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| ID | Type | Description | Link |
|---|---|---|---|
| EudraCT Number 2007-003416-61 |
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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Urokinase | Experimental | urokinase infusion for 3 days |
|
| Thoracoscopic | Active Comparator | Video-Assisted Thoracoscopic |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Urokinase | Drug | Chest tube with intrapleural urokinase infusion for 3 days |
| |
| Measure | Description | Time Frame |
|---|---|---|
| duration of the hospital stay after the treatment | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| complications of the treatment and complications of the disease | 3 months | |
| total duration of the hospital stay | 3 months | |
| number of days carrying the chest drain |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Vall d'Hebron | Barcelona | Barcelona | 08035 | Spain | ||
| Hospital de Donostia |
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| ID | Term |
|---|---|
| D004653 | Empyema |
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D013492 | Suppuration |
| D007239 | Infections |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D014568 | Urokinase-Type Plasminogen Activator |
| D020775 | Thoracic Surgery, Video-Assisted |
| ID | Term |
|---|---|
| D012697 | Serine Endopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
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| Video-Assisted Thoracoscopic |
| Procedure |
Video-Assisted Thoracoscopic decortication |
|
| 3 months |
| duration of the fever once the empyema has been drained | 3 months |
| San Sebastián |
| Donostia |
| 20014 |
| Spain |
| Hospital Gregorio Marañón | Madrid | Madrid | Spain |
| Hospital Infantil La Paz | Madrid | Madrid | Spain |
| Hospital Universitario 12 de Octubre | Madrid | Madrid | Spain |
| Hospital Universitario Central de Asturias | Oviedo | Principality of Asturias | Spain |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012141 | Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D004798 |
| Enzymes |
| D045762 | Enzymes and Coenzymes |
| D057057 | Serine Proteases |
| D010960 | Plasminogen Activators |
| D001779 | Blood Coagulation Factors |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D013906 | Thoracoscopy |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D020535 | Video-Assisted Surgery |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019616 | Thoracic Surgical Procedures |