Pleural Effusions at First ED Encounter Predict Worse Clinical Outcomes in Patients with Pneumonia

N.C. Dean; P.P. Griffith; J.S. Sorensen; L. McCauley; B.E. Jones; Gary C.G. Lee

doi:10.1016/j.chest.2015.12.027

Pleural Effusions at First ED Encounter Predict Worse Clinical Outcomes in Patients with Pneumonia

N.C. Dean
, P.P. Griffith
, J.S. Sorensen
, L. McCauley
, B.E. Jones
, Gary C.G. Lee

UWA Medical School

Research output: Contribution to journal › Article › peer-review

69 Citations (Scopus)

Abstract

© 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.Background Pleural effusions are present in 15% to 44% of hospitalized patients with pneumonia. It is unknown whether effusions at first presentation to the ED influence outcomes or should be managed differently. Methods We studied patients in seven hospital EDs with International Statistical Classification of Disease and Health Related Problems-Version 9 codes for pneumonia, or empyema, sepsis, or respiratory failure with secondary pneumonia. Patients with no confirmatory findings on chest imaging were excluded. Pleural effusions were identified with the use of radiographic imaging. Results Over 24 months, 4,771 of 458,837 adult ED patients fulfilled entry criteria. Among the 690 (14.5%) patients with pleural effusions, their median age was 68 years, and 46% were male. Patients with higher Elixhauser comorbidity scores (OR, 1.13 [95% CI, 1.09-1.18]; P

Original language	English
Pages (from-to)	1509-1515
Number of pages	7
Journal	Chest
Volume	149
Issue number	6
DOIs	https://doi.org/10.1016/j.chest.2015.12.027
Publication status	Published - 1 Jun 2016

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SDG 3 Good Health and Well-being

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10.1016/j.chest.2015.12.027

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title = "Pleural Effusions at First ED Encounter Predict Worse Clinical Outcomes in Patients with Pneumonia",

abstract = "{\textcopyright} 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.Background Pleural effusions are present in 15\% to 44\% of hospitalized patients with pneumonia. It is unknown whether effusions at first presentation to the ED influence outcomes or should be managed differently. Methods We studied patients in seven hospital EDs with International Statistical Classification of Disease and Health Related Problems-Version 9 codes for pneumonia, or empyema, sepsis, or respiratory failure with secondary pneumonia. Patients with no confirmatory findings on chest imaging were excluded. Pleural effusions were identified with the use of radiographic imaging. Results Over 24 months, 4,771 of 458,837 adult ED patients fulfilled entry criteria. Among the 690 (14.5\%) patients with pleural effusions, their median age was 68 years, and 46\% were male. Patients with higher Elixhauser comorbidity scores (OR, 1.13 [95\% CI, 1.09-1.18]; P",

author = "N.C. Dean and P.P. Griffith and J.S. Sorensen and L. McCauley and B.E. Jones and Lee, \{Gary C.G.\}",

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T1 - Pleural Effusions at First ED Encounter Predict Worse Clinical Outcomes in Patients with Pneumonia

AU - Dean, N.C.

AU - Griffith, P.P.

AU - Sorensen, J.S.

AU - McCauley, L.

AU - Jones, B.E.

AU - Lee, Gary C.G.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.Background Pleural effusions are present in 15% to 44% of hospitalized patients with pneumonia. It is unknown whether effusions at first presentation to the ED influence outcomes or should be managed differently. Methods We studied patients in seven hospital EDs with International Statistical Classification of Disease and Health Related Problems-Version 9 codes for pneumonia, or empyema, sepsis, or respiratory failure with secondary pneumonia. Patients with no confirmatory findings on chest imaging were excluded. Pleural effusions were identified with the use of radiographic imaging. Results Over 24 months, 4,771 of 458,837 adult ED patients fulfilled entry criteria. Among the 690 (14.5%) patients with pleural effusions, their median age was 68 years, and 46% were male. Patients with higher Elixhauser comorbidity scores (OR, 1.13 [95% CI, 1.09-1.18]; P

AB - © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.Background Pleural effusions are present in 15% to 44% of hospitalized patients with pneumonia. It is unknown whether effusions at first presentation to the ED influence outcomes or should be managed differently. Methods We studied patients in seven hospital EDs with International Statistical Classification of Disease and Health Related Problems-Version 9 codes for pneumonia, or empyema, sepsis, or respiratory failure with secondary pneumonia. Patients with no confirmatory findings on chest imaging were excluded. Pleural effusions were identified with the use of radiographic imaging. Results Over 24 months, 4,771 of 458,837 adult ED patients fulfilled entry criteria. Among the 690 (14.5%) patients with pleural effusions, their median age was 68 years, and 46% were male. Patients with higher Elixhauser comorbidity scores (OR, 1.13 [95% CI, 1.09-1.18]; P

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JO - Chest

JF - Chest

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ER -

Pleural Effusions at First ED Encounter Predict Worse Clinical Outcomes in Patients with Pneumonia

Abstract

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