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May 12, 2026Portuguese Journal of Cardiac Thoracic and Vascular SurgeryOpen Access

Comparing Treatment Modalities For Parapneumonic Pleural Empyema In Children: What To Choose And When, A Retrospective Study

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Authors

CSCarolina Soares-AquinoSVSofia Vasconcelos‐CastroNENorberto Estevinho

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Overview

Retrospective study compares treatment outcomes for parapneumonic pleural empyema in children, highlighting effective approaches.

Key Points

  • This study aims to analyze and compare different treatment options for parapneumonic pleural empyema in children and their outcomes.
  • Retrospective analysis of cases from 2012-2024 at a single center
  • Examined demographics, treatment times, failure rates, complications, and follow-up
  • Exclusions included lung necrosis, simple effusions, and bilateral pneumonias.
  • 77 cases identified with a median age of 5 years
  • Initial treatment: 58% fibrinolysis, 29% thoracoscopic decortication, 13% simple drainage
  • Fibrinolysis had longer treatment duration (17 days) compared to thoracoscopic decortication (13 days), p=0.004. Failure rates were 22% for fibrinolysis and 9% for thoracoscopy.

Cite This Study

Soares-Aquino et al. (2026) studied this question.

synapsesocial.com/papers/6a02c380ce8c8c81e9640c36https://doi.org/10.48729/pjctvs.627
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Management of parapneumonial pleural empyema in children: a survey of the Italian Society of Infantile Videosurgery (SIVI)2025
  2. 2Management of Pediatric Parapneumonic Pleural Effusion: Interventional Versus Conservative Approaches in an 11-Year Retrospective Cohort2026 · 1 citations
  3. 3Clinical outcomes of intrapleural alteplase in pediatric empyema: real-world data from a tertiary center2026
  4. 4Long‐Term Outcomes of Necrotizing Pneumonia and Parapneumonic Effusion in Children2025 · 5 citations
  5. 5Parapneumonic Effusion Versus Pulmonary Empyema in Children: Analysis of Risk Factors and Laboratory Predictors Through a Single Center Experience2025 · 2 citations