Management of malignant pleural effusion by an indwelling pleural catheter: A cost-efficiency analysis.

Abstract:

BACKGROUND:For patients that are expected to survive for longer, the risk of complications combined with the need for more vacuum drainage bottles have become barriers to the placement of indwelling pleural catheter (IPC), since these could increase costs. OBJETIVES:The objective of the current article is to determine the cost and efficiency of treating malignant pleural effusion (MPE) with IPC in Spanish hospitals. METHODS:We compared the cost associated with the use of IPC per outpatient and per inpatient. We analyzed the number of consultations, length of hospital stay, and outcome of the procedure. RESULTS:Fifty-five patients were recruited. Spontaneous pleurodesis was achieved in 34.4% of the cases. Post-catheterization complications were observed in 7.2%. Supplementary procedures were unnecessary and 87.7% of the patients reported improved dyspnea. In 64.9% of the cases, the IPCs were inserted during hospitalization with a median hospitalization time of 4 days (1-7.5). There were differences in the number of visits with more consultations being observed in the outpatient group. There was no difference in the number of vacuum drainage bottles used. The complications supposed a cost increase of €1045.6 per outpatient and €432.54 per inpatient. The overall average cost of treatment per outpatient was €3310.2 and €5450.3 per inpatient. CONCLUSIONS:The treatment with IPC was effective, safe, without need of any more procedures and led to improved dyspnea in more than 85% of the patients. The cost is lower in the outpatient group, although complications represent an increased cost in both groups.

journal_name

Ann Thorac Med

authors

Rial MB,Lamela IP,Fernández VL,Arca JA,Delgado MN,Pombo CV,Hernández CR,Fernández-Villar A

doi

10.4103/1817-1737.160837

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

181-4

issue

3

eissn

1817-1737

issn

1998-3557

pii

ATM-10-181

journal_volume

10

pub_type

杂志文章
  • Prognostic factors for bronchoscopic intervention in advanced lung or esophageal cancer patients with malignant airway obstruction.

    abstract:CONTEXT:Bronchoscopic intervention can provide immediate relief from suffocation and an opportunity for additional treatment in patients with malignant airway obstruction. However, few studies have specifically identified prognostic factors affecting the survival of advanced lung or esophageal cancer patients receiving...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.109818

    authors: Song JU,Park HY,Kim H,Jeon K,Um SW,Koh WJ,Suh GY,Chung MP,Kwon OJ

    更新日期:2013-04-01 00:00:00

  • An underestimated cause of chronic cough: The Protracted Bacterial Bronchitis.

    abstract::Chronic cough in childhood is associated with a high morbidity and decreased quality of life. Protracted bacterial bronchitis (PBB) seems to be the second most common cause of chronic cough in children under 6 years of age. Its main clinical feature is represented by wet cough that worsens when changing posture and im...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章,评审

    doi:10.4103/atm.ATM_12_17

    authors: Di Filippo P,Scaparrotta A,Petrosino MI,Attanasi M,Di Pillo S,Chiarelli F,Mohn A

    更新日期:2018-01-01 00:00:00

  • Utility and safety of endobronchial ultrasound-guided transbronchial needle aspiration in patients with mediastinal and hilar lymphadenopathy: Western region experience.

    abstract:AIMS:The aim of the study was to evaluate the clinical utility and safety of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in patients with mediastinal and hilar lymphadenopathy and to explicitly describe the utility of this procedure in patient's outcome. METHODS:A retrospective review ...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/atm.ATM_317_17

    authors: Aljohaney AA

    更新日期:2018-04-01 00:00:00

  • Identification and management of cough-induced laryngotracheitis.

    abstract::Chronic cough is associated with repetitive injury to the upper airway and trachea, which can lead to an underdiagnosed pathology known as "cough-induced" laryngotracheitis (CILT). In this report, we describe a case of CILT that responded well to dual therapy. ...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/atm.ATM_21_18

    authors: Rodriguez LE,Rodriguez JE,Boodoosingh DR,Salcedo VM

    更新日期:2018-07-01 00:00:00

  • Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Pulmonary hypertension associated with hemolytic anemia.

    abstract::Hereditary hemoglobin disorders affecting the globin chain synthesis namely thalassemia syndromes and sickle cell disease (SCD) are the most common genetic disorders in human. Around 7% of the world population carries genes for these disorders, mainly the Mediterranean Basin, Middle and Far East, and Sub-Saharan Afric...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.134039

    authors: Saleemi S

    更新日期:2014-07-01 00:00:00

  • Pulmonary hydatid cyst in a pregnant patient causing acute respiratory failure.

