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Surgical decortication as the first-line treatment for pleural empyema

DC FieldValueLanguage
dc.contributor.author함석진-
dc.contributor.author김태훈-
dc.contributor.author김형중-
dc.contributor.author변민광-
dc.contributor.author신정아-
dc.contributor.author장윤수-
dc.contributor.author안철민-
dc.date.accessioned2014-12-18T08:34:36Z-
dc.date.available2014-12-18T08:34:36Z-
dc.date.issued2013-
dc.identifier.issn0022-5223-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86565-
dc.description.abstractOBJECTIVE: The study objective was to evaluate the clinical outcomes of surgical decortication as the first line of treatment for pleural empyema. METHODS: We analyzed the medical records of 111 patients who presented with empyema and were treated with simple drainage or surgical decortication as the first line of treatment at Gangnam Severance Hospital, a tertiary referral medical center in Seoul, Korea. RESULTS: Of 111 patients with empyema, 27 underwent surgical decortication as the first intervention. Surgical decortication showed a better treatment success rate in all study subjects (96.3%, 26/27 patients) compared with simple drainage (58.3%, 49/84 patients; P < .0001 for method comparison). After propensity-scored matching, decortication resulted in a better outcome (95.0%, 19/20 patients) versus drainage (56.7%, 17/30 patients; P = .003). Surgical decortication as the first line of treatment for empyema was the best predictor of treatment success after adjustment for compounding factors (odds ratio, 14.529; 95% confidence interval, 1.715-123.074; P = .014). CONCLUSIONS: The first treatment choice for pleural empyema is a critical determinant of ultimate therapeutic success. After adjusting for confounding variables, surgical decortication is the optimal first treatment choice for advanced empyema.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJournal of Thoracic and Cardiovascular Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleSurgical decortication as the first-line treatment for pleural empyema-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorJung Ar Shin-
dc.contributor.googleauthorYoon Soo Chang-
dc.contributor.googleauthorTae Hoon Kim-
dc.contributor.googleauthorSeok Jin Haam-
dc.contributor.googleauthorHyung Jung Kim-
dc.contributor.googleauthorChul Min Ahn-
dc.contributor.googleauthorMin Kwang Byun-
dc.identifier.doi10.1016/j.jtcvs.2012.07.035-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04335-
dc.contributor.localIdA01158-
dc.contributor.localIdA01848-
dc.contributor.localIdA02146-
dc.contributor.localIdA02269-
dc.contributor.localIdA03456-
dc.contributor.localIdA01086-
dc.relation.journalcodeJ01906-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0022522312008781-
dc.contributor.alternativeNameHaam, Seok Jin-
dc.contributor.alternativeNameKim, Tae Hoon-
dc.contributor.alternativeNameKim, Hyung Jung-
dc.contributor.alternativeNameByun, Min Kwang-
dc.contributor.alternativeNameShin, Jung Ar-
dc.contributor.alternativeNameAhn, Chul Min-
dc.contributor.alternativeNameChang, Yoon Soo-
dc.contributor.affiliatedAuthorHaam, Seok Jin-
dc.contributor.affiliatedAuthorKim, Hyung Jung-
dc.contributor.affiliatedAuthorByun, Min Kwang-
dc.contributor.affiliatedAuthorShin, Jung Ar-
dc.contributor.affiliatedAuthorAhn, Chul Min-
dc.contributor.affiliatedAuthorChang, Yoon Soo-
dc.contributor.affiliatedAuthorKim, Tae Hoon-
dc.rights.accessRightsnot free-
dc.citation.volume145-
dc.citation.number4-
dc.citation.startPage933-
dc.citation.endPage939-
dc.identifier.bibliographicCitationJournal of Thoracic and Cardiovascular Surgery, Vol.145(4) : 933-939, 2013-
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)

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