Colecistitis alitiásica en un consumidor de heroína por vía intravenosa / Acalculous cholecystitis in an intravenous heroin consumer

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[Evacuatory paracentesis at home: why not in primary care?]. / Paracentesis evacuadora en el domicilio: por qué no en atención primaria?

OBJECTIVE: Study of the complications occurring during the weak after carrying out evacuatory paracentesis at home. To assess the viability of using this technique in primary care (PC). DESIGN: A retrospective observation study. SETTING: Home Hospital Unit of the Marqués de Valdecilla University Hospital (Santander). PATIENTS AND OTHER PARTICIPANTS: 14 patients with chronic hepatopathy or cirrhosis admitted to our unit between 1984 and 1994 and who required evacuatory paracentesis to control their ascites. MEASUREMENTS AND MAIN RESULTS: Only in 17 of the 90 paracentesis performed was there any kind of complication: 12 cases of high digestive haemorrhage, 10 of hepatic encephalopathy, 3 of spontaneous bacterial peritonitis and 2 acute renal failures. There were no complications in 81.11% (73). We found no significant differences between creatinine and sodium in blood pre-paracentesis (1.60 +/- 0.65 mg/dl and 133.07 +/- 4.47 mEq/ml) and post-paracentesis (1.79 +/- 0.83 mg/dl and 132 +/- 4.57 mEq/ml). CONCLUSIONS: Evacuatory paracentesis is a safe and simple procedure that can be performed in the home and could be assumed by primary-care teams as a part of their scheduled home visits.