Outcomes of patients with chest tube insertion for hepatic hydrothorax

Eric Orman, Anna S F Lok

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Purpose: Case reports and small case series have reported a high rate of complications associated with chest tube placement for hepatic hydrothorax. We describe the in-hospital and 3-month outcomes of patients who have had this procedure. Methods: A retrospective medical record review was performed of all patients admitted to a tertiary care center over a 10-year period with a chest tube placed for hepatic hydrothorax. Demographic data and outcomes were collected and analyzed. Results: Seventeen patients were identified; 12 were taking diuretics and 8 were taking multiple diuretics at the time of admission. MELD score was 14 (range = 7-34). During hospitalization, 16 had at least 1 and 12 had more than 1 complications. The most common complications were acute kidney injury (n = 11), pneumothorax (n = 7), and empyema (n = 5). Two patients died during the index admission and four others within 3 months of that admission. Six of seven patients who received TIPS survived. Conclusions: Chest tube insertion for hepatic hydrothorax carries significant morbidity and mortality, with questionable benefit.

Original languageEnglish (US)
Pages (from-to)582-586
Number of pages5
JournalHepatology International
Volume3
Issue number4
DOIs
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Hydrothorax
Chest Tubes
Liver
Diuretics
Empyema
Pneumothorax
Acute Kidney Injury
Tertiary Care Centers
Medical Records
Hospitalization
Demography
Morbidity
Mortality

Keywords

  • Acute kidney injury
  • Ascites
  • Chest tube
  • Cirrhosis
  • Hepatic hydrothorax

ASJC Scopus subject areas

  • Hepatology

Cite this

Outcomes of patients with chest tube insertion for hepatic hydrothorax. / Orman, Eric; Lok, Anna S F.

In: Hepatology International, Vol. 3, No. 4, 12.2009, p. 582-586.

Research output: Contribution to journalArticle

@article{803ff8cdfbc84914b27d608303386406,
title = "Outcomes of patients with chest tube insertion for hepatic hydrothorax",
abstract = "Purpose: Case reports and small case series have reported a high rate of complications associated with chest tube placement for hepatic hydrothorax. We describe the in-hospital and 3-month outcomes of patients who have had this procedure. Methods: A retrospective medical record review was performed of all patients admitted to a tertiary care center over a 10-year period with a chest tube placed for hepatic hydrothorax. Demographic data and outcomes were collected and analyzed. Results: Seventeen patients were identified; 12 were taking diuretics and 8 were taking multiple diuretics at the time of admission. MELD score was 14 (range = 7-34). During hospitalization, 16 had at least 1 and 12 had more than 1 complications. The most common complications were acute kidney injury (n = 11), pneumothorax (n = 7), and empyema (n = 5). Two patients died during the index admission and four others within 3 months of that admission. Six of seven patients who received TIPS survived. Conclusions: Chest tube insertion for hepatic hydrothorax carries significant morbidity and mortality, with questionable benefit.",
keywords = "Acute kidney injury, Ascites, Chest tube, Cirrhosis, Hepatic hydrothorax",
author = "Eric Orman and Lok, {Anna S F}",
year = "2009",
month = "12",
doi = "10.1007/s12072-009-9136-z",
language = "English (US)",
volume = "3",
pages = "582--586",
journal = "Hepatology International",
issn = "1936-0533",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Outcomes of patients with chest tube insertion for hepatic hydrothorax

AU - Orman, Eric

AU - Lok, Anna S F

PY - 2009/12

Y1 - 2009/12

N2 - Purpose: Case reports and small case series have reported a high rate of complications associated with chest tube placement for hepatic hydrothorax. We describe the in-hospital and 3-month outcomes of patients who have had this procedure. Methods: A retrospective medical record review was performed of all patients admitted to a tertiary care center over a 10-year period with a chest tube placed for hepatic hydrothorax. Demographic data and outcomes were collected and analyzed. Results: Seventeen patients were identified; 12 were taking diuretics and 8 were taking multiple diuretics at the time of admission. MELD score was 14 (range = 7-34). During hospitalization, 16 had at least 1 and 12 had more than 1 complications. The most common complications were acute kidney injury (n = 11), pneumothorax (n = 7), and empyema (n = 5). Two patients died during the index admission and four others within 3 months of that admission. Six of seven patients who received TIPS survived. Conclusions: Chest tube insertion for hepatic hydrothorax carries significant morbidity and mortality, with questionable benefit.

AB - Purpose: Case reports and small case series have reported a high rate of complications associated with chest tube placement for hepatic hydrothorax. We describe the in-hospital and 3-month outcomes of patients who have had this procedure. Methods: A retrospective medical record review was performed of all patients admitted to a tertiary care center over a 10-year period with a chest tube placed for hepatic hydrothorax. Demographic data and outcomes were collected and analyzed. Results: Seventeen patients were identified; 12 were taking diuretics and 8 were taking multiple diuretics at the time of admission. MELD score was 14 (range = 7-34). During hospitalization, 16 had at least 1 and 12 had more than 1 complications. The most common complications were acute kidney injury (n = 11), pneumothorax (n = 7), and empyema (n = 5). Two patients died during the index admission and four others within 3 months of that admission. Six of seven patients who received TIPS survived. Conclusions: Chest tube insertion for hepatic hydrothorax carries significant morbidity and mortality, with questionable benefit.

KW - Acute kidney injury

KW - Ascites

KW - Chest tube

KW - Cirrhosis

KW - Hepatic hydrothorax

UR - http://www.scopus.com/inward/record.url?scp=73349097852&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=73349097852&partnerID=8YFLogxK

U2 - 10.1007/s12072-009-9136-z

DO - 10.1007/s12072-009-9136-z

M3 - Article

VL - 3

SP - 582

EP - 586

JO - Hepatology International

JF - Hepatology International

SN - 1936-0533

IS - 4

ER -