Surgical management of pleural empyema in the very elderly

M. Schweigert, N. Solymosi, A. Dubecz, M. Beron, L. Thumfart, D. Oefner-Velano, H. J. Stein

Research output: Contribution to journalArticle

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Abstract

INTRODUCTION: Parapneumonic pleural empyema is a critical illness. Age is an acknowledged risk factor for both pneumonia and pleural empyema. Furthermore, elderly patients often have severe co-morbidity. In the case of pleural empyema, their clinical condition is likely to deteriorate fast, resulting in life threatening septic disease. To prevent this disastrous situation we adapted early surgical debridement as the primary treatment option even in very elderly patients. This study shows the outcome of surgically managed patients with pleural empyema who are 80 years or older. METHODS: The outcomes of 222 consecutive patients who received surgical therapy for parapneumonic pleural empyema at a German tertiary referral hospital between 2006 and 2010 were reviewed in a retrospective case study. Patients older than 80 years were identified. RESULTS: There were 159 male and 63 female patients. The mean age was 60.5 years and the overall in-hospital mortality rate was 7%. Of the 222 patients, 37 were 80 years or older (range: 80-95 years). The frequencies of predominantly cardiac co-morbidity and high ASA (American Society of Anesthesiologists) grades were significantly higher for very elderly patients (p

Original languageEnglish
Pages (from-to)331-335
Number of pages5
JournalAnnals of the Royal College of Surgeons of England
Volume94
Issue number5
DOIs
Publication statusPublished - Jul 2012

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Pleural Empyema
Morbidity
Debridement
Hospital Mortality
Tertiary Care Centers
Critical Illness
Pneumonia
Retrospective Studies
Outcome Assessment (Health Care)
Mortality

Keywords

  • Pleural empyema
  • Pneumonia
  • Sepsis
  • Very elderly patients

ASJC Scopus subject areas

  • Surgery

Cite this

Schweigert, M., Solymosi, N., Dubecz, A., Beron, M., Thumfart, L., Oefner-Velano, D., & Stein, H. J. (2012). Surgical management of pleural empyema in the very elderly. Annals of the Royal College of Surgeons of England, 94(5), 331-335. https://doi.org/10.1308/003588412X13171221592212

Surgical management of pleural empyema in the very elderly. / Schweigert, M.; Solymosi, N.; Dubecz, A.; Beron, M.; Thumfart, L.; Oefner-Velano, D.; Stein, H. J.

In: Annals of the Royal College of Surgeons of England, Vol. 94, No. 5, 07.2012, p. 331-335.

Research output: Contribution to journalArticle

Schweigert, M, Solymosi, N, Dubecz, A, Beron, M, Thumfart, L, Oefner-Velano, D & Stein, HJ 2012, 'Surgical management of pleural empyema in the very elderly', Annals of the Royal College of Surgeons of England, vol. 94, no. 5, pp. 331-335. https://doi.org/10.1308/003588412X13171221592212
Schweigert, M. ; Solymosi, N. ; Dubecz, A. ; Beron, M. ; Thumfart, L. ; Oefner-Velano, D. ; Stein, H. J. / Surgical management of pleural empyema in the very elderly. In: Annals of the Royal College of Surgeons of England. 2012 ; Vol. 94, No. 5. pp. 331-335.
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