PURPOSE: To determine the incidence and different factors leading to pleuropericardial effusion among pediatric patients with initial presentation of pleural effusion or pericardial effusion alone.
METHODS: Chart review of 0-19 years old patients admitted on 2000-2009 with diagnosis of either Pleural effusion /Pericardial effusion and eventually developed pleuropericardial effusion .
RESULTS: Included were 179 patients, 51% had pleural effusion and 49% had pericardial effusion. Seventy three (41%) developed pleuropericardial effusion. Associated factors were older age, initial presentation of pericardial effusion, and low normal P/F ratio. Most patients had Acquired Heart Disease and Tuberculosis with low pleural fluid protein, low pericardial fluid glucose and high pericardial fluid to serum LDH ratio with large sized, exudative, infectious in origin effusions and with propensity to surgical intervention despite medical treatment.
CONCLUSIONS: The associated factors determined suggest a prognostic relationship between pleural and pericardial effusion to the development of pleuropericardial effusion.
CLINICAL IMPLICATIONS: Utilizing the identified factors and determinants associated with the development of pleuropericardial effusion may result in earlier recognition of patients at risk and facilitate appropriate monitoring of future problem from the initial presentation of effusion until resolution and recovery.
DISCLOSURE: The following authors have nothing to disclose: Marisa Damian-Cabucana, Ma. Nerissa De Leon, Milagros Bautista, Teresita De Guia, Fernando Ayuyao
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