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10.1002/ppul.23562 http://scihub22266oqcxt.onion/10.1002/ppul.23562 C5396379!5396379 !27648553     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27648553 &cmd=llinks): Failed to open stream: HTTP request failed! 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Therapy of 645 children with parapneumonic effusion and empyema-A German nationwide surveillance study |pdf=|usr=}}{{27648553 }} gab.com Text Therapy of 645 children with parapneumonic effusion and empyema-A German nationwide surveillance study JO: Pediatr Pulmonol http://www.kidney.de/pget.php?&tw=1&pmid=27648553 #FOAvip OBJECTIVE: To evaluate the initial management of pediatric parapneumonic effusion or pleural empyema (PPE/PE) with regard to length of hospital stay (LOS). METHODS: Collection of pediatric PPE/PE cases using a nationwide surveillance system (ESPED) from 10/2010 to 06/2013, in all German pediatric hospitals. Inclusion of PPE/PE patients <18 years of age requiring drainage or with a PPE/PE persistence >7 days. Staging of PPE/PE based on reported pleural sonographic imaging. Comparison of LOS after diagnosis between children treated with different forms of initial invasive procedures performed ?3 days after PPE/PE diagnosis: pleural puncture, draining catheter, intrapleural fibrinolytic therapy, surgical procedures. RESULTS: Inclusion of 645 children (median age 5 years); median total LOS 17 days. Initial therapy was non-invasive in 282 (45%) cases and invasive in 347 (55%) cases (pleural puncture: 62 [10%], draining catheter: 153 [24%], intrapleural fibrinolytic therapy: 89 [14%], surgical procedures: 43 [7%]). LOS after diagnosis did not differ between children initially treated with different invasive procedures. Results remained unchanged when controlling for sonographic stage, preexisting diseases, and other potential confounders. Repeated use of invasive procedures was observed more often after initial non-invasive treatment or pleural puncture alone than after initial pleural drainage, intrapleural fibrinolytic therapy or surgery. CONCLUSIONS: Initial treatment with intrapleural fibrinolytic therapy or surgical procedures did not result in shorter LOS than initial pleural puncture alone. Larger prospective studies are required to investigate which children benefit significantly from more intensive forms of initial invasive treatment. Pediatr Pulmonol. 2017;52:540-547. © 2016 The Authors. Pediatric Pulmonology Published by Wiley Periodicals, Inc. Twit Text FOAVip Therapy of 645 children with parapneumonic effusion and empyema-A German nationwide surveillance study ????Pediatr Pulmonol http://www.kidney.de/pget.php?&tw=1&pmid=27648553 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27648553 #FOAvip English Wikipedia <ref>{{Cite pmid|27648553 }}</ref> Therapy of 645 children with parapneumonic effusion and empyema-A German nationwide surveillance study #MMPMID27648553 Segerer FJ ; Seeger K ; Maier A ; Hagemann C ; Schoen C ; van der Linden M ; Streng A ; Rose MA ; Liese JG Pediatr Pulmonol 2017[Apr]; 52 (4 ): 540-547 PMID27648553 show ga OBJECTIVE: To evaluate the initial management of pediatric parapneumonic effusion or pleural empyema (PPE/PE) with regard to length of hospital stay (LOS). METHODS: Collection of pediatric PPE/PE cases using a nationwide surveillance system (ESPED) from 10/2010 to 06/2013, in all German pediatric hospitals. Inclusion of PPE/PE patients <18 years of age requiring drainage or with a PPE/PE persistence >7 days. Staging of PPE/PE based on reported pleural sonographic imaging. Comparison of LOS after diagnosis between children treated with different forms of initial invasive procedures performed ?3 days after PPE/PE diagnosis: pleural puncture, draining catheter, intrapleural fibrinolytic therapy, surgical procedures. RESULTS: Inclusion of 645 children (median age 5 years); median total LOS 17 days. Initial therapy was non-invasive in 282 (45%) cases and invasive in 347 (55%) cases (pleural puncture: 62 [10%], draining catheter: 153 [24%], intrapleural fibrinolytic therapy: 89 [14%], surgical procedures: 43 [7%]). LOS after diagnosis did not differ between children initially treated with different invasive procedures. Results remained unchanged when controlling for sonographic stage, preexisting diseases, and other potential confounders. Repeated use of invasive procedures was observed more often after initial non-invasive treatment or pleural puncture alone than after initial pleural drainage, intrapleural fibrinolytic therapy or surgery. CONCLUSIONS: Initial treatment with intrapleural fibrinolytic therapy or surgical procedures did not result in shorter LOS than initial pleural puncture alone. Larger prospective studies are required to investigate which children benefit significantly from more intensive forms of initial invasive treatment. Pediatr Pulmonol. 2017;52:540-547. © 2016 The Authors. Pediatric Pulmonology Published by Wiley Periodicals, Inc. |Adolescent [MESH] |Anti-Bacterial Agents/administration & dosage/therapeutic use [MESH] |Chest Tubes [MESH] |Child [MESH] |Child Health Services [MESH] |Child, Preschool [MESH] |Empyema, Pleural/drug therapy/*epidemiology/therapy [MESH] |Female [MESH] |Germany/epidemiology [MESH] |Hospitals, Pediatric [MESH] |Humans [MESH] |Infant [MESH] |Infant, Newborn [MESH] |Infusions, Intravenous [MESH] |Length of Stay [MESH] |Male [MESH] |Pleural Effusion/drug therapy/*epidemiology/therapy [MESH] |Pneumonia/drug therapy/*epidemiology/therapy [MESH] |Population Surveillance [MESH] |Prospective Studies [MESH]Therapy of 645 children with parapneumonic effusion and empyema-A Germ(epmc).pdf DeepDyve Pubget Overpricing