    abstract::A 21-year-old primigravida, at 32 weeks of gestation, presented with acute onset of respiratory failure and circulatory shock. Chest imaging showed findings suggestive of ruptured hydatid cyst, which was confirmed by histology post-thoracotomy. Tissue cultures from the removed cyst grew Mycobacterium tuberculosis also...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/1817-1737.32234

    authors: Hijazi MH,Al-Ansari MA

    更新日期:2007-04-01 00:00:00

  • Saudi lung cancer prevention and screening guidelines.

    abstract:BACKGROUND:While lung cancer is the leading cancer cause of death, it is largely preventable. Furthermore, early diagnosis enhances the chance of cure. Therefore, we developed guidelines for lung cancer prevention and early detection. METHODS:A multidisciplinary team of experts in lung cancer representing different he...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/atm.ATM_147_18

    authors: Jazieh AR,AlGhamdi M,AlGhanem S,AlGarni M,AlKattan K,AlRujaib M,AlNaimi M,Babelli OM,AlShehri S,AlQahtani R,Zeitouni M

    更新日期:2018-10-01 00:00:00

  • Coronary flow reserve is impaired in patients with obstructive sleep apnea.

    abstract:STUDY OBJECTIVES:Obstructive sleep apnea (OSA) is common in adult populations. Accumulating data indicate that it is independently associated with a variety of cardiovascular diseases and has prognostic importance in affected cases. In this study, we aimed to evaluate coronary flow reserve (CFR) in patients with OSA an...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/atm.ATM_195_16

    authors: Bozbas SS,Eroglu S,Ozyurek BA,Eyuboglu FO

    更新日期:2017-10-01 00:00:00

  • Unusual variant of Cantrell's pentalogy?

    abstract::A 12-hour-old male infant presented with prolapsed abdominal content through a defect on left side of chest wall with respiratory distress. A thorough clinical examination suggested absence of ectopia cordis, abdominal wall defect, and any bony anomaly. The child expired after 6 hours of admission because of respirato...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/1817-1737.41916

    authors: Kumar B,Sharma SB,Kandpal DK,Agrawal LD

    更新日期:2008-07-01 00:00:00

  • Progression-free survival, post-progression survival, and tumor response as surrogate markers for overall survival in patients with extensive small cell lung cancer.

    abstract:OBJECTIVES:The effects of first-line chemotherapy on overall survival (OS) might be confounded by subsequent therapies in patients with small cell lung cancer (SCLC). We examined whether progression-free survival (PFS), post-progression survival (PPS), and tumor response could be valid surrogate endpoints for OS after ...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.146885

    authors: Imai H,Mori K,Wakuda K,Ono A,Akamatsu H,Shukuya T,Taira T,Kenmotsu H,Naito T,Kaira K,Murakami H,Endo M,Nakajima T,Yamamoto N,Takahashi T

    更新日期:2015-01-01 00:00:00

  • Frontline gefitinib in advanced non-small cell lung cancer: Meta-analysis of published randomized trials.

    abstract:OBJECTIVE:Gefitinib, a small molecule tyrosine kinase inhibitor, showed a substantial effect as a salvage treatment for patients with advanced non-small cell lung cancer (NSCLC) who had failed prior chemotherapy. Subsequent phase III trials in previously untreated patients have failed to demonstrate such benefit. It wa...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.65047

    authors: Ibrahim EM

    更新日期:2010-07-01 00:00:00

  • Pulmonary strongyloidiasis associated CD3+ large granular lymphocytosis.

    abstract::We report a case of pulmonary strongyloidiasis in a patient with large granular lymphocytosis. He was on short-term high dose immunosuppressant therapy. A 77-year-old white male presented to the emergency room with fever and shortness of breath for 10 days. The patient had been diagnosed about 3 months prior to this p...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/1817-1737.78432

    authors: Rishi MA,Chaudhry SZ

    更新日期:2011-04-01 00:00:00

  • Avian influenza: the tip of the iceberg.

    abstract::For some years now, we have been living with the fear of an impending pandemic of avian influenza (AI). Despite the recognition, in 1996, of the global threat posed by the highly pathogenic H5N1 influenza virus found in farmed geese in Guangdong Province, China, planning for the anticipated epidemic remains woefully i...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.43085

    authors: Balkhy H

    更新日期:2008-10-01 00:00:00

  • The influence of intermittent fasting on the circadian pattern of melatonin while controlling for caloric intake, energy expenditure, light exposure, and sleep schedules: A preliminary report.

    abstract:AIMS:We hypothesized that if we control for food composition, caloric intake, light exposure, sleep schedule, and exercise, intermittent fasting would not influence the circadian pattern of melatonin. Therefore, we designed this study to assess the effect of intermittent fasting on the circadian pattern of melatonin. ...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/atm.ATM_15_17

    authors: Almeneessier AS,Bahammam AS,Sharif MM,Bahammam SA,Nashwan SZ,Pandi Perumal SR,Cardinali DP,Alzoghaibi M

