Analysis of Effect and Prognostic Factors Associated with Catheter Intervention on Ascites in Terminal Cancer Patient / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care
;
: 303-309, 2016.
Artigo
em Coreano
| WPRIM
| ID: wpr-8154
ABSTRACT
PURPOSE:
alignant ascites is a common complication in terminal cancer patients. Less-invasive pigtail catheter insertion is the most frequent procedure in patients who need repeated ascites drainage. This study investigated effects and adverse events associated with catheter insertion for ascites drainage and evaluated prognostic outcomes.METHODS:
We reviewed medical records between 2010 and 2013 of hospice and palliative care institutions in Seoul, South Korea. Among 2,608 inpatients, 67 patients received ascites pigtail catheter drainage. We reviewed demographic data, palliative performance scale, laboratory data, duration of catheter insertion, prevalence and type of complications, use and duration of antibiotics, and survival time. Univariate and multivariate Cox regression models were used to evaluate prognostic outcomes related with catheter insertion.RESULTS:
Ascites drainage was performed most commonly in hepatobiliary and gastric cancer patients. Ascites symptoms improved in 55 patients after the catheter drainage. Adverse events included pain (19.4%), leakage (14.9%), disconnection (7.5%), catheter occlusion (6%) and fever (4.5%). In Cox regression analysis, survival time from the catheter insertion was significantly associated with Palliative Performance Scale (PPS) (HR 0.73; P value 0.045) and serum sodium level (HR 2.77; P value 0.003) in a multivariate model.CONCLUSION:
Patients' PPS and serum sodium level should be considered before making a decision of pigtail catheter insertion.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cuidados Paliativos
/
Ascite
/
Sódio
/
Neoplasias Gástricas
/
Drenagem
/
Prontuários Médicos
/
Prevalência
/
Catéteres
/
Febre
/
Seul
Tipo de estudo:
Estudo de prevalência
/
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Hospice and Palliative Care
Ano de publicação:
2016
Tipo de documento:
Artigo
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