Korean J Hosp Palliat Care.  2016 Dec;19(4):303-309. 10.14475/kjhpc.2016.19.4.303.

Analysis of Effect and Prognostic Factors Associated with Catheter Intervention on Ascites in Terminal Cancer Patient

Affiliations
  • 1Department of Family Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. musofm@unitel.co.kr
  • 2Department of Palliative Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

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.

Keyword

Neoplasms; Ascites; Drainage; Palliative care; Sodium

MeSH Terms

Anti-Bacterial Agents
Ascites*
Catheters*
Drainage
Fever
Hospices
Humans
Inpatients
Korea
Medical Records
Palliative Care
Prevalence
Seoul
Sodium
Stomach Neoplasms
Anti-Bacterial Agents
Sodium
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