Evidence map›Paper›PMID 37969265›Full record

ArticleJournal of thoracic disease2023

Role of RAPID score and surgery in the management of pleural infection: a single center retrospective study.

Laura Simon, Yaniss Belaroussi, Anna Vayssette, Theresa Khalife, Marielle Le Roux, Denis Debrosse, Mihaela Giol, Jalal Assouad, Harry Etienne

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of thoracic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Pleural infection: controversies on the therapeutic strategies.Current opinion in pulmonary medicine · 2025
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Laura SimonDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Yaniss BelaroussiDepartment of Thoracic Surgery, Haut-Leveque Hospital Bordeaux University, University of Bordeaux, Bordeaux, France.
Anna VayssetteDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Theresa KhalifeDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Marielle Le RouxDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Denis DebrosseDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Mihaela GiolDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Jalal AssouadDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Harry EtienneDepartment of Thoracic and Vascular Surgery, Tenon University Hospital, Sorbonne University, Paris, France.
Hôpital Tenon · FRSorbonne Université · FRHôpital Cardiologique du Haut-Lévêque · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The RAPID [Renal (urea level), Age, Pleural fluid purulence, source of Infection and Denutrition (albumin level)] score classifies patients with pleural infection according to mortality risk at 3 months. This study aims to assess the applicability of this score in a thoracic surgery department and to determine the impact of surgery in the management of pleural infection depending on the Rapid score. Methods: In this single center retrospective study, patients managed for pleural infection, from January 1st 2013 to June 30th 2019, were included. The primary endpoint was the probability of survival at 6 months and 12 months depending on the RAPID score. Secondary endpoint was the probability of survival at 6 and 12 months in patients who had surgeries (surgical treatment group) and patients who didn't have surgery (medical treatment group). Results: Seventy-four patients were included, with a median age of 54.5 years. According to the RAPID score, the low-, medium- and high-risk groups had 30, 30 and 14 patients respectively. The probability of survival at 6 and 12 months in the low- and medium-risk groups were both 0.967 [95% confidence index (CI95): 0.905-1] whereas, the probabilities of survival at 6 and 12 months in the high-risk group was significantly lower at 0.571 (CI95: 0.363-0.899) and 0.357 (CI95: 0.177-0.721) respectively (P<0.0001). The probabilities of survival at 6 months and 12 months in the medical treatment group was 0.875 (CI95: 0.786-0.974) and 0.812 (CI95: 0.704-0.931) respectively compared to the surgical treatment group where probabilities of survival at 6 and 12 months were both 0.923 (CI95: 0.826-1) (P=0.26). Conclusions: In our study, patients with pleural infection, classified as high-risk according to the RAPID score, had a lower survival rate compared to low- and medium-risk patients. No difference in survival rate was found between patients classified as low- and medium-risk. In selected patients, surgical management seems to decrease mortality compared to exclusive medical management: this result should be confirmed in larger prospective studies.

Indexed as

empyemaPleural infectionRenal (urea level), Age, Pleural fluid purulence, source of Infection and Denutrition (albumin level) score (RAPID score)thoracic surgery

Identifiers

PMID37969265
PMCPMC10636464
OpenAlexW4388107670

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.