A New Approach in Distinguishing Exudative and Transudative Pleural Effusions

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dc.contributor.authorYildiz, Tekin
dc.contributor.authorSenyigit, Abdurrahman
dc.contributor.authorCelik, Yusuf
dc.contributor.authorAkyildiz, Levent
dc.contributor.authorAtes, Gungor
dc.contributor.authorColakoglu, Sedat
dc.contributor.authorBayram, Hasan
dc.date.accessioned2024-04-24T17:45:05Z
dc.date.available2024-04-24T17:45:05Z
dc.date.issued2010
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Light's criteria, which were accepted in 1972 for the differential diagnosis of pleural effusions as transudates or exudates, are widely used worldwide. It has been reported in various studies that Light's criteria have lower specificity, and new recommendations have emerged. The discriminative ability of Light's criteria and adapted formulas, which are our new proposal, were studied by Receiver Operating Characteristics (ROCs) analysis and Area Under the Curves (AUCs). Material and Method: These criteria were evaluated in 451 patients in our study. Of these cases, 151 had transudates, while 300 patients presented with exudates. Results: AUCs of Light's criteria (P/Sprot, P/SLDH, PLDH) were measured as 0.931 (95% CI: 0.899-0.963), 0.936(95% CI: 0.9040967) and 0.957(95% CI: 0.934-0.981), respectively, and the differences between the measured values were found to be statistically significant (p<.001). AUCs of our new adapted formulas (F-1, F-2, F-3) were found to be slightly higher than those of Light's criteria, with the values of 0.987(95% CI: 0.9760.998), 0.935(95% CI 0:. 908-0.963) and 0.980(95% CI: 0.9660.993), respectively, and the differences were also significant (p<. 001). Conclusion: In our opinion, further studies are needed with a wider study population to determine the value of the new formulas in differentiating exudative and transudative pleural effusions. Proving our proposal would be useful in clinical practices.en_US
dc.identifier.endpage18en_US
dc.identifier.issn2149-2530
dc.identifier.issue1en_US
dc.identifier.startpage14en_US
dc.identifier.urihttps://hdl.handle.net/11468/22413
dc.identifier.volume11en_US
dc.identifier.wosWOS:000421701000004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Thoracic Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPleural Fluiden_US
dc.subjectTransudatesen_US
dc.subjectExudatesen_US
dc.subjectLight's Criteriaen_US
dc.titleA New Approach in Distinguishing Exudative and Transudative Pleural Effusionsen_US
dc.titleA New Approach in Distinguishing Exudative and Transudative Pleural Effusions
dc.typeArticleen_US

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