Perioperative medicine & outcomes
Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods
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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