Comparison of Hospital Mortality of Pericardial Drainage by Surgical and Percutaneous methods in Patients with Extensive Pericardial Effusion

Abstract

Pericardial effusion is the accumulation of fluid in the pericardial space that can lead to heart tamponade, shock, and sometimes death. Providing a standard method for draining pericardial fluid prevents or at least reduces the above problems; therefore, the aim of this study was to compare the hospital mortality of surgical pericardial fluid drainage and percutaneous disease in patients with extensive pericardial effusion. Materials and Methods: This research is a descriptive & cross-sectional.The selection of samples was census and retrospective and the records of all patients admitted between 1991 and 1996 (for 5 years) in Shahid Madani Heart Center were reviewed. The data collection tool was a data collection checklist.Which was used after confirmation of validity and reliability. In this study, data of about 322 patients with extensive pericardial effusion and with clinical symptoms or echocardiography of tamponade and candidate for pericardial drainage were included in the study. A total of 162 patients with percutaneous drainage method and 160 patients with surgical drainage method under pericardial drainage were compared. Data analysis was analyzed using SPSSV20 software. Results: We studied between 2012 and 2017, Based on the results of the relationship between patient age (P = 0.03), the presence of malignancy (P = 0.03) and pulmonary origin of malignancy (P = 0.02) and myocardial infarction (P = 0.02) was significant. There was no significant relationship between pericardial drainage method and hospital mortality rate (P = 0.23) and one-year survival rate (P = 0.21).