Phenotypes > Empyema or pyothorax or purulent pleuritis Primary care

Print

Empyema or pyothorax or purulent pleuritis Primary care

Chukwuma Iwundu, Clare MacRae, Eleftheria Vasileiou

ID
PH802
Version ID
2226
Type
Disease or syndrome
Data Sources
Welsh Longitudinal General Practice Dataset (WLGP) , Clinical Practice Research Datalink AURUM , Clinical Practice Research Datalink GOLD
Valid event data range
01/01/2001 to 31/01/2021
Sex
♀  Female ♂  Male
Agreement Date
2021-12-10
Coding system
Read codes v2 SNOMED CT codes
Collections
BREATHE Phenotype Library
Tags
No tags

Definition

  • Not found code search
  • Hamilton et al, 2020Clinical coding of pleural empyema was validated using coding data from three hospitals in England, UK. The coded diagnoses of pleural empyema is defined as J86-, also known as pyothorax. Empyema was considered as a pleural effusion that had a documented pH of less than 7.2, microscopic evidence of infection, or frank pus. If microscopic evidence was not available, then clear clinical management as empyema (supporting radiology, clinical progress, and biochemistry) was used.The clinical diagnosis of empyema was made on retrospective review of the notes, discharge summary, radiology, and microbiology available.Empyema was considered as a pleural effusion that had a documented pH of less than 7.2, microscopic evidence of infection, or frank pus. If microscopic evidence was not available, then clear clinical management as empyema (supporting radiology, clinical progress, and biochemistry) was used.Empyema coding was generally good (>85% accuracy), although some cases were miscoded. Using codes for elective admissions helped to differentiate post-operative from community acquired empyema. It is likely empyema is under rather than over-recorded in HES data.Using codes for elective admissions helped to differentiate post-operative from community acquired empyema. It is likely empyema is under rather than over-recorded in HES data.

Implementation

These codes are not intended to be mandatory, but are to be used as a starting point for the identification of empyema in routine Electronic Health Record (EHR). Each study may differ in the sensitivity and specificity of the coding required.

According to the National Health Service (NHS), Empyema is defined as pocketcs of pus that have collected insided a body cavity. They can form if a bacterial infection is left untreated, or if it fails to fully respond to treatment. The term is most commonly used to refer to pus-filled pockets that develop in the pleural space.

https://www.nhs.uk/conditions/empyema/

Not found code search


Publications

  • Publications in 2020-2021 identified in PubMed

  • Arnold DT, Hamilton FW, Morris TT, Suri T, Morley A, Frost V, Vipond IB, Medford AR, Payne RA, Muir P, Maskell NA. Epidemiology of pleural empyema in English hospitals and the impact of influenza. Eur Respir J. 2021 Jun 17;57(6):2003546. doi: 10.1183/13993003.03546-2020. PMID: 33334937.

  • Strachan R, Homaira N, Beggs S, Bhuiyan MU, Gilbert GL, Lambert SB, Macartney K, Marshall H, Martin AC, McCallum GB, McCullagh A, McDonald T, McIntyre P, Oftadeh S, Ranganathan S, Suresh S, Wainwright CE, Wilson A, Wong M, Snelling T, Jaffé A. Assessing the impact of the 13 valent pneumococcal vaccine on childhood empyema in Australia. Thorax. 2021 May;76(5):487-493. doi: 10.1136/thoraxjnl-2020-216032. Epub 2021 Jan 27. PMID: 33504566.

  • Code repositories

  • ID- 1 - Repository- Manchester ClinicalCodes - Description- The association between smoking and hospitalisations for cardiovascular events and respiratory infection in patients with rheumatoid arthritis: a retrospective cohort study using the Clinical Practice Research Datalink - Conditions- Respiratory tract infection - Publication- Unpublished - Clinical codes- ICD-10

  • ID- 2 - Repository- Manchester ClinicalCodes - Description- Smoking-related mortality in patients with early rheumatoid arthritis – a retrospective cohort study using the Clinical Practice Research Datalink - Conditions- Respiratory tract infection - Publication- https://doi.org/10.1002/acr.22882 - Clinical codes- ICD-10

  • ID- 3 - Repository- Manchester ClinicalCodes - Description- Antibiotic prescribing for common infections in UK general practice: variability and drivers - Conditions- LRTI - Publication- https://doi.org/10.1093/jac/dkz163 - Clinical codes- Read Version 2

  • ID- 4 - Repository- HDR UK National Phenomics Resource Project - Description- - Conditions- Bacterial diseases (excl TB) - Publication- - Clinical codes- ICD-10

  • ID- 5 - Repository- HDR UK National Phenomics Resource Project - Description- - Conditions- Lower respiratory tract infections - Publication- - Clinical codes- ICD-10

