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

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)215-220
Number of pages6
JournalPediatric Surgery International
Volume32
Issue number3
DOIs
StatePublished - Mar 1 2016

Fingerprint

Empyema
Fistula
Pediatrics
Incidence
Databases
Lung Abscess
Hospitalized Child
Age Distribution
International Classification of Diseases
Inpatients
Drainage
Pneumonia
Epidemiology
Hospitalization

Keywords

  • Bronchopleural fistula
  • Empyema
  • Empyema with fistula
  • Pediatrics
  • Pneumonia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

The rising incidence of pediatric empyema with fistula. / Pandian, T. K.; Aho, Johnathon M.; Ubl, Daniel S.; Moir, Christopher R.; Ishitani, Michael B.; Habermann, Elizabeth B.

In: Pediatric Surgery International, Vol. 32, No. 3, 01.03.2016, p. 215-220.

Research output: Contribution to journalArticle

Pandian, TK, Aho, JM, Ubl, DS, Moir, CR, Ishitani, MB & Habermann, EB 2016, 'The rising incidence of pediatric empyema with fistula', Pediatric Surgery International, vol. 32, no. 3, pp. 215-220. https://doi.org/10.1007/s00383-015-3834-5
Pandian, T. K. ; Aho, Johnathon M. ; Ubl, Daniel S. ; Moir, Christopher R. ; Ishitani, Michael B. ; Habermann, Elizabeth B. / The rising incidence of pediatric empyema with fistula. In: Pediatric Surgery International. 2016 ; Vol. 32, No. 3. pp. 215-220.
@article{c72ada6ed8004c209a020848b421602f,
title = "The rising incidence of pediatric empyema with fistula",
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 ",
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}",
year = "2016",
month = "3",
day = "1",
doi = "10.1007/s00383-015-3834-5",
language = "English (US)",
volume = "32",
pages = "215--220",
journal = "Pediatric Surgery International",
issn = "0179-0358",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - The rising incidence of pediatric empyema with fistula

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

Y1 - 2016/3/1

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

KW - Pediatrics

KW - Pneumonia

UR - http://www.scopus.com/inward/record.url?scp=84958935666&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958935666&partnerID=8YFLogxK

U2 - 10.1007/s00383-015-3834-5

DO - 10.1007/s00383-015-3834-5

M3 - Article

C2 - 26520654

AN - SCOPUS:84958935666

VL - 32

SP - 215

EP - 220

JO - Pediatric Surgery International

JF - Pediatric Surgery International

SN - 0179-0358

IS - 3

ER -