KMID : 1103720110640010033
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Journal of the Korean Society of Radiology 2011 Volume.64 No. 1 p.33 ~ p.38
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The Analysis of the Causes of Prolonged Hospitalization after Transarterial Chemoembolization in Patients with Unresectable Hepatocellular Carcinoma
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Park Seo-Yeon
Jang Nam-Kyu Kim Jae-Kyu Jeong Yong-Yeon
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Abstract
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Purpose: We wanted to analyze the causes of prolonged hospitalization (over 7 days) after transarterial chemoembolization (TACE) in patients with unresectable Hepatocellular Carcinoma and its related factors.
Materials and Methods: We analyzed the total hospital days after patients with unresectable Hepatocellular Carcinoma received transarterial chemoembolization, and these patients were treated during the recent 6 month at our hospital. Two hundred twenty three sessions showed a short term hospital stay (less than 7 days) and 57 sessions showed a prolonged hospital stay (more than 7 days), so a total of 280 sessions were analyzed. The hospital stay less than seven days was set for the control group and this was correlated with the patient¡¯s age, gender, the level of bilirubin and albumin, the platelet counts, the AST/ALT ratio, the a-FT, the presence of portal vein thrombosis and ascites, several scoring systems (Child-Pugh, CLIP, and OKUDA score) and the need for additional embolization at the time of the procedure.
Results: Compared with that of the control group, ascites (p=0.004), portal vein thrombosis (p=0.000), a platelet count below the hundred thousand (p=0.012), a Child-Pugh score more than B (p=0.023), a CLIP score more than 2 (p=0.000) and a OKUDA score more than II (p=0.000) showed significant differences.
Conclusion: The evaluation of patients¡¯ factors would be useful to predict extended post-procedural hospitalization after hepatic chemoembolisation.
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KEYWORD
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Chemoembolization, Therapeutic, Carcinoma, Hepatocellular, Prognosis, Hospitalization, Liver Neoplasm
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