The rising incidence of pediatric empyema with fistula

T. K. Pandian; Johnathon M. Aho; Daniel S. Ubl; Christopher R. Moir; Michael B. Ishitani; Elizabeth B Habermann

doi:10.1007/s00383-015-3834-5

The rising incidence of pediatric empyema with fistula

T. K. Pandian, Johnathon M. Aho, Daniel S. Ubl, Christopher R. Moir, Michael B. Ishitani, Elizabeth B Habermann

Health Sciences Research

Research output: Contribution to journal › Article

2 Scopus citations

Abstract

Purpose: The incidence and etiology of empyema with fistula (EWF) in children is unknown. We analyzed a national database to define the epidemiology and diagnoses associated with this condition. Methods: Discharge data from the Kids’ Inpatient Database were reviewed for EWF (ICD-9 diagnosis code 510.0) in children ≤18 years from 2000 to 2012. Patient characteristics, institutional data, and accompanying conditions were evaluated. Weighted national estimates were calculated and incidence compared across years (2000, 2003, 2006, 2009) using the Rao-Scott Chi Square. Results: From 2000 to 2012, 908 children were hospitalized with EWF. Age distribution was bimodal. Common primary diagnoses related to the hospitalization were pneumonia/pulmonary abscess (31.2 %) and EWF (19.3 %). Manipulation of the pleural space (e.g. decortication, drainage) comprised 45.0 % of procedures. Incidence rates of EWF increased (Rao Scott Adjusted Chi Square: 16.13, p

Original language	English (US)
Pages (from-to)	215-220
Number of pages	6
Journal	Pediatric Surgery International
Volume	32
Issue number	3
DOIs	https://doi.org/10.1007/s00383-015-3834-5
State	Published - Mar 1 2016

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Keywords

Bronchopleural fistula
Empyema
Empyema with fistula
Pediatrics
Pneumonia

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

Cite this

Pandian, T. K., Aho, J. M., Ubl, D. S., Moir, C. R., Ishitani, M. B., & Habermann, E. B. (2016). The rising incidence of pediatric empyema with fistula. Pediatric Surgery International, 32(3), 215-220. https://doi.org/10.1007/s00383-015-3834-5

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abstract = "Purpose: The incidence and etiology of empyema with fistula (EWF) in children is unknown. We analyzed a national database to define the epidemiology and diagnoses associated with this condition. Methods: Discharge data from the Kids{\textquoteright} Inpatient Database were reviewed for EWF (ICD-9 diagnosis code 510.0) in children ≤18 years from 2000 to 2012. Patient characteristics, institutional data, and accompanying conditions were evaluated. Weighted national estimates were calculated and incidence compared across years (2000, 2003, 2006, 2009) using the Rao-Scott Chi Square. Results: From 2000 to 2012, 908 children were hospitalized with EWF. Age distribution was bimodal. Common primary diagnoses related to the hospitalization were pneumonia/pulmonary abscess (31.2 %) and EWF (19.3 %). Manipulation of the pleural space (e.g. decortication, drainage) comprised 45.0 % of procedures. Incidence rates of EWF increased (Rao Scott Adjusted Chi Square: 16.13, p ",

keywords = "Bronchopleural fistula, Empyema, Empyema with fistula, Pediatrics, Pneumonia",

author = "Pandian, {T. K.} and Aho, {Johnathon M.} and Ubl, {Daniel S.} and Moir, {Christopher R.} and Ishitani, {Michael B.} and Habermann, {Elizabeth B}",

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AU - Pandian, T. K.

AU - Aho, Johnathon M.

AU - Ubl, Daniel S.

AU - Moir, Christopher R.

AU - Ishitani, Michael B.

AU - Habermann, Elizabeth B

PY - 2016/3/1

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N2 - Purpose: The incidence and etiology of empyema with fistula (EWF) in children is unknown. We analyzed a national database to define the epidemiology and diagnoses associated with this condition. Methods: Discharge data from the Kids’ Inpatient Database were reviewed for EWF (ICD-9 diagnosis code 510.0) in children ≤18 years from 2000 to 2012. Patient characteristics, institutional data, and accompanying conditions were evaluated. Weighted national estimates were calculated and incidence compared across years (2000, 2003, 2006, 2009) using the Rao-Scott Chi Square. Results: From 2000 to 2012, 908 children were hospitalized with EWF. Age distribution was bimodal. Common primary diagnoses related to the hospitalization were pneumonia/pulmonary abscess (31.2 %) and EWF (19.3 %). Manipulation of the pleural space (e.g. decortication, drainage) comprised 45.0 % of procedures. Incidence rates of EWF increased (Rao Scott Adjusted Chi Square: 16.13, p

AB - Purpose: The incidence and etiology of empyema with fistula (EWF) in children is unknown. We analyzed a national database to define the epidemiology and diagnoses associated with this condition. Methods: Discharge data from the Kids’ Inpatient Database were reviewed for EWF (ICD-9 diagnosis code 510.0) in children ≤18 years from 2000 to 2012. Patient characteristics, institutional data, and accompanying conditions were evaluated. Weighted national estimates were calculated and incidence compared across years (2000, 2003, 2006, 2009) using the Rao-Scott Chi Square. Results: From 2000 to 2012, 908 children were hospitalized with EWF. Age distribution was bimodal. Common primary diagnoses related to the hospitalization were pneumonia/pulmonary abscess (31.2 %) and EWF (19.3 %). Manipulation of the pleural space (e.g. decortication, drainage) comprised 45.0 % of procedures. Incidence rates of EWF increased (Rao Scott Adjusted Chi Square: 16.13, p

KW - Bronchopleural fistula

KW - Empyema

KW - Empyema with fistula

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KW - Pneumonia

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10.1007/s00383-015-3834-5