Journal List > J Korean Soc Radiol > v.64(1) > 1086923

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Park, Chang, Kim, and Jeong: The Analysis of the Causes of Prolonged Hospitalization after Transarterial Chemoembolization in Patients with Unresectable Hepatocellular Carcinoma
Interventional Radiology
Original Article

Journal of the Korean Society of Radiology 2011; 64(1): 33-38.

Published online: 31 January 2011

DOI: https://doi.org/10.3348/jksr.2011.64.1.33

The Analysis of the Causes of Prolonged Hospitalization after Transarterial Chemoembolization in Patients with Unresectable Hepatocellular Carcinoma

Seo Yeon Park, M.D.2, Nam Kyu Chang, M.D., Jae Kyu Kim, M.D.2, Yong Yeon Jeong, M.D.

1Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital, Korea.

2Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital, Korea.

Address reprint requests to: Nam Kyu Chang, M.D., Department of Diagnostic Radiology, Chonnam National University, School of Medicine, Chonnam National University Hwasun Hospital, 160 Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeollanam-do 519-809, Korea. Tel. 82-61-379-7110, Fax. 82-61-379-7133, ygreenchang@gmail.com

Received 15 July 2010       Accepted 7 September 2010

Copyright © 2011 The Korean Society of Radiology

Abstract

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.

Keywords: Chemoembolization, Therapeutic, Carcinoma, Hepatocellular, Prognosis, Hospitalization, Liver Neoplasm

Figures and Tables

Table 1

Comparison of Patients Characteristics between Two Groups

jksr-64-33-i001

Note.─ *Number(%)

Table 2

Comparison of Several Prognostic Factors between Two Groups

jksr-64-33-i002

Note.─ *Data are the mean ± standard deviation

† Number(%)

‡ Portal vein thrombosis

Table 3

Comparison of Minor/Major Complications between Two Groups

jksr-64-33-i003

Note.─ *Number(%)

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