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Original Research 


Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq

Noor Abbas Hummadi Fayadh, Abbas Jaafar Khaleel Al-Anbari, Luma K. Mohammed.

Abstract
Objectives: To describe the epidemiological profile of metastatic malignant pleural effusion (MPE) in patients admitted to the surgical wards at a tertiary hospital in Baghdad, Iraq.
Methodology: The study was single-center, cross-sectional, and comprised 90 successive patients who were hospitalized with MPE.
Results: Out of 90 patients, 60% were females and the age group 46-55 years formed the highest percentage (33.3%). We found that 97.8% had pre-existing malignancy, mainly breast cancer and 85.5% suffered non-specific generalized symptoms related to the primary malignancy. All the cases presented with shortness of breath, cough, and chest pain, and only 3.3% were asymptomatic. Pleurodesis was done in 84 patients and in the majority of them (86.7%) bleomycin was used. The majority of the pleural fluid aspirates were exudate according to Light criteria. 40% patients improved during hospitalization. Better improvement was observed among unilateral, and small MPE. Less than one-third of the cases had recurrent effusion, which was mostly in those with bilateral and secondary MPE. The survival rate was relatively good (82%). Around 6% cases were referred to oncologists.
Conclusion: Although the therapeutic approaches of MPE were mostly palliative not curative, a substantial improvement in outcome after the management of MPE was noted. Parameters that predict favorable short-term outcomes are unilateral and small pleural effusions.

Key words: Outcomes, malignant, pleural effusion.


 
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How to Cite this Article
Pubmed Style

Fayadh NAH, Al-Anbari AJK, Mohammed LK. Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq. RMJ. 2023; 48(2): 531-536. doi:10.5455/rmj.20230130063627

Web Style

Fayadh NAH, Al-Anbari AJK, Mohammed LK. Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq. https://www.rmj.org.pk/?mno=142226 [Access: December 06, 2023]. doi:10.5455/rmj.20230130063627

AMA (American Medical Association) Style

Fayadh NAH, Al-Anbari AJK, Mohammed LK. Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq. RMJ. 2023; 48(2): 531-536. doi:10.5455/rmj.20230130063627


Vancouver/ICMJE Style

Fayadh NAH, Al-Anbari AJK, Mohammed LK. Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq. RMJ. (2023), [cited December 06, 2023]; 48(2): 531-536. doi:10.5455/rmj.20230130063627


Harvard Style

Fayadh, N. A. H., Al-Anbari, . A. J. K. & Mohammed, . L. K. (2023) Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq. RMJ, 48 (2), 531-536. doi:10.5455/rmj.20230130063627


Turabian Style

Fayadh, Noor Abbas Hummadi, Abbas Jaafar Khaleel Al-Anbari, and Luma K. Mohammed. 2023. Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq. Rawal Medical Journal, 48 (2), 531-536. doi:10.5455/rmj.20230130063627


Chicago Style

Fayadh, Noor Abbas Hummadi, Abbas Jaafar Khaleel Al-Anbari, and Luma K. Mohammed. "Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq." Rawal Medical Journal 48 (2023), 531-536. doi:10.5455/rmj.20230130063627


MLA (The Modern Language Association) Style

Fayadh, Noor Abbas Hummadi, Abbas Jaafar Khaleel Al-Anbari, and Luma K. Mohammed. "Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq." Rawal Medical Journal 48.2 (2023), 531-536. Print. doi:10.5455/rmj.20230130063627


APA (American Psychological Association) Style

Fayadh, N. A. H., Al-Anbari, . A. J. K. & Mohammed, . L. K. (2023) Clinico-epidemiological profile and short-term outcomes of patients with metastatic malignant pleural effusion in Baghdad, Iraq. Rawal Medical Journal, 48 (2), 531-536. doi:10.5455/rmj.20230130063627


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