| 篇名 |
Comparing Outcomes of Two Implanted Port Central Venous Access Devices in Cancer Patients |
| 作者 |
Shaw-Min Hou, Pa-Chun Wang, Yung-Chuan Sung,Henry Hsin-Chung Lee , Han-Ting Liu, Ya-Hui Chen |
| 卷期/出版年月 |
38卷4期 (2005/8) |
| 頁次 |
165-171 |
| 摘要 |
Background: This study investigated the incidences of thrombosis occlusion,
infection and surgical complications between two commercially available implanted
port systems. The survival of port-A devices were analyzed.
Study Design: Medical records from 313 cancer patients who had received openended
(Deltec) or closed-ended (Groshong) implanted port catheter insertions were
retrospectively reviewed.
Methods: The crude infection rates, thrombosis rates, surgical complication rates
(chi-square test), as well as total catheter indwelling days (t-test) were compared
between closed- and open-ended implanted port system insertion groups. A Kaplan
Meier analysis and a stratified log rank test were used to compare the probabilities of
infection/thrombosis-free days of the 2 insertion groups. Logistic and multivariate
regression models were applied to analyze the outcome predictors.
Results: The Groshong catheters (561±386.7 days) had greater (P<0.001) mean
total catheter indwelling days than did Deltec catheters (231±226.8 days). But the
crude infection, thrombosis, and surgical complication rates failed to show statistically
significant differences (P>0.05) between closed- and open-ended implanted port
system insertion groups. Surgical procedure (P=0.05) between closed- and open-ended implanted port
system insertion groups. Surgical procedure (P<0.0001)
were predictive of total catheter indwelling days. However, 2 types of catheters had
similar survival rates at the end of follow up (P>>0.05).Conclusion: Even though the Groshong closed-ended catheter may have a marginal
advantage in total catheter indwelling days, we found the crude infection, thrombosis
occlusion, and device survival rates were similar between Deltec and Groshong
groups. |
| 關鍵詞 |
open-ended catheter, closed-ended catheter, infection, thrombosis occlusion, survival analysis |
| 分類 |
Original Article |