Clinical Code List

Expand All  /  Collapse All
Rows: 57
Code Description SNOMED CT Concept ID Read v2 Description BREATHE recommended
121449018 Empyema of gallbladder 73125001 Y
1231843013 Purulent pleurisy 58554001 Y
12711015 Streptococcal pleurisy with effusion 7097001 Y
128069014 Fibrinous pleurisy 77138008 Y
141587016 Streptococcal pleurisy 85420008 Y
141595017 Bacterial pleurisy with effusion 85426002 Y
2011541000006110 OH respiratory questionnaire: history of pleurisy 2011541000006106 J650.12 N
2011551000006112 OH respiratory questionnaire: no history of pleurisy 2011551000006108 H501400 N
218821000006118 Pleural empyema 58554001 H511200 Y
22395010 Diaphragmatic pleurisy 13082000 H510700 N
24683016 Tuberculous empyema 14527007 H510B00 Y
2730071000006112 Tuberculous pleural empyema 14527007 H511.00 Y
286214019 Tuberculous pleurisy in primary progressive tuberculosis 186172004 Y
286225011 Tuberculous pleurisy 186182003 Y
286230010 Tuberculous pleurisy NOS 186182003 H501200 Y
2990251000006110 Empyema necessitans 30437004 H510400 Y
301625018 Empyema with pleural fistula NOS 271503005 A120100 Y
301626017 Empyema with thoracic fistula NOS 271503005 Y
301635012 Lung empyema NOS 58554001 A101.00 Y
301647018 Acute dry pleurisy 196077006 A120.00 N
301650015 Basal pleurisy 196079009 A120z00 N
301651016 Chronic dry pleurisy 196080007 N
301652011 Sterile pleurisy 196081006 H500400 N
301661011 Bacterial pleurisy with effusion NOS 85426002 H500500 Y
301669013 Exudative pleurisy NOS 196075003 H501300 N
301670014 Serofibrinous pleurisy NOS 196075003 H510300 N
301671013 Serous pleurisy NOS 196075003 H510500 N
3048161000006111 Adhesive pleuritis 34038005 H510600 N
3349791000006110 Mastoid empyema 52404001 H510800 Y
3451091000006115 Suppurative pleurisy 58554001 H511z00 Y
3451101000006114 Empyema thoracis 58554001 H51z000 N
3754521000006119 Fibrinous pleuritis 77138008 H51z100 N
3854971000006111 Epidemic benign dry pleurisy 83264000 H51z200 Y
3854981000006114 Epidemic pleurisy 83264000 Y
39802016 Staphylococcal pleurisy with effusion 23698009 Y
406305010 Empyema with fistula 271503005 Y
40785018 Pneumococcal pleurisy with effusion 24302002 Y
456436010 Empyema 312682007 Y
46467017 Encysted pleurisy 27757009 Y
47025013 Empyema with bronchopleural fistula 28085001 Y
4740991000006119 Primary progressive tuberculosis with tuberculous pleurisy 186172004 H511100 Y
4741061000006117 Tuberculous pleuritis 186182003 H500.00 Y
4782121000006111 Loculated empyema 196067009 H511000 Y
50946012 Empyema with bronchocutaneous fistula 30437004 H50..00 Y
5407016 Pneumococcal pleurisy 2585002 H51y000 Y
5525211000006118 Pleural empyema with fistula 271503005 H500100 Y
5525221000006114 Pleural empyema with no fistula 271504004 Y
5525231000006112 Empyema of pleura without fistula 271504004 Y
57249012 Empyema with hepatopleural fistula 34286007 Y
6320012 Staphylococcal pleurisy 3144005 H500000 Y
640711000006112 Empyema NOS 312682007 H510900 Y
640771000006115 Empyema with fistula NOS 271503005 Y
640801000006118 Empyema with no fistula 271504004 Y
640811000006115 Empyema with no fistula NOS 271504004 Y
83211000006113 Tuberculous pleurisy, conf bacteriologically/histologically 186200004 H500200 Y
84488013 Empyema with mediastinal fistula 50694005 H510A00 Y
8694011 Empyema of mastoid 386034005 H50z.00 Y
Rows: 43
Code Description CPRD GOLD Med BREATHE recommended Manchester Clinical Codes 3
A101.00 Tuberculous pleurisy in primary progressive tuberculosis 46272 Y
A120.00 Tuberculous pleurisy 23472 Y
A120100 Tuberculous empyema 39512 Y
A120z00 Tuberculous pleurisy NOS 56890 Y
A124600 Tuberculous pleurisy, conf bacteriologically/histologically 35443 Y
F530.12 Empyema of mastoid 28228 Y
H50..00 Empyema 2375 Y Y
H500.00 Empyema with fistula 59340 Y
H500000 Empyema with bronchocutaneous fistula 66856 Y
H500100 Empyema with bronchopleural fistula 34651 Y
H500101 Empyema with bronchopleural fistula Y Y
H500300 Empyema with mediastinal fistula 113005 Y
H500400 Empyema with pleural fistula NOS 99547 Y
H500z00 Empyema with fistula NOS 111451 Y
H501.00 Empyema with no fistula 53494 Y
H501200 Pleural empyema 44425 Y
H501201 Pleural empyema Y Y
H501300 Lung empyema NOS 38052 Y
H501400 Purulent pleurisy 49452 Y
H501401 Purulent pleurisy Y
H50z.00 Empyema NOS 34282 Y
H51..01 Pleurisy N
H510300 Acute dry pleurisy 19207 N
H510301 Acute dry pleurisy N
H510400 Diaphragmatic pleurisy 40819 N
H510500 Basal pleurisy 37599 N
