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Evaluation of serial C-reactive protein measurements after surgical treatment of pleural empyema

Medeiros, Israel Lopes; Terra, Ricardo Mingarini; Choi, Esther Mihwa; Pego-Fernandes, Paulo Manuel; Jatene, Fabio Biscegli

Clinics; v. 67 n. 3 (2012); 243-247

Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo 2012-01-01

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  • Título:
    Evaluation of serial C-reactive protein measurements after surgical treatment of pleural empyema
  • Autor: Medeiros, Israel Lopes; Terra, Ricardo Mingarini; Choi, Esther Mihwa; Pego-Fernandes, Paulo Manuel; Jatene, Fabio Biscegli
  • Assuntos: Pleural Empyema; C-Reactive Protein; Treatment Outcome; Surgery
  • É parte de: Clinics; v. 67 n. 3 (2012); 243-247
  • Descrição: OBJECTIVE: Serial C-reactive protein measurements have been used to diagnose and monitor the response to therapy in patients with pneumonia and other infectious diseases. Nonetheless, the role of C-reactive protein measurement after surgical treatment for pleural empyema is not well defined. The aim of this study is to describe the behavior of C-reactive protein levels after the surgical treatment of pleural empyema and to correlate this parameter with the patient's prognosis. METHODS: We retrospectively analyzed the records of patients with pleural empyema treated by either chest-tube drainage or surgery from January 2006 to December 2008. C-reactive protein levels were recorded preoperatively and 2 and 7 days postoperatively. The clinical outcome was binary: success or failure (mortality or the need for repeated pleural intervention). RESULTS: The study group comprised fifty-two patients. The median C-reactive protein values were as follows: 146 mg/L (pre-operative), 134 mg/L (post-operative day 2), and 116 mg/L (post-operative day 7). There was a trend toward a decrease in these values during the first week after surgery, but this difference was only statistically significant on day 7 after surgery. Over the first week after surgery, the C-reactive protein values decreased similarly in both groups (successful and failed treatment). No correlation between the preoperative C-reactive protein level and the clinical outcome was found. CONCLUSIONS: We observed that, in contrast to other medical conditions, C-reactive protein levels fall slowly during the first postoperative week in patients who have undergone surgical treatment for pleural empyema. No correlation between the perioperative C-reactive protein level and the clinical outcome was observed.
  • Títulos relacionados: https://www.revistas.usp.br/clinics/article/view/19661/21725
  • Editor: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
  • Data de criação/publicação: 2012-01-01
  • Formato: Adobe PDF
  • Idioma: Inglês
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