical pathology for TP on Pleura Biopsy was associated with a better outcome.