کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4155159 1273737 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Risk factors for mortality in patients with multifocal and diffuse hepatic hemangiomas
ترجمه فارسی عنوان
عوامل خطر مرگ و میر در بیماران مبتلا به هنجارهای مولتی فوکال و پرفشاری خون کبدی
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeMultifocal and diffuse hepatic hemangiomas are true infantile hemangiomas, which likely exist in a continuum. We reviewed our hepatic hemangioma registry to identify prognostic indicators for mortality.MethodsRegistry records entered between 1995 and 2012 were reviewed. Clinical characteristics were evaluated for prognostic significance using the multivariable Cox proportional hazards model. Survival data were analyzed using the Kaplan–Meier product–limit method.ResultsWe identified 123 patients with multifocal (n = 91) and diffuse (n = 32) hepatic hemangiomas. Mortality was 16% (n = 20); 40% (n = 8) had multifocal and 60% (n = 12) had diffuse lesions. A diagnosis of diffuse disease (hazard ratio: 9.9, 95% CI: 2.0–50.8, P = .002) and congestive heart failure (CHF) (hazard ratio: 3.9, 95% CI: 1.3–14.2, P = .031) were significant risk factors for mortality across the continuum; age at presentation, cardiomegaly, presence of shunts, and hypothyroidism were not statistically significant independent risk factors. Among patients with diffuse lesions, eight (67%) who died had abdominal compartment syndrome, which was also associated with mortality (P = .002).ConclusionsHepatic hemangioma patients with CHF or diffuse disease are at higher risk for mortality. Patients with multifocal lesions without CHF may go undetected until lesions become diffuse. Aggressive treatment of symptomatic patients and close follow-up of asymptomatic patients may improve mortality.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 50, Issue 5, May 2015, Pages 837–841
نویسندگان
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