A great controversy exists about which is the best method to perform the evacuation of the collection. The purpose of this study is to evaluate which is the best initial treatment to drain complicated parapneumonic empyema (stages II and III) in children: the present study raises a hypothesis of equivalence between both arms of treatment (chest drainage plus intrapleural urokinase or videothoracoscopic debridement).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Chest tube with intrapleural urokinase infusion for 3 days
Video-Assisted Thoracoscopic decortication
University Hospital Vall d'Hebron
Barcelona, Barcelona, Spain
Hospital de Donostia
San Sebastián, Donostia, Spain
Hospital Gregorio Marañón
Madrid, Madrid, Spain
Hospital Infantil La Paz
Madrid, Madrid, Spain
duration of the hospital stay after the treatment
Time frame: 3 months
complications of the treatment and complications of the disease
Time frame: 3 months
total duration of the hospital stay
Time frame: 3 months
number of days carrying the chest drain
Time frame: 3 months
duration of the fever once the empyema has been drained
Time frame: 3 months
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Hospital Universitario 12 de Octubre
Madrid, Madrid, Spain
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, Spain