    更新日期:2017-07-01 00:00:00

  • A rare cause of massive hemoptysis in a child: Bronchial Dieulafoy's disease - the first report of transcatheter treatment in pediatric age.

    abstract::We report a case of bronchial Dieulafoy's disease in the pediatric age. Angio-computed tomography scan and arteriography addressed us to diagnosis. Bronchial endoscopy with biopsy was avoided due to the high risk of developing a life-threatening hemorrhage. Transcatheter embolization of the bleeding bronchial artery w...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/atm.ATM_163_20

    authors: Giordano M,Bigazzi MC,Palladino MT,Russo MG

    更新日期:2020-10-01 00:00:00

  • Whistle in the bronchus.

    abstract::An 18-year-old male presented with 4 weeks' history of productive cough and fever that had started 1 day after alleged ingestion of a plastic whistle. Multiple courses of antibiotics had proved ineffective. Crepitation and a localized wheeze on right chest were observed on clinical examination. Chest radiograph showed...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/1817-1737.33702

    authors: Koul PA,Wahid A,Bhat TA,Hussain T

    更新日期:2007-07-01 00:00:00

  • Bronchiolitis obliterans organizing pneumonia: pathogenesis, clinical features, imaging and therapy review.

    abstract::Bronchiolitis obliterans organizing pneumonia (BOOP) was first described in the early 1980s as a clinicopathologic syndrome characterized symptomatically by subacute or chronic respiratory illness and histopathologically by the presence of granulation tissue in the bronchiolar lumen, alveolar ducts and some alveoli, a...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.39641

    authors: Al-Ghanem S,Al-Jahdali H,Bamefleh H,Khan AN

    更新日期:2008-04-01 00:00:00

  • Factors associated with poor asthma control in the outpatient clinic setting.

    abstract:BACKGROUND/OBJECTIVES:The goal of the study was to assess asthma control using asthma control test (ACT) and to explore the factors that effects asthma control among participants with bronchial asthma in the outpatient clinic setting. METHODS:This cross-sectional descriptive study was conducted in the outpatient prima...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.152450

    authors: Al-Zahrani JM,Ahmad A,Al-Harbi A,Khan AM,Al-Bader B,Baharoon S,Shememeri AA,Al-Jahdali H

    更新日期:2015-04-01 00:00:00

  • Imaging lung manifestations of HIV/AIDS.

    abstract::Advances in our understanding of human immunodeficiency virus (HIV) infection have led to improved care and incremental increases in survival. However, the pulmonary manifestations of HIV/acquired immunodeficiency syndrome (AIDS) remain a major cause of morbidity and mortality. Respiratory complaints are not infrequen...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.69106

    authors: Allen CM,Al-Jahdali HH,Irion KL,Al Ghanem S,Gouda A,Khan AN

    更新日期:2010-10-01 00:00:00

  • Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Intensive care management of pulmonary hypertension.

    abstract::Pulmonary hypertension (PH) in the Intensive Care Unit (ICU) may be due to preexisting pulmonary vascular lung disease, liver disease, or cardiac diseases. PH also may be caused by critical illnesses, such as acute respiratory distress syndrome (ARDS), acute left ventricular dysfunction and pulmonary embolism, or may ...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.134056

    authors: Al-Azem MA,Al-Hazmi MS

    更新日期:2014-07-01 00:00:00

  • Prevalence of short sleep duration and its association with obesity among adolescents 15- to 19-year olds: A cross-sectional study from three major cities in Saudi Arabia.

    abstract:BACKGROUND:Adequate sleep has been considered important for the adolescent's health and well being. On the other hand, self-imposed sleep curtailment is now recognized as a potentially important and novel risk factor for obesity. The present study aimed to assess the prevalence of short sleep duration and its associati...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.98845

    authors: Al-Hazzaa HM,Musaiger AO,Abahussain NA,Al-Sobayel HI,Qahwaji DM

    更新日期:2012-07-01 00:00:00

  • Improving the care of sepsis: Between system redesign and professional responsibility: A roundtable discussion in the world sepsis day, September 25, 2013, Riyadh, Saudi Arabia.

    abstract::This paper summarizes the roundtable discussion in September 25, 2013, Riyadh, Saudi Arabia as part of the World Sepsis Day held in King Abdulaziz Medical City, Riyadh. The objectives of the roundtable discussion were to (1) review the chasm between the current management of sepsis and best practice, (2) discuss syste...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.134066

    authors: Arabi Y,Alamry A,Levy MM,Taher S,Marini AM

    更新日期:2014-07-01 00:00:00

  • Barriers for setting up a pulmonary rehabilitation program in the Eastern Province of Saudi Arabia.

