Abstract
Pericardial window operation for malignant pericardial effusion may have worse outcomes for lung cancer than the other cancers
Highlights
From our experience of pericardial window operations for malignant pericardial effusion (MPE), we seemed to observe the worse outcomes of lung cancer in comparison to other cancers
hospital information system (HIS) stored the diagnoses as ICD-9 codes and procedures as National Health Insurance (NHI) billing codes
Lung cancer cases were compared with non-lung cancer cases for baseline characteristics and outcomes
Summary
From our experience of pericardial window operations for malignant pericardial effusion (MPE), we seemed to observe the worse outcomes of lung cancer in comparison to other cancers. With this hypothesis, we retrieve data from our hospital information system (HIS) for analysis. Malignant pericardial effusion (MPE) compromises cardiac function in cancer patients and pericardial window operation provides pericardial decompression and histology sampling. Using electronic medical records from hospital information system, we analyzed the data to test the hypothesis that MPE with lung cancer has worse clinical outcomes than other cancers. From 08/2005 to 11/2015, 52 cases of pericardial window with MPE (30 cases of lung cancer) were retrieved and analyzed. Readiness for paradoxical hemodynamic instability (PHI), occuring in 10% pericardial window cases, should never be overlooked
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