Current Situation and Management of Pleural Effusion in PHI Clinical Hospital Tetovo

Introduction: Pleural effusion is a disturbance in the balance between fluid production and elimination in the pleural space, resulting in abnormal fluid accumulation. It can result from various medical conditions related to the lungs and pleura or systemic diseases. Identifying the etiology of pleu...

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Main Authors: Ruzhdi Rexhepi, Selma Arifi, Merita Rexhepi, Dejan Dokic, Tatjana Ruskovska
Format: Article
Language:English
Published: Albanian Society for Trauma and Emergency Surgery 2025-01-01
Series:Albanian Journal of Trauma and Emergency Surgery
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Online Access:http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/422
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author Ruzhdi Rexhepi
Selma Arifi
Merita Rexhepi
Dejan Dokic
Tatjana Ruskovska
author_facet Ruzhdi Rexhepi
Selma Arifi
Merita Rexhepi
Dejan Dokic
Tatjana Ruskovska
author_sort Ruzhdi Rexhepi
collection DOAJ
description Introduction: Pleural effusion is a disturbance in the balance between fluid production and elimination in the pleural space, resulting in abnormal fluid accumulation. It can result from various medical conditions related to the lungs and pleura or systemic diseases. Identifying the etiology of pleural effusion is essential for effective treatment. According to Light's criteria, pleural effusions are transudative and exudative. Material and Methods: For this research, we collected data from the existing documentation in the Department of Pulmonology and Respiratory Allergology at PHI Clinical Hospital Tetovo from June 2022 to June 2023. This study included 133 patients with dyspnea, persistent chest pain, fatigue, hemoptysis, cough, a history of past illnesses, and other comorbid conditions. The data collection process was rigorous, and we followed ethical guidelines to ensure the reliability of our findings. Results: The patients included in our study were between 36 to 84 years old. Of them, 72,9% were males, and 27,1% were females. 85,7% were smokers, and 14,3% were non-smokers. 75,0% of patients complained of dyspnea, and 24,8% had hemoptysis. From the ultrasonography findings, 15,0% had an alteration in the left lung, 11,3% in the right lung, 20,3% of patients were punctuated to the left side, and 24,8% were punctuated to the right lung. In comparison, 1,5% were punctuated to both sides. In 2,3% of the subjects, computed tomography described an effusion in the left lung. Conclusion: The results suggest that pleural effusion is associated with various diseases, especially heart failure and malignant diseases. Our study underscores the importance of early detection of the cause of pleural effusion and the underlying disease for successfully managing and treating the disease. The insights from our research can guide healthcare professionals in developing effective treatment strategies and improving patient outcomes.
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spelling doaj-art-266186f6b3fc45d496a0b2e19ca8c6462025-01-19T14:24:41ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.422Current Situation and Management of Pleural Effusion in PHI Clinical Hospital TetovoRuzhdi Rexhepi0Selma Arifi1Merita RexhepiDejan Dokic2Tatjana Ruskovska3Faculty of Medical Sciences, Goce Delcev University, Stip, North MacedoniaPrimary Healthcare Omega Medika, Tetovo, North MacedoniaUniversity Clinic of Pulmonology and Respiratory Allergology, Skopje, North MacedoniaFaculty of Medical Sciences, Goce Delcev University, Stip, North MacedoniaIntroduction: Pleural effusion is a disturbance in the balance between fluid production and elimination in the pleural space, resulting in abnormal fluid accumulation. It can result from various medical conditions related to the lungs and pleura or systemic diseases. Identifying the etiology of pleural effusion is essential for effective treatment. According to Light's criteria, pleural effusions are transudative and exudative. Material and Methods: For this research, we collected data from the existing documentation in the Department of Pulmonology and Respiratory Allergology at PHI Clinical Hospital Tetovo from June 2022 to June 2023. This study included 133 patients with dyspnea, persistent chest pain, fatigue, hemoptysis, cough, a history of past illnesses, and other comorbid conditions. The data collection process was rigorous, and we followed ethical guidelines to ensure the reliability of our findings. Results: The patients included in our study were between 36 to 84 years old. Of them, 72,9% were males, and 27,1% were females. 85,7% were smokers, and 14,3% were non-smokers. 75,0% of patients complained of dyspnea, and 24,8% had hemoptysis. From the ultrasonography findings, 15,0% had an alteration in the left lung, 11,3% in the right lung, 20,3% of patients were punctuated to the left side, and 24,8% were punctuated to the right lung. In comparison, 1,5% were punctuated to both sides. In 2,3% of the subjects, computed tomography described an effusion in the left lung. Conclusion: The results suggest that pleural effusion is associated with various diseases, especially heart failure and malignant diseases. Our study underscores the importance of early detection of the cause of pleural effusion and the underlying disease for successfully managing and treating the disease. The insights from our research can guide healthcare professionals in developing effective treatment strategies and improving patient outcomes. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/422pleural effusionlung cancerthoracocentesis
spellingShingle Ruzhdi Rexhepi
Selma Arifi
Merita Rexhepi
Dejan Dokic
Tatjana Ruskovska
Current Situation and Management of Pleural Effusion in PHI Clinical Hospital Tetovo
Albanian Journal of Trauma and Emergency Surgery
pleural effusion
lung cancer
thoracocentesis
title Current Situation and Management of Pleural Effusion in PHI Clinical Hospital Tetovo
title_full Current Situation and Management of Pleural Effusion in PHI Clinical Hospital Tetovo
title_fullStr Current Situation and Management of Pleural Effusion in PHI Clinical Hospital Tetovo
title_full_unstemmed Current Situation and Management of Pleural Effusion in PHI Clinical Hospital Tetovo
title_short Current Situation and Management of Pleural Effusion in PHI Clinical Hospital Tetovo
title_sort current situation and management of pleural effusion in phi clinical hospital tetovo
topic pleural effusion
lung cancer
thoracocentesis
url http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/422
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