Pleural effusion risk factors: Difference between revisions
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*Increased serum [[VEGF]], [[TNF]]-α and C3 levels are identified as important risk factors for presence of pleural effusions in [[POEMS syndrome]].<ref name="pmid24519469">{{cite journal| author=Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP et al.| title=Incidence and risk factors of pleural effusions in patients with POEMS syndrome. | journal=Hematol Oncol | year= 2015 | volume= 33 | issue= 2 | pages= 80-4 | pmid=24519469 | doi=10.1002/hon.2135 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24519469 }} </ref> | *Increased serum [[VEGF]], [[TNF]]-α and C3 levels are identified as important risk factors for presence of pleural effusions in [[POEMS syndrome]].<ref name="pmid24519469">{{cite journal| author=Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP et al.| title=Incidence and risk factors of pleural effusions in patients with POEMS syndrome. | journal=Hematol Oncol | year= 2015 | volume= 33 | issue= 2 | pages= 80-4 | pmid=24519469 | doi=10.1002/hon.2135 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24519469 }} </ref> | ||
*Pre-existing lung damage or disease. | *Pre-existing lung damage or disease.<ref name="pmid26181036">{{cite journal| author=West HJ| title=JAMA Oncology Patient Page. Malignant Pleural Effusions. | journal=JAMA Oncol | year= 2015 | volume= 1 | issue= 2 | pages= 260 | pmid=26181036 | doi=10.1001/jamaoncol.2015.0671 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26181036 }} </ref> | ||
*Chronic smokers. | *Chronic smokers.<ref name="pmid26181036">{{cite journal| author=West HJ| title=JAMA Oncology Patient Page. Malignant Pleural Effusions. | journal=JAMA Oncol | year= 2015 | volume= 1 | issue= 2 | pages= 260 | pmid=26181036 | doi=10.1001/jamaoncol.2015.0671 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26181036 }} </ref> | ||
*[[neoplasia]] example lung cancer patients<ref name="pmid20440084">{{cite journal| author=Zablockis R, Petruskeviciene R, Nargela RV| title=[Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]. | journal=Medicina (Kaunas) | year= 2010 | volume= 46 | issue= 2 | pages= 113-9 | pmid=20440084 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20440084 }} </ref> | *[[neoplasia]] example lung cancer patients<ref name="pmid20440084">{{cite journal| author=Zablockis R, Petruskeviciene R, Nargela RV| title=[Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]. | journal=Medicina (Kaunas) | year= 2010 | volume= 46 | issue= 2 | pages= 113-9 | pmid=20440084 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20440084 }} </ref> | ||
*alcohol abuse<ref name="pmid20440084">{{cite journal| author=Zablockis R, Petruskeviciene R, Nargela RV| title=[Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]. | journal=Medicina (Kaunas) | year= 2010 | volume= 46 | issue= 2 | pages= 113-9 | pmid=20440084 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20440084 }} </ref> | *alcohol abuse<ref name="pmid20440084">{{cite journal| author=Zablockis R, Petruskeviciene R, Nargela RV| title=[Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]. | journal=Medicina (Kaunas) | year= 2010 | volume= 46 | issue= 2 | pages= 113-9 | pmid=20440084 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20440084 }} </ref> | ||
*Liver [[cirrhosis]]. | *Liver [[cirrhosis]].<ref name="pmid26181036">{{cite journal| author=West HJ| title=JAMA Oncology Patient Page. Malignant Pleural Effusions. | journal=JAMA Oncol | year= 2015 | volume= 1 | issue= 2 | pages= 260 | pmid=26181036 | doi=10.1001/jamaoncol.2015.0671 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26181036 }} </ref> | ||
*Use of certain medications example [[dasatinib]] in the treatment of patients with chronic myelogenous [[leukaemia]].<ref name="pmid22815278">{{cite journal| author=Latagliata R, Breccia M, Fava C, Stagno F, Tiribelli M, Luciano L et al.| title=Incidence, risk factors and management of pleural effusions during dasatinib treatment in unselected elderly patients with chronic myelogenous leukaemia. | journal=Hematol Oncol | year= 2013 | volume= 31 | issue= 2 | pages= 103-9 | pmid=22815278 | doi=10.1002/hon.2020 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22815278 }} </ref>and immunosuppressive medicine<ref name="pmid20440084">{{cite journal| author=Zablockis R, Petruskeviciene R, Nargela RV| title=[Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]. | journal=Medicina (Kaunas) | year= 2010 | volume= 46 | issue= 2 | pages= 113-9 | pmid=20440084 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20440084 }} </ref> | *Use of certain medications example [[dasatinib]] in the treatment of patients with chronic myelogenous [[leukaemia]].