Cochrane · systematic review · CD010651
Surgical versus non‐surgical management for pleural empyema
Redden, MD, Chin, TY, van Driel, ML · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Acute Respiratory InfectionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 12.5%Moderate 7 · 87.5%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Open thoracotomy compared to thoracostomy drainage for pleural empyema
Population: children with pleural empyema
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Open thoracotomy vs thoracostomy drainage | no estimate extracted | 1 study · 30 participants | Moderate Downgraded: imprecision |
Length of hospital stay (days) Open thoracotomy vs thoracostomy drainage | no estimate extracted | 1 study · 30 participants | Moderate Downgraded: imprecision |
Procedural complications Open thoracotomy vs thoracostomy drainage | OR 0.1 [0.02, 0.63] | 1 study · 30 participants | Moderate Downgraded: imprecision |
VATS compared to thoracostomy drainage for pleural empyema
Population: children and adults with pleural empyema
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality VATS vs thoracostomy drainage | OR 0.8 [0.04, 14.89] | 7 studies · 361 participants | Low Downgraded: imprecision, indirectness |
Mortality: children VATS vs thoracostomy drainage | no estimate extracted | 5 studies · 271 participants | Moderate Downgraded: imprecision |
Mortality: adults VATS vs thoracostomy drainage | OR 0.8 [0.04, 14.89] | 2 studies · 90 participants | Moderate Downgraded: imprecision |
Length of hospital stay (days) VATS vs thoracostomy drainage | no estimate extracted | 5 studies · 231 participants | Moderate Downgraded: inconsistency |
Procedural complications VATS vs thoracostomy drainage | OR 0.46 [0.08, 2.75] | 5 studies · 271 participants | Moderate Downgraded: imprecision |