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Randomized Study Comparing Pleural Drainage by Videothoracoscopy to Medical Drainage in Infectious Pleural Effusion (VIDMED)

This study is currently recruiting participants.
See Contacts and Locations
Verified October 2016 by University Hospital, Rouen
Information provided by (Responsible Party):
University Hospital, Rouen Identifier:
First received: October 30, 2013
Last updated: October 7, 2016
Last verified: October 2016

Infectious pleural effusion is a classic complication of pneumonia and often require pleural drainage.

There is no consensus between surgical drainage and medical drainage indication in first intention to treat an empyema.

Usually surgery is proposed in second intention after failure of medical drainage.

Videothoracoscopy is well accepted in diagnosis and treatment of pleural pathologies. The morbidity of this approach is very low with good results and become the gold standard in different pleural diseases. The medical drainage can be also very efficient but its results depends of the evolution of the pleural effusion. The rate of failure is estimated around 25%.

Then, the aim of our study is to compare surgical drainage and medical drainage in first intention. The first end-point will be the hospital stay (day). Hospital discharge will be strict, following different objective criteria of healing allowing comparison between these two approaches of drainage.

To answer this question we will randomized 50 patients in 2 years with a multicenter recruitment.

Condition Intervention
Infectious Pleural Effusion Device: Videothoracoscopy drainage Drug: Medical drainage

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Randomized Study Comparing Pleural Drainage by Videothoracoscopy to Medical Drainage in Infectious Pleural Effusion

Further study details as provided by University Hospital, Rouen:

Primary Outcome Measures:
  • Hospital Stay in days [ Time Frame: patients will be followed for the duration of the hopital stay, an expected average of 4 weeks ]

Estimated Enrollment: 50
Study Start Date: January 2014
Estimated Study Completion Date: October 2017
Estimated Primary Completion Date: September 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: videothoracoscopy drainage
videothoracoscopy drainage of pleural effusion
Device: Videothoracoscopy drainage
videothoracoscopy drainage of pleural effusion
Active Comparator: Medical pleural drainage
Medical drainage
Drug: Medical drainage
Medical pleural drainage


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Infectious pleural effusion diagnosed by pleural punction with biologic features of infection: C Reactive Protein level >5 mg/L, White cells counts > 10000 G/L, Temperature >38°c, effusion with a ph<7,2 or presence of polynuclear, and radiologic features of effusion requiring drainage (>1/5 thoracic volume)

Exclusion Criteria:

  • prior thoracic surgery, past history of pleural effusion
  • compressive effusion which should be treated in emergency
  • Pregnancy
  • No acceptance of the protocol by the informed patient
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01994499

Contact: jean-marc Baste, MD 232888990 ext 0033

University Hospital Recruiting
Amiens, France, 80000
Contact: pascal berna, MD         
University Hospital Not yet recruiting
Caen, France, 14000
Contact: gerard Zachmann, Prof         
UH Rouen Recruiting
Rouen, France
Contact: Jean M BASTE, MD         
Principal Investigator: Jean M BASTE, MD         
Sponsors and Collaborators
University Hospital, Rouen
Principal Investigator: jean-marc baste, MD University Hospital Rouen, France
  More Information

Responsible Party: University Hospital, Rouen Identifier: NCT01994499     History of Changes
Other Study ID Numbers: 2013/009/HP
Study First Received: October 30, 2013
Last Updated: October 7, 2016

Additional relevant MeSH terms:
Communicable Diseases
Pleural Effusion
Pleural Diseases
Respiratory Tract Diseases processed this record on August 18, 2017