Document Detail

The use of expandable metal stents for large airway obstruction in older patients.
MedLine Citation:
PMID:  7730538     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review the indications, management, and outcome of 30 older patients who had expandable metal stents inserted for large airway obstruction. DESIGN: Information was collected retrospectively from case notes about presentation, radiographic appearances, pulmonary function, including arterial oxygen tension, and histology. Survival data were collected by reviewing hospital or General Practice records. MEASUREMENTS: Spirometry, peak expiratory flow rate, and blood gases were recorded before and after stent insertion. MAIN RESULTS: There was a significant improvement in the patient's mean forced expiratory volume in 1-second (FEV1) and mean peak expiratory flow rate (PEFR). The arterial oxygen tension (pO2) increased from 8.6 Kpa to 10.6 Kpa. The mean length of survival for the whole group was just under 5 months. CONCLUSIONS: Airway stenting for obstruction provides palliative and functional benefits in these severely disabled patients and a consequent improvement in quality of remaining life.
C I Jack; M Lye; G Wilson; C R Hind
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  43     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-06-01     Completed Date:  1995-06-01     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  543-5     Citation Subset:  IM    
Department of Geriatric Medicine, Royal Liverpool University Hospital, UK.
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MeSH Terms
Airway Obstruction / mortality,  physiopathology,  therapy*
Forced Expiratory Volume
Peak Expiratory Flow Rate
Retrospective Studies
Reg. No./Substance:

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