A study of light's criteria and possible modifications for distinguishing exudative from transudative pleural effusions

被引:57
|
作者
Vives, M [1 ]
Porcel, JM [1 ]
deVera, CV [1 ]
Ribelles, E [1 ]
Rubino, M [1 ]
机构
[1] UNIV HOSP ARNAU DE VILANOVA,DEPT BIOCHEM,LLEIDA,SPAIN
关键词
exudates; pleural effusion; thoracentesis; transudates;
D O I
10.1378/chest.109.6.1503
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Study objective: To determine the usefulness of modifying Light's criteria for the separation of pleural transudates from exudates. Design: Retrospective review of patients who underwent a diagnostic thoracentesis during a 2-year period. Setting: Community teaching hospital in Lleida, Spain. Patients and methods: Clinical records and pleural fluid characteristics of 230 consecutive patients with pleural effusion underwent a detailed review. Thirty-five of these patients were excluded from the analysis. As suggested recently by Romero et al, different cutoff levels for the criteria of Light et al were applied and their accuracies were calculated. Results: Thirty-nine (20%) pleural effusions were transudates and 156 (80%) were exudates. The accuracy of the criteria of Light et al for identifying exudates was 94.7% (confidence interval, 91.6 to 97.9) in comparison to our own modified criteria (93.1%; confidence interval, 89.5 to 96.7) and the criteria suggested by Romero et al (92.6%; confidence interval, 88.9 to 96.3). These differences were not statistically significant. Conclusion: Changing the classic Light's criteria with different cutoff points offers no advantages for discriminating between transudative and exudative pleural effusions.
引用
收藏
页码:1503 / 1507
页数:5
相关论文
共 50 条
  • [41] Evaluation of Exudative Pleural Effusions: A Multicenter, Prospective, Observational Study
    Guntulu Ak
    Selma Metintas
    Ayse Naz Taskın
    Melahat Uzel Sener
    Yasemin Soyler
    Meltem Yilmaz
    Akif Turna
    Pınar Akin Kabalak
    Semra Bilaceroglu
    Deniz Koksal
    Nilgun Yilmaz Demirci
    Ozlem Sogukpinar
    Sibel Boga
    Merve Ercelik
    Gulistan Karadeniz
    Gulru Polat
    Filiz Guldaval
    Ulku Aka Akturk
    Senay Yilmaz
    Nalan Ogan
    Saliha Yilmaz
    Dorina Esendagli
    Benan Caglayan
    Arife Zeybek
    Nagihan Durmus Kocak
    Pinar Mutlu
    Cansel Atinkaya Baytemir
    Ismail Sarbay
    Ulku Yilmaz
    Muzaffer Metintas
    Lung, 2022, 200 : 807 - 815
  • [42] Evaluation of Exudative Pleural Effusions: A Multicenter, Prospective, Observational Study
    Ak, Guntulu
    Metintas, Selma
    Taskin, Ayse Naz
    Sener, Melahat Uzel
    Soyler, Yasemin
    Yilmaz, Meltem
    Turna, Akif
    Kabalak, Pinar Akin
    Bilaceroglu, Semra
    Koksal, Deniz
    Demirci, Nilgun Yilmaz
    Sogukpinar, Ozlem
    Boga, Sibel
    Ercelik, Merve
    Karadeniz, Gulistan
    Polat, Gulru
    Guldaval, Filiz
    Akturk, Ulku Aka
    Yilmaz, Senay
    Ogan, Nalan
    Yilmaz, Saliha
    Esendagli, Dorina
    Caglayan, Benan
    Zeybek, Arife
    Kocak, Nagihan Durmus
    Mutlu, Pinar
    Baytemir, Cansel Atinkaya
    Sarbay, Ismail
    Yilmaz, Ulku
    Metintas, Muzaffer
    LUNG, 2022, 200 (06) : 807 - 815
  • [43] Evaluation of Diagnostic Value of Urinary Deep Stick in Differentiating Different Types of Exudative Pleural Effusions and Differentiating Exudative Pleural Effusions From Transudates
    Dargahi-Malamir, Mehrdad
    Amini, Amin
    Borsi, Seyed Hamid
    Hosseininejad, Hooshmand
    Tavakol, Heshmatollah
    JOURNAL OF PIONEERING MEDICAL SCIENCES, 2024, 13 (05): : 45 - 51
  • [44] The Accuracy of Chest Computed Tomography Findings in Differentiation of Exudative from Transudative Pleural Effusion
    Rashid, Reza Javad
    Jalili, Javad
    Arhami, Shohreh Sadr
    Heris, Hengameh Khadivi
    Habibzadeh, Afshin
    Mohtasham, Masumeh Ahmadi
    JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, 2015, 6 (03) : 341 - 344
  • [45] Improving The Predictive Accuracy Of Identifying Exudative Effusions Using Light's Criteria, Pleural Fluid Ph, Fluid Cholesterol, And The Serum To Fluid Albumin Gradient
    Kummerfeldt, C. E.
    Chiuzan, C. C.
    Huggins, J.
    DiVietro, M. L.
    Nestor, J. E.
    Ferreiro, L.
    Sahn, S. A.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2013, 187
  • [46] Differentiating tuberculous pleuritis from other exudative lymphocytic pleural effusions
    Petborom, Pichaya
    Dechates, Bothamai
    Muangnoi, Panunat
    EUROPEAN RESPIRATORY JOURNAL, 2018, 52
  • [47] Differentiating tuberculous pleuritis from other exudative lymphocytic pleural effusions
    Petborom, Pichaya
    Dechates, Bothamai
    Muangnoi, Panunat
    ANNALS OF PALLIATIVE MEDICINE, 2020, 9 (05) : 2508 - 2515
  • [48] DISTINGUISHING BENIGN FROM MALIGNANT PLEURAL EFFUSIONS BY LECTIN IMMUNOCYTOCHEMISTRY
    ROSENLEVIN, E
    PATIL, JR
    WATSON, CW
    JAGIRDAR, J
    ACTA CYTOLOGICA, 1989, 33 (04) : 499 - 504
  • [49] Diagnostic accuracy of thoracic CT to differentiate transudative from exudative pleural effusion prior to thoracentesis
    Yan Zhang
    Yang Zhang
    Wei Wang
    Xiaoyu Feng
    Jiahuan Guo
    Bo Chen
    Fuyun Zhang
    Huanhuan Wang
    Mengnan Fan
    Yingwei Zhu
    Yuxia Sun
    Tongsheng Wang
    Yimin Mao
    Pengfei Gao
    Respiratory Research, 25
  • [50] Diagnostic accuracy of thoracic CT to differentiate transudative from exudative pleural effusion prior to thoracentesis
    Zhang, Yan
    Zhang, Yang
    Wang, Wei
    Feng, Xiaoyu
    Guo, Jiahuan
    Chen, Bo
    Zhang, Fuyun
    Wang, Huanhuan
    Fan, Mengnan
    Zhu, Yingwei
    Sun, Yuxia
    Wang, Tongsheng
    Mao, Yimin
    Gao, Pengfei
    RESPIRATORY RESEARCH, 2024, 25 (01)