Empyema is a common condition involving pus in the pleural space, but there is no clear consensus on the best initial treatment method, which could include chest tube insertion with fibrinolytics or surgical decortication.
A randomized control trial will compare these two management strategies for adult patients with empyema to determine their effectiveness in preventing further interventions within 30 days.
The study will assess various outcomes, including re-intervention rates, size of empyema, length of hospital stay, and overall patient quality of life.