Central venous catheter-related complications in hematologic patients : An observational study
Rockholt, Mika M LU
; Thorarinsdottir, Hulda R
LU
; Lazarevic, Vladimir
LU
; Rundgren, Malin
LU
and Kander, Thomas
LU
(2022)
In Acta Anaesthesiologica Scandinavica
66(4).
p.473-482
- Abstract
BACKGROUND: The frequency of central venous catheter (CVC) related complications in hematological patients has previously been studied but some uncertainty remains. Therefore, this observational cohort study was designed primarily to investigate mechanical and infectious complications related to CVC insertion in hematological patients and secondarily, to identify factors associated with these complications.
METHODS: Documented data on CVC insertions in all adult hematology patients who received a CVC from 2013 to 2019 at a University Hospital in Sweden, were retrospectively collected.
RESULTS: A total of 589 CVC insertions in 387 patients were included. The prevalence of moderate and severe mechanical complications,... (More)
BACKGROUND: The frequency of central venous catheter (CVC) related complications in hematological patients has previously been studied but some uncertainty remains. Therefore, this observational cohort study was designed primarily to investigate mechanical and infectious complications related to CVC insertion in hematological patients and secondarily, to identify factors associated with these complications.
METHODS: Documented data on CVC insertions in all adult hematology patients who received a CVC from 2013 to 2019 at a University Hospital in Sweden, were retrospectively collected.
RESULTS: A total of 589 CVC insertions in 387 patients were included. The prevalence of moderate and severe mechanical complications, predominantly comprising grade 2-4 bleeding, was 11%. Pre-procedural coagulopathy, number of needle passes and arterial puncture were all independently associated with grade 2-4 bleeding. The incidence of suspected catheter-related infections (sCRI) was 3.7/1000 catheter days. Higher body-mass index and male gender were independently associated with sCRI.
CONCLUSIONS: Patients with hematological malignancies have a high risk of both grade 2-4 bleeding and sCRI after CVC insertion. This underlines the importance of optimizing the conditions at the insertion and also of daily inspections, evaluation of future needs and extra precautions to avoid sCRI in these susceptible patients.
(Less)
- author
- Rockholt, Mika M
LU
; Thorarinsdottir, Hulda R
LU
; Lazarevic, Vladimir
LU
; Rundgren, Malin
LU
and Kander, Thomas
LU
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 66
- issue
- 4
- pages
- 473 - 482
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85121657742
- pmid:34907524
- pmid:34907524
- ISSN
- 0001-5172
- DOI
- 10.1111/aas.14020
- language
- English
- LU publication?
- yes
- id
- 0e69f4a7-63b3-4983-8abd-69ec924a598a
- date added to LUP
- 2021-12-16 16:18:24
- date last changed
- 2024-06-15 22:58:23
@article{0e69f4a7-63b3-4983-8abd-69ec924a598a,
abstract = {{<p>BACKGROUND: The frequency of central venous catheter (CVC) related complications in hematological patients has previously been studied but some uncertainty remains. Therefore, this observational cohort study was designed primarily to investigate mechanical and infectious complications related to CVC insertion in hematological patients and secondarily, to identify factors associated with these complications.</p><p>METHODS: Documented data on CVC insertions in all adult hematology patients who received a CVC from 2013 to 2019 at a University Hospital in Sweden, were retrospectively collected.</p><p>RESULTS: A total of 589 CVC insertions in 387 patients were included. The prevalence of moderate and severe mechanical complications, predominantly comprising grade 2-4 bleeding, was 11%. Pre-procedural coagulopathy, number of needle passes and arterial puncture were all independently associated with grade 2-4 bleeding. The incidence of suspected catheter-related infections (sCRI) was 3.7/1000 catheter days. Higher body-mass index and male gender were independently associated with sCRI.</p><p>CONCLUSIONS: Patients with hematological malignancies have a high risk of both grade 2-4 bleeding and sCRI after CVC insertion. This underlines the importance of optimizing the conditions at the insertion and also of daily inspections, evaluation of future needs and extra precautions to avoid sCRI in these susceptible patients.</p>}},
author = {{Rockholt, Mika M and Thorarinsdottir, Hulda R and Lazarevic, Vladimir and Rundgren, Malin and Kander, Thomas}},
issn = {{0001-5172}},
language = {{eng}},
number = {{4}},
pages = {{473--482}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Anaesthesiologica Scandinavica}},
title = {{Central venous catheter-related complications in hematologic patients : An observational study}},
url = {{http://dx.doi.org/10.1111/aas.14020}},
doi = {{10.1111/aas.14020}},
volume = {{66}},
year = {{2022}},
}