A Clinical Score (RAPID) to Identify Those at Risk for Poor Outcome at Presentation in Patients With Pleural Infection

Abstract

Background: Pleural infection is associated with a high morbidity and mortality. Development of a

Pleural infection in a New Zealand centre: high incidence in Pacific people and RAPID score as a prognostic tool

“…(18) 1255 (756-3359) Protein (g/L), (15) 43.7 (11.3) IQR, interquartile range; SD, standard deviation. The number of cases from this single South Auckland hospital (n = 108) is more than twice that of Lindstrom and Kolbe's study 8 (n = 46), which included three major hospitals in Auckland, New Zealand.…”

Making the transition from video-assisted thoracoscopic surgery to chest tube with fibrinolytics for empyema in children: Any change in outcomes?

“…This strategy is currently being explored in adults through the development of the "RAPID" score. 18 This tool identifies high-risk adult patients with empyema using the following baseline characteristics: renal impairment (R), age older than 70 years (A), purulent pleural fluid on thoracentesis (P), hospital-acquired infection (I) and poor diet as measured by low albumin (D).…”

Advanced medical interventions in pleural disease

“…Developing the ambulatory day-case pathway for patients with pleural disease is one such area. IPCs have revolutionised outpatient management of recurrent symptomatic MPE; similarly, portable devices are being evaluated in the treatment of spontaneous pneumothorax, whilst the question of whether patients with pleural infection stratified as low risk [147] could be cared for on an outpatient basis with intermittent therapeutic thoracentesis or ambulatory drainage is still unanswered almost two decades after its initial proposal [148]. Even a significant intervention such as medical thoracoscopy may be feasible on a day-case basis in a carefully selected subset of patients [149]; its combination with IPC insertion for patients confirmed as having malignant pleural disease may provide a complete outpatient service without the need for even a single overnight stay in hospital [128].…”