Evaluation of complications of PTBD using Hull’s Risk Stratification Index

Introduction: Obstructive jaundice is a common surgical problem. Percutaneous transhepatic biliary drainage (PTBD) is one of the effective treatments in the management of biliary obstruction. Hull Risk stratification index has been proposed to identify which patients are more likely to suffer from...

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Autores principales:	Prabhat Jha, Paleswan Lakhey
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	PTBD complications Hull’s Index Surgery RD1-811
Acceso en línea:	https://doaj.org/article/93c6b8a292144516b9046729e80bd73d
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spelling	oai:doaj.org-article:93c6b8a292144516b9046729e80bd73d2021-12-05T19:16:39ZEvaluation of complications of PTBD using Hull’s Risk Stratification Index10.3126/jssn.v18i3.152921815-39842392-4772https://doaj.org/article/93c6b8a292144516b9046729e80bd73d2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15292https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Obstructive jaundice is a common surgical problem. Percutaneous transhepatic biliary drainage (PTBD) is one of the effective treatments in the management of biliary obstruction. Hull Risk stratification index has been proposed to identify which patients are more likely to suffer from immediate and early complications and procedural mortality. Materials and Methods: This is a descriptive observational study conducted at the department of surgery TUTH over a period of 1 year between october 2014 and october 2015. Hull risk stratification index was used to predict the complications of the procedure. Results: 79 patients who underwent PTBD were included during the study period of one year. Among them 39(49%) were male and 40(51%) were female. The median age of patients undergoing the procedure was 59yrs (range 35-90yrs). Twenty nine patients (36%) were in the medium Hull risk group, 50 (64%) of patients were in the low risk group and there were no patients in the high risk group. Six patients (7.5%) died after the procedure. Seven patients (8%) developed sepsis following the procedure. One patient (1.2%) developed hemobilia. Two patients (2.4%) developed pneumonia following the procedure. The sensitivity, specificity, positive predictive value, negative predictive value of the index for complications of PTBD were 81%, 74%, 44% and 94% respectively. Patients with medium Hull’s risk were 3 times more likely to develop complications of PTBD than those with low risk. Conclusion: Hull’s Risk Stratification Index can be utilized as a marker for predicting the early, immediate complications as well as procedure related mortality. Prabhat JhaPaleswan LakheySociety of Surgeons of NepalarticlePTBD complicationsHull’s IndexSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	PTBD complications Hull’s Index Surgery RD1-811
spellingShingle	PTBD complications Hull’s Index Surgery RD1-811 Prabhat Jha Paleswan Lakhey Evaluation of complications of PTBD using Hull’s Risk Stratification Index
description	Introduction: Obstructive jaundice is a common surgical problem. Percutaneous transhepatic biliary drainage (PTBD) is one of the effective treatments in the management of biliary obstruction. Hull Risk stratification index has been proposed to identify which patients are more likely to suffer from immediate and early complications and procedural mortality. Materials and Methods: This is a descriptive observational study conducted at the department of surgery TUTH over a period of 1 year between october 2014 and october 2015. Hull risk stratification index was used to predict the complications of the procedure. Results: 79 patients who underwent PTBD were included during the study period of one year. Among them 39(49%) were male and 40(51%) were female. The median age of patients undergoing the procedure was 59yrs (range 35-90yrs). Twenty nine patients (36%) were in the medium Hull risk group, 50 (64%) of patients were in the low risk group and there were no patients in the high risk group. Six patients (7.5%) died after the procedure. Seven patients (8%) developed sepsis following the procedure. One patient (1.2%) developed hemobilia. Two patients (2.4%) developed pneumonia following the procedure. The sensitivity, specificity, positive predictive value, negative predictive value of the index for complications of PTBD were 81%, 74%, 44% and 94% respectively. Patients with medium Hull’s risk were 3 times more likely to develop complications of PTBD than those with low risk. Conclusion: Hull’s Risk Stratification Index can be utilized as a marker for predicting the early, immediate complications as well as procedure related mortality.
format	article
author	Prabhat Jha Paleswan Lakhey
author_facet	Prabhat Jha Paleswan Lakhey
author_sort	Prabhat Jha
title	Evaluation of complications of PTBD using Hull’s Risk Stratification Index
title_short	Evaluation of complications of PTBD using Hull’s Risk Stratification Index
title_full	Evaluation of complications of PTBD using Hull’s Risk Stratification Index
title_fullStr	Evaluation of complications of PTBD using Hull’s Risk Stratification Index
title_full_unstemmed	Evaluation of complications of PTBD using Hull’s Risk Stratification Index
title_sort	evaluation of complications of ptbd using hull’s risk stratification index
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/93c6b8a292144516b9046729e80bd73d
work_keys_str_mv	AT prabhatjha evaluationofcomplicationsofptbdusinghullsriskstratificationindex AT paleswanlakhey evaluationofcomplicationsofptbdusinghullsriskstratificationindex
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Evaluation of complications of PTBD using Hull’s Risk Stratification Index

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