    abstract:BACKGROUND:Pulmonary rehabilitation (PR) programs proven to be one of the most effective treatment options for respiratory diseases; yet, they are not well-established in hospitals in Saudi Arabia. AIM:To determine the main barriers for setting up PR programs in Saudi Arabia. METHODS:A cross-sectional study was condu...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.180028

    authors: Alsubaiei ME,Cafarella PA,Frith PA,McEvoy RD,Effing TW

    更新日期:2016-04-01 00:00:00

  • Hemorrhagic pleural effusion secondary to sarcoidosis: A brief review.

    abstract::Pleural effusion is considered to be a rare manifestation of pulmonary sarcoidosis, but hemorrhagic effusion secondary to it is a very uncommon clinical presentation. This case is reported due to the rare manifestation in pulmonary sarcoidosis presenting clinically as hemorrhagic pleural effusion. ...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/1817-1737.44783

    authors: Kumar S,Verma SK,Singh R,Prasad R

    更新日期:2009-01-01 00:00:00

  • Repositioning of endotracheal tube and risk of ventilator-associated pneumonia among adult patients: A matched case-control study.

    abstract:INTRODUCTION:Ventilator-associated pneumonia (VAP) is one of the most serious hospital-acquired infections to occur among mechanically ventilated patients. Many risk factors for VAP have been identified in the literature; however, there is a lack of studies examining the association between endotracheal tube (ETT) repo...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/atm.ATM_26_19

    authors: Ismaeil T,Alfunaysan L,Alotaibi N,Alkadi S,Othman F

    更新日期:2019-10-01 00:00:00

  • Association of bronchoalveolar lavage yield with chest computed tomography findings and symptoms in immunocompromised patients.

    abstract:INTRODUCTION:Fiber-optic bronchoscopy (FOB) with bronchoalveolar lavage (BAL) is a common procedure performed in immunocompromised patients with undiagnosed pulmonary pathology. Identifying patients with the highest potential diagnostic yield may help to avoid morbidity in patients unlikely to benefit from the procedur...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.114302

    authors: Brownback KR,Simpson SQ

    更新日期:2013-07-01 00:00:00

  • Pulmonary tumor thromboembolism: a case report and review of literature.

    abstract::Pulmonary tumor thromboembolism is well described in literature especially in patients known to have cancer. We are presenting this report of a patient presenting with Acute Cor-pulmonale secondary to Occult Gastric carcinoma causing pulmonary tumor embolism. This is an unusual presentation of occult neoplasm. ...

    journal_title:Annals of thoracic medicine

    pub_type:

    doi:10.4103/1817-1737.36553

    authors: Aiyappan V,Alwail A

    更新日期:2007-10-01 00:00:00

  • Pictorial essay of radiological features of benign intrathoracic masses.

    abstract::With increased exposure of patients to routine imaging, incidental benign intrathoracic masses are frequently recognized. Most have classical imaging features, which are pathognomonic for their benignity. The aim of this pictorial review is to educate the reader of radiological features of several types of intrathorac...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章,评审

    doi:10.4103/1817-1737.160365

    authors: Suut S,Al-Ani Z,Allen C,Rajiah P,Durr-E-Sabih,Al-Harbi A,Al-Jahdali H,Khan AN

    更新日期:2015-10-01 00:00:00

  • Pulmonary rehabilitation: A regional perspective evidenced-based review.

    abstract::Pulmonary rehabilitation (PR) is an integral component of the comprehensive management plan of patients with chronic lung diseases by addressing their functional and psychological deficits. PR is generally recommended to symptomatic patients with chronic lung diseases who develop shortness of breath on their own pace ...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章,评审

    doi:10.4103/1817-1737.124408

    authors: Al Moamary MS,Alorainy H,Al-Hajjaj MS

    更新日期:2014-01-01 00:00:00

  • The Saudi Initiative for Asthma.

    abstract::The Saudi Initiative for Asthma (SINA) provides up-to-date guidelines for healthcare workers managing patients with asthma. SINA was developed by a panel of Saudi experts with respectable academic backgrounds and long-standing experience in the field. SINA is founded on the latest available evidence, local literature,...

    journal_title:Annals of thoracic medicine

    pub_type: 杂志文章

    doi:10.4103/1817-1737.56001

    authors: Al-Moamary MS,Al-Hajjaj MS,Idrees MM,Zeitouni MO,Alanezi MO,Al-Jahdali HH,Al Dabbagh M

    更新日期:2009-10-01 00:00:00