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Malignus pleuralis effusiókkal küzdo betegek ellátása egy regionális onkológiai központban a COVID-19-pandémia idoszakában.
Papp, Emoke; Pusztai, Éva; Herendi, Eszter Adrienne; Mangel, László.
  • Papp E; 1 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, Onkoterápiás Intézet Pécs, Édesanyák útja 17., 7624 Magyarország.
  • Pusztai É; 1 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, Onkoterápiás Intézet Pécs, Édesanyák útja 17., 7624 Magyarország.
  • Herendi EA; 2 Csongrád-Csanád Megyei Egészségügyi Ellátó Központ, Sürgosségi Osztály Hódmezovásárhely Magyarország.
  • Mangel L; 1 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, Onkoterápiás Intézet Pécs, Édesanyák útja 17., 7624 Magyarország.
Orv Hetil ; 163(26): 1015-1022, 2022 Jun 26.
Article in English | MEDLINE | ID: covidwho-2275573
ABSTRACT

INTRODUCTION:

Malignant pleural effusion is a complication of tumors heralding poor outcome. It may be life-threatening, so advanced cases should be treated as an oncological emergency.

OBJECTIVE:

We aimed to provide complex care to patients with malignant pleural effusion during the COVID-19 pandemic at the University of Pécs Medical School, in the Department of Oncotherapy. During the pandemic, we introduced the thoracocentesis as a routine method in our department without previous experiences.

METHOD:

Results of diagnosing and treating pleural effusion of patients between March 18th of 2020 and May 31st of 2021 were summarized.

RESULTS:

We have analyzed data of 45 patients, two-thirds (66.7%) of them were women, the median age was 67 years. 57.8% of patients received systemic anticancer therapy during the study. The total number of thoracocentesis was over 120, one-third of the patients required more than five interventions. Only three iatrogenic pneumothorax cases were detected, no other serious complications were experienced. The procedures - that were aimed to mitigate symptoms in most cases (80%) - were considered successful. However, 48.9% of the patients were no longer alive at the end of the study period indicating very poor prognosis of pleural carcinosis. DISCUSSION AND

CONCLUSION:

Clinical care of oncological patients was continuous during the pandemic; patients treated as part of emergency care were often seen in advanced disease state. Treatment of malignant pleural effusion requires oncological foresight as well as implementing an invasive approach. Our study has shown that discussion of the topic is relevant, may reveal difficulties and need for improvement. Our results are consistent with literature data, we have experienced less complications than reported in the literature. Orv Hetil. 2022; 163(26) 1015-1022.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pleural Effusion / Pneumothorax / Pleural Effusion, Malignant / COVID-19 Type of study: Prognostic study / Qualitative research Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: Orv Hetil Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pleural Effusion / Pneumothorax / Pleural Effusion, Malignant / COVID-19 Type of study: Prognostic study / Qualitative research Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: Orv Hetil Year: 2022 Document Type: Article