{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:40:35Z","timestamp":1792122035888,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JGH Open"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Patients with refractory ascites have frequent hospital admissions, which pose exposure risks in the context of the COVID\u201019 pandemic. The aim of this study was to investigate the safety and efficacy of a novel 12\u2010week, multidisciplinary ambulatory care program allowing frequent low\u2010volume ascitic drainage through a tunneled, intraperitoneal catheter (IPC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adult patients with cirrhosis complicated by refractory ascites were recruited through a liver clinic in a tertiary health service in Melbourne, Australia from April to December 2020. All patients were enrolled in a 12\u2010week multidisciplinary program including medical, nursing, dietetics, and pharmacy support. A Rocket Medical IPC was inserted on day 1 with 1\u20132\u00a0L of ascitic fluid drained over 1\u20133 sessions per week either at the patients' homes or at the hospital day ward. Patients' demographics, death, complications, and self\u2010reported outcomes were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients were enrolled with a median of 65\u2010day (interquartile range [IQR]: 16.5\u201393) IPC duration between April and December 2020 across two periods of COVID\u2010related lockdown in Melbourne, Australia. There were no IPC\u2010related deaths. Early removal was necessitated in three patients due to leakage, nonadherence, and bacteremia. On day 30, the median self\u2010reported health score increased from 50 (IQR: 50\u201370) to 78 (IQR: 50\u201385), attributable to a reduction in symptom burden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A multidisciplinary IPC program including the use of short\u2010term IPC was safe and associated with a self\u2010reported improvement in perceptions of health. In the context of the COVID\u201019 pandemic, the program aimed to reduce patient and clinician exposure, which is maintaining engagement and management of decompensated cirrhosis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jgh3.12641","type":"journal-article","created":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T14:45:13Z","timestamp":1630507513000},"page":"1154-1159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Short\u2010term intraperitoneal catheters: An ambulatory care intervention for refractory ascites secondary to cirrhosis during <scp>COVID<\/scp>\u201019"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9383-3903","authenticated-orcid":false,"given":"Natalie LY","family":"Ngu","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Monash Health  Melbourne Victoria Australia"},{"name":"Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Monash Health  Melbourne Victoria Australia"},{"name":"Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Monash Health  Melbourne Victoria Australia"},{"name":"Pharmacy Department Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Figredo","sequence":"additional","affiliation":[{"name":"Hospital in the Home Monash Health  Melbourne Victoria 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Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.26359"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000545"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(87)91007-9"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2011.314"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2005.10.013"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/24538524"},{"key":"e_1_2_5_8_1","volume-title":"Public Summary: Rocket Medical Pty Ltd \u2010 Pleural\/Peritoneal Cavity Drain\u2010Insertion Set","author":"Therapeutic Goods 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