| ORIGINAL ARTICLE |
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| Year : 2006 | Volume
: 1
| Issue : 1 | Page : 12-15 |
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A comparison between Cope and Abrams needle in the diagnosis of pleural effusion
Alaa M Gouda, Tarek A Dalati, Nasser S Al-Shareef
King Saud Chest Hospital, Riyadh,& Ministry of Health, Kingdom of Saudi Arabia
Correspondence Address:
Alaa M Gouda
King Saud Hospital, P. O Box 276977, Riyadh - 11314, Kingdom of Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1817-1737.25864
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STUDY OBJECTIVE: To compare between Abrams and Cope needles pleural biopsy, as regard their diagnostic yield and complications in pleural effusions.
STUDY DESIGN: Retrospective chart analysis
SETTING: 140 bed community chest hospital, ministry of health, affiliated with teaching hospitals in Riyadh area.
MATERIALS AND METHODS: 57 patients (44 males and 13 females), with a mean age of 37.9 years (range, 17-80 years), who were admitted through July 1994 to June 1995, for management of pleural effusion.
INTERVENTION: Pleural biopsy was performed for all patients, using either cope needle (group 1: 22 patients), or Abrams needle (group 2: 35 patients).
MEASUREMENT: We recorded the type of pleural biopsy needle, final diagnosis and complications.
RESULTS: The overall diagnostic sensitivity in pleural effusions for Cope needle was 82% (18/22), compared to 54% (19/35) for Abrams needle. The diagnostic sensitivity in TB pleurisy for Cope needle was 85% (17/20), compared to 57.5 (19/33)% for Abrams needle ( P = 0.08).
The incidence of pneumothorax was 18% (4/22) with cope needle, compared to 8% (3/35) with Abrams needle ( P = 0.5) no other complications occurred with both needles.
CONCLUSION: Cope needle demonstrates a diagnostic sensitivity equal to that of Abrams needle, without increase in the incidence of pneumothorax. |
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