From: Characteristics of pleural effusion with a high adenosine deaminase level: a case–control study
TB (n = 203) | Pleural infection (n = 112) | Malignant pleural effusion (n = 63) | NTM (n = 22) | ML (n = 18) | Autoimmune diseases (n = 11) | Others (n = 27) | p value* | |
---|---|---|---|---|---|---|---|---|
Age, median (IQR), years | 71 (46–83) | 69 (60–81) | 73 (66–78) | 71 (61–79) | 81 (74–84) | 75 (70–80) | 70 (56–78) | 0.105 |
Sex (Male/female) | 148/55 | 97/15 | 42/21 | 7/15 | 11/7 | 9/2 | 24/3 | < 0.001 |
Comorbidity, n (%)a | 143 (71.1) | 107 (96.4) | 49 (79.0) | 18 (81.8) | 16 (88.9) | 10 (90.9) | 27 (100) | < 0.001 |
Smoking history, n (%)b | 105 (57.7) | 82 (76.6) | 43 (69.4) | 6 (27.3) | 11 (61.1) | 7 (70.0) | 15 (57.7) | < 0.001 |
Presence of symptoms, n (%)c | 178 (90.8) | 106 (96.4) | 52 (82.5) | 21 (95.5) | 17 (94.4) | 9 (81.8) | 21 (77.8) | 0.030 |
Mortality, n (%) | 16 (7.9) | 7 (6.3) | 9 (14.3) | 1 (4.5) | 5 (27.8) | 0 (0.0) | 3 (11.1) | 0.043 |
Chest tube insertion, n (%) | 37 (18.2) | 86 (76.8) | 24 (38.1) | 16 (72.7) | 7 (38.9) | 1 (9.1) | 14 (51.9) | < 0.001 |
Laboratory findings | ||||||||
WBCs, median (IQR), cells/µLd | 6230 (4990–7920) | 13,445 (10,523–18,848) | 6960 (6110–9215) | 7230 (5183–8080) | 7425 (5375–9503) | 10,230 (7605–11,640) | 7170 (4960–8760) | < 0.001 |
Eosinophils, median (IQR), %e | 1.0 (0.3–2.2) | 0.5 (0.1–1.5) | 1.4 (0.8–2.8) | 1.6 (0.7–2.4) | 1.0 (0.3–1.9) | 4.9 (2.9–7.3) | 1.7 (0.8–5.0) | < 0.001 |
CRP, median (IQR), mg/dLd | 6.1 (3.0–10.2) | 19.4 (12.4–26.3) | 1.6 (0.4–5.4) | 5.6 (3.1–10.6) | 3.9 (1.0–5.4) | 6.7 (1.2–9.3) | 2.5 (0.5–7.2) | < 0.001 |
LDH, median (IQR), IU/L d | 196 (169–232) | 193 (148–229) | 222 (189–283) | 176 (151–193) | 451 (320–514) | 191 (167–208) | 198 (166–256) | < 0.001 |
Total protein, median (IQR), mg/dLd | 6.77 (6.47–7.37) | 6.10 (5.53–6.82) | 7.13 (6.52–7.64) | 6.51 (5.67–7.09) | 6.55 (6.06–6.99) | 7.22 (6.22–8.13) | 7.18 (6.61–7.44) | < 0.001 |
Pleural effusion | ||||||||
Neutrophil predominant, n (%) | 17 (8.4) | 75 (67.0) | 8 (12.7) | 3 (13.6) | 0 (0.0) | 2 (18.2) | 6 (22.2) | < 0.001 |
Cell degeneration, n (%) | 7 (3.4) | 29 (25.9) | 6 (9.5) | 4 (18.2) | 0 (0.0) | 0 (0.0) | 10 (37.0) | < 0.001 |
Eosinophils, median (IQR), %f | 0.0 (0.0–1.0) | 0.0 (0.0–1.0) | 0.0 (0.0–1.5) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | 5.5 (2.5–11.0) | 1.0 (0–1.0) | < 0.001 |
Total protein, median (IQR), mg/dL | 4.69 (4.22–5.25) | 4.32 (3.70–5.01) | 5.43 (5.00–6.25) | 4.67 (3.50–5.36) | 4.15 (3.91–4.59) | 4.82 (4.23–5.84) | 5.49 (4.61–7.79) | < 0.001 |
LDH, median (IQR), IU/L | 395 (255–738) | 3103.7 (1713.3–7597.3) | 1024.0 (454.8–2440.7) | 913.6 (441.3–2685.9) | 1771.2 (774.3–3576.5) | 593.5 (341.5–1121.0) | 2156 (1178–5428) | < 0.001 |
Glucose, median (IQR), mg/dL | 91.0 (66.0–408.5) | 10.0 (3.0–75.6) | 62.0 (9.5–95.0) | 68.3 (20.1–96.3) | 66.6 (11.1–123.8) | 96.0 (52.5–113.9) | 34.2 (9.4–81.5) | < 0.001 |
Amylase, median (IQR), mg/dLg | 48.5 (37.0–57.1) | 29.7 (21.2–72.4) | 73.4 (48.9–197.5) | 41.4 (34.3–61.4) | 28.5 (22.6–36.9) | 19.8 (19.0–24.7) | 40.9 (25.0–53.2) | < 0.001 |
ADA, median (IQR), U/L | 83.1 (67.2–104.1) | 60.9 (45.3–108.0) | 54.1 (44.8–66.7) | 96.9 (77.3–111.5) | 107.4 (58.9–189.9) | 48.5 (45.9–58.2) | 62.5 (44.1–157.2) | < 0.001 |
Radiographic | ||||||||
location (Right/left/bilateral), n | 107/67/29 | 55/44/13 | 37/25/1 | 11/11/0 | 7/8/3 | 3/5/3 | 19/8/0 | 0.024 |
Cases of severe pleural effusion, n (%) | 34 (16.7) | 26 (23.2) | 19 (30.2) | 2 (9.1) | 5 (27.8) | 1 (9.1) | 6 (22.2) | 0.223 |
Pneumothorax, n (%) | 6 (3.0) | 14 (12.5) | 4 (6.3) | 13 (59.1) | 0 (0.0) | 0 (0.0) | 9 (33.3) | < 0.001 |
Calcification on pleural, n (%) | 3 (1.5) | 2 (1.8) | 1 (1.6) | 0 (0.0) | 1 (5.6) | 1 (9.1) | 6 (22.2) | < 0.001 |