Wiyono Wiwien Heru, Alatas Mohamad Fahmi, Putra Andika Chandra, Burhan Erlina, Nisrina Amirah, Wiyarta Elvan, Gustya Gita Fajri, Rakasiwi Muhammad Ilham Dhiya, Briliani Adlina
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Indonesia-Persahabatan Central General Hospital, Jakarta, Indonesia.
Department of Pulmonology, St Carolus Hospital, Jakarta, Indonesia.
BMC Pulm Med. 2025 Jul 3;25(1):310. doi: 10.1186/s12890-025-03790-y.
Loculated pleural effusion (PE) is a complex condition that often necessitates thoracoscopy due to diagnostic and therapeutic challenges. This study aimed to identify factors influencing the length of stay (LoS) after rigid medical thoracoscopy for loculated PE and assess clinical outcomes, including improvements in lung function.
This was a retrospective cohort study conducted at St. Carolus Hospital, Jakarta, from October 2011 to December 2020. The inclusion criteria were patients with multiloculated pleural effusion requiring thoracoscopy and available preoperative and postoperative FEV and FVC results, while the exclusion criteria included patients with contraindications for thoracoscopy and missing surgery duration, LoS, or pathological data. Pearson and Spearman correlation analyses and correlation tests were used to assess the relationships between variables, with linear regression performed to identify significant predictors.
A total of 58 patients with multiloculated pleural effusion who underwent rigid thoracoscopy were enrolled. Significant improvements were observed in both the predicted FEV and FVC (p < 0.001) between the preoperative and postoperative measurements. Through multivariate analysis, we discovered a significant negative correlation between preoperative predicted FEV (β = -0.09, p = 0.036) and LoS. Conversely, there was a positive correlation between the duration of surgery and LoS (β = 0.088, p < 0.001), with a constant value of 6.852. Using the β coefficient and constant found in multivariate analysis, an equation was obtained to predict patient LoS using parameters of preoperative predicted FEV and duration of surgery.
Preoperative predicted FEV and the duration of the procedure are predictive factors for LoS in multiloculated PE patients undergoing rigid thoracoscopy.
Not applicable.
局限性胸腔积液（PE）是一种复杂的病症，由于诊断和治疗方面的挑战，常常需要进行胸腔镜检查。本研究旨在确定影响局限性PE患者在硬式内科胸腔镜检查后住院时间（LoS）的因素，并评估临床结局，包括肺功能的改善情况。
这是一项回顾性队列研究，于2011年10月至2020年12月在雅加达圣卡罗勒斯医院进行。纳入标准为需要进行胸腔镜检查的多房性胸腔积液患者，且有术前和术后的FEV及FVC结果，排除标准包括有胸腔镜检查禁忌症以及缺少手术时长、LoS或病理数据的患者。采用Pearson和Spearman相关性分析及相关性检验来评估变量之间的关系，并进行线性回归以确定显著的预测因素。
共纳入58例接受硬式胸腔镜检查的多房性胸腔积液患者。术前和术后测量的预测FEV和FVC均有显著改善（p < 0.001）。通过多变量分析，我们发现术前预测FEV与LoS之间存在显著负相关（β = -0.09，p = 0.036）。相反，手术时长与LoS之间存在正相关（β = 0.088，p < 0.001），常数为6.852。利用多变量分析中发现的β系数和常数，得到了一个使用术前预测FEV和手术时长参数来预测患者LoS的方程。
术前预测FEV和手术时长是接受硬式胸腔镜检查的多房性PE患者LoS的预测因素。
不适用。
