Clinical performance status and technical factors affecting outcomes from percutaneous transhepatic biliary interventions; a multicentre, prospective, observational cohort study.
Authors
Makris, G. C.Macdonald, A. C.
Allouni, K.
Corrigall, H.
Tapping, C. R.
Hughes, J. P.
Anthony, S.
Boardman, P.
Patel, R.
Wigham, A.
Husainy, M. A.
See, T. C.
Cast, J.
Olliff, S.
Travis, S.
Laasch, Hans-Ulrich
Nice, C
Uberoi, R.
Affiliation
Vascular and Interventional Radiology Department, Guy's and St Thomas' Hospital, NHS Foundation Trust, London.Issue Date
2021
Metadata
Show full item recordAbstract
Purpose: The purpose of this study was to evaluate the predictive value of a 'Modified Karnofsky Scoring System' on outcomes and provide real-world data regarding the UK practice of biliary interventions. Materials and methods: A prospective multi-centred cohort study was performed. The pre-procedure modified Karnofsky score, the incidence of sepsis, complications, biochemical improvement and mortality were recorded out to 30 days post procedure. Results: A total of 292 patients (248 with malignant lesions) were suitable for inclusion in the study. The overall 7 and 30 day mortality was 3.1% and 16.1%, respectively. The 30 day sepsis rate was 10.3%. In the modified Karnofsky 'high risk' group the 7 day mortality was 9.7% versus 0% for the 'low risk' group (p = 0.002), whereas the 30 day mortality was 28.8% versus 13.3% (p = 0.003). The incidence of sepsis at 30 days was 19% in the high risk group versus 3.3% at the low risk group (p = 0.001) CONCLUSION: Percutaneous biliary interventions in the UK are safe and effective. Scoring systems such as the Karnofsky or the modified Karnofsky score hold promise in allowing us to identify high risk groups that will need more careful consideration and enhanced patient informed consent but further research with larger studies is warranted in order to identify their true impact on patient selection and outcomes post biliary interventions.Citation
Makris GC, Macdonald AC, Allouni K, Corrigall H, Tapping CR, Hughes JP, et al. Clinical Performance Status and Technical Factors Affecting Outcomes from Percutaneous Transhepatic Biliary Interventions; A Multicentre, Prospective, Observational Cohort Study. Cardiovasc Intervent Radiol. 2021 Jul 12.Journal
Cardiovascular and Interventional RadiologyDOI
10.1007/s00270-021-02888-0PubMed ID
34254176Additional Links
https://dx.doi.org/10.1007/s00270-021-02888-0Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.1007/s00270-021-02888-0
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