Exploring the Etiology and Clinical Impact of Pleural Effusion in Pediatric Patients: A Cross-Sectional Analysis
DOI:
https://doi.org/10.1996/pjcm.v28i3.892Keywords:
Etiology, Pleural Effusion, OutcomesAbstract
Background: The accumulation of unusual fluids within the pleural cavity is known as a pleural effusion. Pleural effusions can be classified as either transudative or exudative. Objective: The aim of the study was to explore the Etiology and Clinical Impact of Pleural Effusion in Pediatric Patients. Methodology: This cross-sectional study was carried out at the Department of Pulmonology and Paediatric Medicine, Qazi Hussain Ahmad Medical Complex, Nowshera from February 2019 to January 2020 after obtaining approval from the ethical committee of the institute. A total of 80 children aged less than 15 years old were included. All children underwent testing to determine the reasons for their pleural effusion. All the data was analyzed statistically. Results A total of 80 children with pleural effusion were enrolled in this study. Out of them 50 (62.5%) were male and 30 (37.5%) were female. Cough was the most frequent symptom observed in these children. Heart failure was the most frequent reason for transudative pleural effusion. Out of 47 children who had done tube thoracotomies out of 49 cases of parapneumonic effusion, and in 35 of those cases, streptokinase was given. Of all 35 cases, 23 had satisfied responses in regards to lung expansion and pleural fluid drainage, while 11 still had non-expanding lungs and a localized pleural effusion; as a result, the patients were sent to a thoracic surgeon who underwent decortications. Conclusion The most frequent reason for pleural effusion among children is parapneumonic effusion. Children responded well to intrapleural SK, which prevents many patients from undergoing surgery. ÂReferences
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