H510600 Chronic dry pleurisy 62895 N
H510700 Fibrinous pleurisy 47354 N
H510800 Sterile pleurisy 67452 N
H510900 Pneumococcal pleurisy 32818 Y
H510901 Pneumococcal pleurisy Y
H510A00 Staphylococcal pleurisy 31603 Y
H510B00 Streptococcal pleurisy 69352 Y
H511.00 Bacterial pleurisy with effusion 31689 Y
H511000 Pneumococcal pleurisy with effusion 43345 Y
H511100 Staphylococcal pleurisy with effusion 93010 Y
H511200 Streptococcal pleurisy with effusion 108784 Y
H511z00 Bacterial pleurisy with effusion NOS 44842 Y
H51y000 Encysted pleurisy 57092 N
H51z000 Exudative pleurisy NOS 60142 N
H51z100 Serofibrinous pleurisy NOS 68470 N
H51z200 Serous pleurisy NOS 55211 N
J650.12 Empyema of gallbladder 932 Y
Rows: 44
Code Description
121449018 Empyema of gallbladder
1231843013 Purulent pleurisy
12711015 Streptococcal pleurisy with effusion
128069014 Fibrinous pleurisy
141587016 Streptococcal pleurisy
141595017 Bacterial pleurisy with effusion
218821000006118 Pleural empyema
24683016 Tuberculous empyema
2730071000006112 Tuberculous pleural empyema
286214019 Tuberculous pleurisy in primary progressive tuberculosis
286225011 Tuberculous pleurisy
286230010 Tuberculous pleurisy NOS
2990251000006110 Empyema necessitans
301625018 Empyema with pleural fistula NOS
301626017 Empyema with thoracic fistula NOS
301635012 Lung empyema NOS
301661011 Bacterial pleurisy with effusion NOS
3349791000006110 Mastoid empyema
3451091000006115 Suppurative pleurisy
3854971000006111 Epidemic benign dry pleurisy
3854981000006114 Epidemic pleurisy
39802016 Staphylococcal pleurisy with effusion
406305010 Empyema with fistula
40785018 Pneumococcal pleurisy with effusion
456436010 Empyema
46467017 Encysted pleurisy
47025013 Empyema with bronchopleural fistula
4740991000006119 Primary progressive tuberculosis with tuberculous pleurisy
4741061000006117 Tuberculous pleuritis
4782121000006111 Loculated empyema
50946012 Empyema with bronchocutaneous fistula
5407016 Pneumococcal pleurisy
5525211000006118 Pleural empyema with fistula
5525221000006114 Pleural empyema with no fistula
5525231000006112 Empyema of pleura without fistula
57249012 Empyema with hepatopleural fistula
6320012 Staphylococcal pleurisy
640711000006112 Empyema NOS
640771000006115 Empyema with fistula NOS
640801000006118 Empyema with no fistula
640811000006115 Empyema with no fistula NOS
83211000006113 Tuberculous pleurisy, conf bacteriologically/histologically
84488013 Empyema with mediastinal fistula
8694011 Empyema of mastoid
Rows: 31
Code Description
A101.00 Tuberculous pleurisy in primary progressive tuberculosis
A120.00 Tuberculous pleurisy
A120100 Tuberculous empyema
A120z00 Tuberculous pleurisy NOS
A124600 Tuberculous pleurisy, conf bacteriologically/histologically
F530.12 Empyema of mastoid
H50..00 Empyema
H500.00 Empyema with fistula
H500000 Empyema with bronchocutaneous fistula
H500100 Empyema with bronchopleural fistula
H500101 Empyema with bronchopleural fistula
H500300 Empyema with mediastinal fistula
H500400 Empyema with pleural fistula NOS
H500z00 Empyema with fistula NOS
H501.00 Empyema with no fistula
H501200 Pleural empyema
H501201 Pleural empyema
H501300 Lung empyema NOS
H501400 Purulent pleurisy
H501401 Purulent pleurisy
H50z.00 Empyema NOS
H510900 Pneumococcal pleurisy
H510901 Pneumococcal pleurisy
H510A00 Staphylococcal pleurisy
H510B00 Streptococcal pleurisy
H511.00 Bacterial pleurisy with effusion
H511000 Pneumococcal pleurisy with effusion
H511100 Staphylococcal pleurisy with effusion
H511200 Streptococcal pleurisy with effusion
H511z00 Bacterial pleurisy with effusion NOS
J650.12 Empyema of gallbladder

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH802/version/2226/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH802/version/2226/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH802', '2226', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH802/version/2226/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH802/version/2226/export/codes/?format=json
CSV site_root/phenotypes/PH802/version/2226/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH802', '2226', api_client=client)

Version History

Version
ID		 Name Owner Publish date
2226 Empyema or pyothorax or purulent pleuritis Primary care zinnurar 2022-08-08 currently shown
1683 Empyema or pyothorax or purulent pleuritis Primary care zinnurar 2022-01-17

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

Print - Print page.