Outcomes of emergency treatment in ruptured hepatocellular carcinoma in the ED
| Autor: | Wei-Kung Chen, Yun-ting Chung, Yu-Tein Chang, Horng Ren Yang |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Liver Cirrhosis Male medicine.medical_specialty Resuscitation Carcinoma Hepatocellular Taiwan Comorbidity Emergency treatment Intensive care Confidence Intervals Odds Ratio Medicine Humans Blood Transfusion Survival rate Serum Albumin Aged Retrospective Studies Aged 80 and over Rupture Spontaneous business.industry Mortality rate Liver Neoplasms General Medicine Length of Stay Middle Aged medicine.disease Prognosis Embolization Therapeutic Survival Analysis Surgery Outcome and Process Assessment Health Care Hepatocellular carcinoma Emergency Medicine Female Liver function business Complication Emergency Service Hospital |
| Zdroj: | The American journal of emergency medicine. 23(6) |
| ISSN: | 0735-6757 |
| Popis: | The choice of emergency treatment of ruptured hepatocellular carcinoma (HCC) remains controversial. This study analyzed the prognostic factors for ruptured HCC seen in an ED. Patients were retrospectively classified into survival and mortality groups. Fifty-five patients were enrolled into this study, and the hospital mortality rate was 38.2%. There were no associations of clinical presentation, tumor characteristics, and emergency treatment method with patients' prognoses. Significantly higher mortality rate was noted in patients with poor liver function. The time between admission and emergency chemoembolization was significantly shorter in the mortality group than in the survival group (mean, 255 vs 394 minutes). The 1-month survival rate was 69% in patients who received conservative treatment and 59% in patients who underwent emergency chemoembolization. Routine emergency chemoembolization did not improve outcome and was associated with higher mortality and complication rates, especially in patients with poor liver function. Conservative therapy may be a preferable option for patients with ruptured HCC if they have baseline poor liver function. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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