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首页> 外文期刊>Open Journal of Thoracic Surgery >Retrospective Comparative Analysis of Thoracic Empyema in Patients Older/Younger than 65
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Retrospective Comparative Analysis of Thoracic Empyema in Patients Older/Younger than 65

机译：65岁以上患者胸腔积液的回顾性比较分析

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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 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.
机译：目的：胸腔积液的特征是在胸膜腔内收集了感染的液体/脓液。存在多种病因和手术方法。本研究旨在评估接受胸腔积液手术的老年和青年患者的预后。 方法：进行回顾性比较分析，比较接受手术诊断为脓胸的老年和年轻患者的结局。产生了两组用于比较：1）65岁以上的患者和2）65岁以下的患者。比较了两组的人口统计学，合并症，术后并发症，手术方法和死亡率。 结果：在研究期间（1993年至2016年），有526例因脓胸手术。 A组（65名）包括108名患者。对于A组，手术时的中位年龄为45.30岁。术后中位停留时间为10.50天（VATS中为9.10 vs.开放时为11.90）。 A组的30天死亡率为1.90％（VATS和开放试验分别为3.30％和0.47％）。 B组包括108名患者（中位年龄72.70岁）。术后中位数为14.40天（11.20 vs. 17.8，VATS vs.开放，p = 0.001）。 30天总死亡率为8.30％（7.5％，而VATS和开放试验分别为9％，p = 0.03）。 结论：与年轻人群相比，老年人群的相关死亡率和住院时间明显更高。最少的进出途径在老年患者中具有许多优势，包括住院时间短和死亡率降低。

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