<ref name="pmid22815278">{{cite journal| author=Latagliata R, Breccia M, Fava C, Stagno F, Tiribelli M, Luciano L et al.| title=Incidence, risk factors and management of pleural effusions during dasatinib treatment in unselected elderly patients with chronic myelogenous leukaemia. | journal=Hematol Oncol | year= 2013 | volume= 31 | issue= 2 | pages= 103-9 | pmid=22815278 | doi=10.1002/hon.2020 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22815278 }} </ref>and immunosuppressive medicine<ref name="pmid20440084">{{cite journal| author=Zablockis R, Petruskeviciene R, Nargela RV| title=[Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]. | journal=Medicina (Kaunas) | year= 2010 | volume= 46 | issue= 2 | pages= 113-9 | pmid=20440084 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20440084 }} </ref> | ||
*Occupational exposure to [[asbestos]]. | *Occupational exposure to [[asbestos]].<ref name="pmid26181036">{{cite journal| author=West HJ| title=JAMA Oncology Patient Page. Malignant Pleural Effusions. | journal=JAMA Oncol | year= 2015 | volume= 1 | issue= 2 | pages= 260 | pmid=26181036 | doi=10.1001/jamaoncol.2015.0671 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26181036 }} </ref> | ||
*[[Heart failure]]. | *[[Heart failure]].<ref name="pmid26181036">{{cite journal| author=West HJ| title=JAMA Oncology Patient Page. Malignant Pleural Effusions. | journal=JAMA Oncol | year= 2015 | volume= 1 | issue= 2 | pages= 260 | pmid=26181036 | doi=10.1001/jamaoncol.2015.0671 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26181036 }} </ref> | ||
*As a complication of some surgical procedures example Nuss procedure for correction of pectus excavatum.<ref name="pmid23411850">{{cite journal| author=Cheng YL, Lin CT, Wang HB, Chang H| title=Pleural effusion complicating after Nuss procedure for pectus excavatum. | journal=Ann Thorac Cardiovasc Surg | year= 2014 | volume= 20 | issue= 1 | pages= 6-11 | pmid=23411850 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23411850 }} </ref> | *As a complication of some surgical procedures example Nuss procedure for correction of pectus excavatum.<ref name="pmid23411850">{{cite journal| author=Cheng YL, Lin CT, Wang HB, Chang H| title=Pleural effusion complicating after Nuss procedure for pectus excavatum. | journal=Ann Thorac Cardiovasc Surg | year= 2014 | volume= 20 | issue= 1 | pages= 6-11 | pmid=23411850 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23411850 }} </ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
Risk Factors
Common risk factors in the development of pleural effusion are as follows:
- Increased serum VEGF, TNF-α and C3 levels are identified as important risk factors for presence of pleural effusions in POEMS syndrome.[1]
- Pre-existing lung damage or disease.[2]
- Chronic smokers.[2]
- neoplasia example lung cancer patients[3]
- alcohol abuse[3]
- Liver cirrhosis.[2]
- Use of certain medications example dasatinib in the treatment of patients with chronic myelogenous leukaemia.[4]and immunosuppressive medicine[3]
- Occupational exposure to asbestos.[2]
- Heart failure.[2]
- As a complication of some surgical procedures example Nuss procedure for correction of pectus excavatum.[5]
Surgery-related risk factors include the following:[6]
- Lower preoperative oxygen saturation
- presence of postoperative infection
- smaller conduit size
- longer duration of cardiopulmonary bypass
References
- ↑ Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP; et al. (2015). "Incidence and risk factors of pleural effusions in patients with POEMS syndrome". Hematol Oncol. 33 (2): 80–4. doi:10.1002/hon.2135. PMID 24519469.
- ↑ 2.0 2.1 2.2 2.3 2.4 West HJ (2015). "JAMA Oncology Patient Page. Malignant Pleural Effusions". JAMA Oncol. 1 (2): 260. doi:10.1001/jamaoncol.2015.0671. PMID 26181036.
- ↑ 3.0 3.1 3.2 Zablockis R, Petruskeviciene R, Nargela RV (2010). "[Causes and risk factors of pleural empyema and complicated parapneumonic pleural effusion]". Medicina (Kaunas). 46 (2): 113–9. PMID 20440084.
- ↑ Latagliata R, Breccia M, Fava C, Stagno F, Tiribelli M, Luciano L; et al. (2013). "Incidence, risk factors and management of pleural effusions during dasatinib treatment in unselected elderly patients with chronic myelogenous leukaemia". Hematol Oncol. 31 (2): 103–9. doi:10.1002/hon.2020. PMID 22815278.
- ↑ Cheng YL, Lin CT, Wang HB, Chang H (2014). "Pleural effusion complicating after Nuss procedure for pectus excavatum". Ann Thorac Cardiovasc Surg. 20 (1): 6–11. PMID 23411850.
- ↑ Gupta A, Daggett C, Behera S, Ferraro M, Wells W, Starnes V (2004). "Risk factors for persistent pleural effusions after the extracardiac Fontan procedure". J Thorac Cardiovasc Surg. 127 (6): 1664–9. doi:10.1016/j.jtcvs.2003.09.011. PMID 15173721.