Analysis of Risk Factors for In-Hospital Transfer in Patients with Ruptured Liver Cancer

ZHUANG Zhixiang; CAI Huili; ZHENG Huangli

doi:10.13919/j.issn.2095-6274.ZHJY202411036

Abstract：Objective To explore the risk factors associated with in-hospital transfer of patients with rup-tured liver cancer,providing scientific evidence for optimizing the transfer process and reducing associated risks.Methods A total of 80 patients with ruptured liver cancer who received emergency treatment at Zhangzhou Fourth Hospital from January 2014 to January 2024 were selected for this study.Based on the changes in their condition during transport,the patients were divided into two groups:the stable group(n=53)and the progression group(n=27).The study compared relevant data between the two groups,including age,sex,underlying diseases,rupture mani-festations,and emergency treatment measures.Furthermore,a multivariate logistic regression analysis was conduct-ed to identify the factors influencing the in-hospital transport risk of patients with ruptured liver cancer.Results Significant differences were observed between the stable and progression groups in terms of age,tumor diameter,presence of cirrhosis,blood loss,fluid resuscitation,use of vasopressor medications,and transfer time(P<0.05).Multivariate logistic regression analysis revealed that age≥60 years,tumor diameter≥5 cm,presence of cirrho-sis,blood loss>1000 ml,use of vasopressors,and transfer time≥30 minutes were independent risk factors for in-hospital transfer in emergency patients with ruptured liver cancer(P<0.05).Conclusion In-hospital transfer of emergency patients with ruptured liver cancer is associated with multiple factors,including advanced age,large tumor size,significant blood loss,and prolonged transfer time.Risk assessment and early preventive measures should be strengthened to reduce transfer risks and improve patient prognosis.