Randomized Study Comparing Pleural Drainage by Videothoracoscopy to Medical Drainage in Infectious Pleural Effusion

NCT ID: NCT01994499

Last Updated: 2023-11-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-24

Study Completion Date

2019-07-12

Brief Summary

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Infectious pleural effusion is a classic complication of pneumonia and often require pleural drainage.

There is no consensus between surgical drainage and medical drainage indication in first intention to treat an empyema.

Usually surgery is proposed in second intention after failure of medical drainage.

Videothoracoscopy is well accepted in diagnosis and treatment of pleural pathologies. The morbidity of this approach is very low with good results and become the gold standard in different pleural diseases. The medical drainage can be also very efficient but its results depends of the evolution of the pleural effusion. The rate of failure is estimated around 25%.

Then, the aim of our study is to compare surgical drainage and medical drainage in first intention. The first end-point will be the hospital stay (day). Hospital discharge will be strict, following different objective criteria of healing allowing comparison between these two approaches of drainage.

To answer this question we will randomized 50 patients in 2 years with a multicenter recruitment.

Detailed Description

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Conditions

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Infectious Pleural Effusion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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videothoracoscopy drainage

videothoracoscopy drainage of pleural effusion

Group Type EXPERIMENTAL

Videothoracoscopy drainage

Intervention Type DEVICE

videothoracoscopy drainage of pleural effusion

Medical pleural drainage

Medical drainage

Group Type ACTIVE_COMPARATOR

Medical drainage

Intervention Type DRUG

Medical pleural drainage

Interventions

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Videothoracoscopy drainage

videothoracoscopy drainage of pleural effusion

Intervention Type DEVICE

Medical drainage

Medical pleural drainage

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Infectious pleural effusion diagnosed by pleural punction with biologic features of infection: C Reactive Protein level \>5 mg/L, White cells counts \> 10000 G/L, Temperature \>38°c, effusion with a ph\<7,2 or presence of polynuclear, and radiologic features of effusion requiring drainage (\>1/5 thoracic volume)

Exclusion Criteria

* prior thoracic surgery, past history of pleural effusion
* compressive effusion which should be treated in emergency
* Pregnancy
* No acceptance of the protocol by the informed patient
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Rouen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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jean-marc baste, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Rouen

Locations

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University Hospital

Amiens, , France

Site Status

University Hospital

Caen, , France

Site Status

UH Rouen

Rouen, , France

Site Status

Countries

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France

Other Identifiers

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2013/009/HP

Identifier Type: -

Identifier Source: org_study_id