Title |
Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
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Published in |
BMC Pulmonary Medicine, November 2017
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DOI | 10.1186/s12890-017-0499-y |
Pubmed ID | |
Authors |
Merlin Thomas, Wanis H. Ibrahim, Tasleem Raza, Kamran Mushtaq, Adeel Arshad, Mushtaq Ahmed, Salma Taha, Saber Al Sarafandi, Hanfa Karim, Hisham A. Abdul-sattar |
Abstract |
With the exception of areas with high prevalence of tuberculosis, medical thoracoscopy is becoming the diagnostic modality of choice for exudative pleural effusions. The aims of this study were to determine the diagnostic yield and safety of medical thoracoscopy for exudative pleural effusions and ascertain the etiology of such effusions in Qatar. This is a retrospective-descriptive study of 407 patients who underwent diagnostic medical thoracoscopy for exudative pleural effusions from January, 2008 till December, 2015 at the only tertiary referral center performing this procedure in Qatar. Tuberculosis was the most common etiology of exudative pleural effusions in Qatar accounting for 84.5% of all causes. Around 85% of patients were young males (mean age of 33 ± 12.1 years). The diagnostic yield of medical thoracoscopy for tuberculous pleural effusion was 91.4%. Malignant pleural effusions accounted for 5.2% of cases. Minor bleeding occurred in 1.2% of cases with no procedure-related mortality observed. Medical thoracoscopy is a very safe procedure. Tuberculous pleuritis is by far the most common etiology of exudative pleural effusions in Qatar. Closed needle biopsy is a worth consideration as an initial safe, easy and low-cost diagnostic modality for exudative pleural effusions in this country. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Colombia | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 28 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 3 | 11% |
Student > Master | 2 | 7% |
Student > Postgraduate | 2 | 7% |
Student > Doctoral Student | 2 | 7% |
Lecturer | 2 | 7% |
Other | 8 | 29% |
Unknown | 9 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 15 | 54% |
Veterinary Science and Veterinary Medicine | 1 | 4% |
Nursing and Health Professions | 1 | 4% |
Unspecified | 1 | 4% |
Economics, Econometrics and Finance | 1 | 4% |
Other | 1 | 4% |
Unknown | 8 | 29% |