大型多中心队列中胸腔积液的病因：门诊病人与住院病人之间的差异。

IF 1.9 4区医学 Q3 RESPIRATORY SYSTEM Clinical Respiratory Journal Pub Date : 2024-10-09 DOI:10.1111/crj.13795

Asfandyar Yousuf, Sophie Holland, Junyi Zhang, Cheryl Hardy, Madeline Charles-Rudwick, Fredrik Vivian, Poppy Denniston, Nithin Thoppuram, Andrei Kisseljov, Rakesh K. Panchal, Eleanor K. Mishra

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引用次数: 0

摘要

简介：这项多中心回顾性队列研究旨在确定未确诊胸腔积液的原因是否因患者是门诊患者还是住院患者而有所不同：这项多中心回顾性队列研究旨在确定未确诊胸腔积液的病因是否因患者是门诊患者还是住院患者而有所不同：研究纳入了英国四家医院2021年1月1日至2022年12月31日期间主要因未确诊胸腔积液就诊的1080名成年患者（556名住院患者和524名门诊患者）：结果：我们发现恶性渗出在门诊患者中比住院患者中更为常见（48.3% 对 36.0% p 结论：检查路径应根据患者是住院病人还是门诊病人而有所不同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Aetiology of Pleural Effusions in a Large Multicentre Cohort: Variation Between Outpatients and Inpatients

Introduction

This multi-centre retrospective cohort study aimed to determine whether the cause of an undiagnosed pleural effusion differed depending on if a patient presented as an outpatient or inpatient.

Methods

A total of 1080 adult patients (556 inpatients and 524 outpatients) presenting primarily with an undiagnosed pleural effusion from 1 January 2021 to 31 December 2022 from four UK hospitals were included.

Results

We found malignant effusions were more common in outpatients compared to inpatients (48.3% vs. 36.0% p < 0.0001). Infection was common in inpatients but uncommon in outpatients (36.2% vs. 5.0% p < 0.0001). Other causes in all patients included heart and/or renal failure (13.1%) and non-specific pleuritis (5.6%). No diagnosis was possible in 11.8% of patients referred.

Conclusion

Investigative pathways should vary depending on whether patients present as an inpatient or outpatient.

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来源期刊

Clinical Respiratory Journal 医学-呼吸系统

CiteScore

3.70

自引率

0.00%

发文量

104

审稿时长

>12 weeks

期刊介绍： Overview Effective with the 2016 volume, this journal will be published in an online-only format. Aims and Scope The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic. We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including: Asthma Allergy COPD Non-invasive ventilation Sleep related breathing disorders Interstitial lung diseases Lung cancer Clinical genetics Rhinitis Airway and lung infection Epidemiology Pediatrics CRJ provides a fast-track service for selected Phase II and Phase III trial studies. Keywords Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease, Abstracting and Indexing Information Academic Search (EBSCO Publishing) Academic Search Alumni Edition (EBSCO Publishing) Embase (Elsevier) Health & Medical Collection (ProQuest) Health Research Premium Collection (ProQuest) HEED: Health Economic Evaluations Database (Wiley-Blackwell) Hospital Premium Collection (ProQuest) Journal Citation Reports/Science Edition (Clarivate Analytics) MEDLINE/PubMed (NLM) ProQuest Central (ProQuest) Science Citation Index Expanded (Clarivate Analytics) SCOPUS (Elsevier)