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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1994-5-24
|
| pubmed:abstractText |
Serum C-reactive protein (CRP) levels were studied serially during the postoperative period in 151 consecutive patients who underwent pneumonectomy. Virtually all patients who had a simple postoperative course (115 of 120), as well as 9 patients who had a bronchial infection of the remaining lung, 3 with a pulmonary embolus, and 2 who suffered postoperative bleeding requiring reoperation, demonstrated a similar postoperative evolution in their CRP values: a rapid postoperative rise until a peak or a plateau (mean peak value, 132 +/- 25 mg/L) was reached within 3 to 6 days, followed by a progressive decline to a value of less than 75 mg/L on day 9, and less than 50 mg/L on day 12. Conversely, all 12 patients who suffered empyema postoperatively, as well as 3 patients with bacterial pneumonia, 1 patient with chylothorax, and 1 patient with inflammatory pericarditis, demonstrated either a markedly persistent elevation in their CRP values or a secondary rise in the levels which exceeded 100 mg/L. Because of the high sensitivity (100%) and specificity (91.4%) of the CRP levels in detecting postpneumonectomy empyema, we recommend the routine use of this measure. Furthermore, a low CRP value after pneumonectomy (less than 50 mg/L) may help in deciding whether to confidently discharge a patient from the hospital in the absence of empyema. The negative predictive value of this method was found to be 100%.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0003-4975
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
57
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
933-6
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:8166544-Aged,
pubmed-meshheading:8166544-Bacterial Infections,
pubmed-meshheading:8166544-C-Reactive Protein,
pubmed-meshheading:8166544-Empyema, Pleural,
pubmed-meshheading:8166544-Evaluation Studies as Topic,
pubmed-meshheading:8166544-Hemothorax,
pubmed-meshheading:8166544-Humans,
pubmed-meshheading:8166544-Leukocyte Count,
pubmed-meshheading:8166544-Lung Diseases,
pubmed-meshheading:8166544-Middle Aged,
pubmed-meshheading:8166544-Pneumonectomy,
pubmed-meshheading:8166544-Pulmonary Embolism,
pubmed-meshheading:8166544-Reproducibility of Results,
pubmed-meshheading:8166544-Sensitivity and Specificity,
pubmed-meshheading:8166544-Survival Rate,
pubmed-meshheading:8166544-Time Factors
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Utility of C-reactive protein measurements for empyema diagnosis after pneumonectomy.
|
| pubmed:affiliation |
Department of Surgery, Marie Lannelongue Surgical Center, Le Plessis Robinson, France.
|
| pubmed:publicationType |
Journal Article
|