open access

Vol 27, No 3 (2020)
Original articles — Clinical cardiology
Published online: 2018-11-06
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Significance of congestive heart failure as a cause of pleural effusion: Pilot data from a large multidisciplinary teaching hospital

Piotr Korczyński, Katarzyna Górska, Damian Konopka, Dżamila Al-Haj, Krzysztof J. Filipiak, Rafał Krenke
DOI: 10.5603/CJ.a2018.0137
·
Pubmed: 30406935
·
Cardiol J 2020;27(3):254-261.

open access

Vol 27, No 3 (2020)
Original articles — Clinical cardiology
Published online: 2018-11-06

Abstract

Background: Epidemiological data on the causes of pleural effusion (PE) are scarce. Data on the local prevalence of various causes of PE may play a crucial role in the management strategy of patients with PE. The aim of the study was to investigate the causes of PE and to assess 30-day mortality rate in unselected adult patients treated in a large, multidisciplinary hospital.

Methods: Retrospective analysis of medical records, including chest radiographs, of 2835 consecutive patients admitted to the hospital was performed. Radiograhic signs of PE were found in 195 of 1936 patients in whom chest radigraphs were available. These patients formed the study group.

Results: The leading causes of PE were as follows: congestive heart failure (CHF; 37.4%), pneumonia (19.5%), malignancy (15.4%), liver cirrhosis (4.2%) and pulmonary embolism. The cause of PE in 6.7% patients was not established. There was a significant predominance of small volume PE as compared to a moderate or large volume PEs (153, 28 and 14 patients, respectively). Almost 80% of patients with CHF presented with small volume PE, while almost 50% of patients with malignant PE demonstrated moderate or large volume PE. Thirty-day mortality rate ranged from 0% for tuberculous pleurisy to 40% for malignant PE (MPE).

Conclusions: Pleural effusion was found in 10.1% of patients treated in a large multidisciplinary hospital. CHF was the leading cause of PE. Although 30-day mortality in patients with CHF was rela­tively high, it was lower than that in parapneumonic PE and MPE.

Abstract

Background: Epidemiological data on the causes of pleural effusion (PE) are scarce. Data on the local prevalence of various causes of PE may play a crucial role in the management strategy of patients with PE. The aim of the study was to investigate the causes of PE and to assess 30-day mortality rate in unselected adult patients treated in a large, multidisciplinary hospital.

Methods: Retrospective analysis of medical records, including chest radiographs, of 2835 consecutive patients admitted to the hospital was performed. Radiograhic signs of PE were found in 195 of 1936 patients in whom chest radigraphs were available. These patients formed the study group.

Results: The leading causes of PE were as follows: congestive heart failure (CHF; 37.4%), pneumonia (19.5%), malignancy (15.4%), liver cirrhosis (4.2%) and pulmonary embolism. The cause of PE in 6.7% patients was not established. There was a significant predominance of small volume PE as compared to a moderate or large volume PEs (153, 28 and 14 patients, respectively). Almost 80% of patients with CHF presented with small volume PE, while almost 50% of patients with malignant PE demonstrated moderate or large volume PE. Thirty-day mortality rate ranged from 0% for tuberculous pleurisy to 40% for malignant PE (MPE).

Conclusions: Pleural effusion was found in 10.1% of patients treated in a large multidisciplinary hospital. CHF was the leading cause of PE. Although 30-day mortality in patients with CHF was rela­tively high, it was lower than that in parapneumonic PE and MPE.

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Keywords

epidemiology, pleural effusion, congestive heart failure, pleuritic, pneumonia, tuberculosis, cancer

About this article
Title

Significance of congestive heart failure as a cause of pleural effusion: Pilot data from a large multidisciplinary teaching hospital

Journal

Cardiology Journal

Issue

Vol 27, No 3 (2020)

Pages

254-261

Published online

2018-11-06

DOI

10.5603/CJ.a2018.0137

Pubmed

30406935

Bibliographic record

Cardiol J 2020;27(3):254-261.

Keywords

epidemiology
pleural effusion
congestive heart failure
pleuritic
pneumonia
tuberculosis
cancer

Authors

Piotr Korczyński
Katarzyna Górska
Damian Konopka
Dżamila Al-Haj
Krzysztof J. Filipiak
Rafał Krenke

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