Perioperative medicine & outcomes

Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods

Perioper Med (Lond)Published Observational cohort study

Authors' conclusion

Implementation of VATD and ERAS procedures in patients with stage III tuberculous empyema can significantly reduce the LOS and improve patient outcomes in a safe and effective manner.

Study context

Population
Patients with stage III tuberculous empyema
Participants
360 patients
Exposure
Video-assisted thoracoscopic decortication (VATD) vs thoracotomy decortication (TD), enhanced recovery after surgery (ERAS) vs traditional recovery procedures
Outcome
Intraoperative and postoperative outcomes

Main finding

As reported in the abstract

  • Significant differences between TD and VATS in duration of surgery, intraoperative blood loss, postoperative drainage, postoperative erythrocyte sedimentation rate (ESR), LOS and pain levels
  • ERAS also showed significant effects in certain outcome measures

Observational data: associations, not effects.

Further findings

Risk factors for postoperative LOS (multivariate analysis)

VATD and ERAS, and preoperative antituberculosis therapy, inversely associated with LOS

Safety

Postoperative complications

No significant differences in incidence among the groups

Original publication

Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods. Perioper Med (Lond). Published 17 April 2025. doi:10.1186/s13741-025-00530-y

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