Journal of Isfahan Medical School

Journal of Isfahan Medical School

An Evaluation on Complications and Patient Satisfaction of Port Catheter in Patients with Acute Leukemia in Alzahra and Milad Hospitals, Isfahan, Iran: A One-Year Prospective Analysis

Document Type : Original Article (s)

Authors
Valiollah Mehrzad 1
Atefeh Eshaghian 2
Ali Akbar Beigi 3
1 Assistant Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Department of Surgeury, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v36i473.5365
Abstract
Background: Totally implantable central venous access (port-a-cath) is being used increasingly in patients with cancer for chemotherapy administration and other therapeutic procedures. We investigated the rate of port-related complications and patients’ satisfaction in these patients.Methods: We prospectively followed up 44 patients with acute leukemia who underwent port placement in Alzahra and Milad hospitals, Isfahan, Iran, between May 2012 and May 2013. Port-related complications were examined in detail and analyzed statistically. In order to evaluate the patients’ satisfaction, some questionnaires were filled in by patients.Findings: 46 port-a-caths were implanted in 44 patients. Two patients underwent a second placement after removal the first. No case of early complications was reported, in comparison to 16 cases (38.1%) of late complications consisted of rupture and/or migration (9.5%), thrombosis (11.9%), cellulitis (4.8%), bacteremia (14.3%), and erosion (2.4%). The mean patients’ satisfaction was 65.Conclusion: The most common complication reported in our study was the catheter-related blood stream infection. It is suggested that by multimodal educational programs for health care providers and patients, more than 50% of this complication could be avoided. Patients’ satisfaction relates to their background information, and incidence of complication.
Keywords
Port catheters
Leukemia
Chemotherapy
Complications
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Journal of Isfahan Medical School
Volume 36, Issue 473 - Serial Number 473
March and April 2018
Pages 309-316

  • Receive Date 25 July 2015
  • Accept Date 06 April 2022