Central venous catheter-related thrombosis in intensive care
patients - incidence and risk factors: A prospective
observational study

J 2017

Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study

HRDÝ, Ondřej, Eva STRAŽEVSKÁ, Petr SUK, Robert VACH, Radim KARLÍK et. al.

Základní údaje

Originální název

Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study

Autoři

HRDÝ, Ondřej (203 Česká republika, garant, domácí), Eva STRAŽEVSKÁ (203 Česká republika, domácí), Petr SUK (203 Česká republika, domácí), Robert VACH (203 Česká republika, domácí), Radim KARLÍK (203 Česká republika, domácí), Jiří JARKOVSKÝ (203 Česká republika, domácí), Igor SAS (203 Česká republika, domácí) a Roman GÁL (203 Česká republika, domácí)

Vydání

Biomedical Papers, Olomouc: Palacky University, Olomouc, Palacky University, 2017, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30223 Anaesthesiology

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.087

Kód RIV

RIV/00216224:14110/17:00099082

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5507/bp.2017.034

UT WoS

000418005200006

Klíčová slova anglicky

central venous catheter; deep vein thrombosis; risk factors; critical care

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 8. 2. 2021 14:02, Mgr. Tereza Miškechová

Anotace

V originále

Background. One of the complications associated with central venous catheter (CVC) placement is catheter related deep vein thrombosis (CR-DVT). However a literature search revealed little evidence of this recognised complication. The primary aim of this study was to establish the incidence rate and risk factors for the development of CR-DVT in our critically ill adult patients. Methods. All critically ill adult patients admitted to the medical-surgical ICU with CVC inserted were included in this observational prospective study. After catheter removal we performed duplex ultrasound examination to assess the patency of the vein and establish if CR-DVT was present. Results. A total number of 308 catheters met the inclusion criteria of which 198 were included in the statistical analysis. The CVC was inserted into a subclavian vein (SCV) in 139 (70%) cases and in an internal jugular vein (IJV) in 59 (30%) cases. The 28-day mortality rate was 14.1%. We found CR-DVT during duplex ultrasound examination in 47 (26%) of all cases. 33 (70%) of the CR-DVT were diagnosed in the IJV and 14 (30%) in the SCV. The risk factors for the development of CR-DVT we identified included cannulation of the IJV and the use of treatment dose of LMWH. The effect of CR-DVT on 28-day mortality was not statistically significant. Conclusion. The risk factors for CR-DVT we identified were IJV as a site for CVC cannulation and the use of therapeutic anticoagulation prior to cannulation. Our recommendation would be preferential cannulation of a subclavian vein as opposed to an internal jugular vein in order to reduce the risk of CR-DVT.

Návaznosti

LM2015090, projekt VaV

Název: Český národní uzel Evropské sítě infrastruktur klinického výzkumu (Akronym: CZECRIN)

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, CZECRIN - Český národní uzel Evropské sítě infrastruktur klinického výzkumu

Citovat

HRDÝ, Ondřej, Eva STRAŽEVSKÁ, Petr SUK, Robert VACH, Radim KARLÍK, Jiří JARKOVSKÝ, Igor SAS a Roman GÁL. Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study. Biomedical Papers, Olomouc: Palacky University. Olomouc: Palacky University, 2017, roč. 161, č. 4, s. 369-373. ISSN 1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2017.034.

@article{1401272,
   author = {Hrdý, Ondřej and Straževská, Eva and Suk, Petr and Vach, Robert and Karlík, Radim and Jarkovský, Jiří and Sas, Igor and Gál, Roman},
   article_location = {Olomouc},
   article_number = {4},
   doi = {http://dx.doi.org/10.5507/bp.2017.034},
   keywords = {central venous catheter; deep vein thrombosis; risk factors; critical care},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers, Olomouc: Palacky University},
   title = {Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study},
   url = {http://dx.doi.org/10.5507/bp.2017.034},
   volume = {161},
   year = {2017}
}

TY  - JOUR
ID  - 1401272
AU  - Hrdý, Ondřej - Straževská, Eva - Suk, Petr - Vach, Robert - Karlík, Radim - Jarkovský, Jiří - Sas, Igor - Gál, Roman
PY  - 2017
TI  - Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study
JF  - Biomedical Papers, Olomouc: Palacky University
VL  - 161
IS  - 4
SP  - 369-373
EP  - 369-373
PB  - Palacky University
SN  - 12138118
KW  - central venous catheter
KW  - deep vein thrombosis
KW  - risk factors
KW  - critical care
UR  - http://dx.doi.org/10.5507/bp.2017.034
L2  - http://dx.doi.org/10.5507/bp.2017.034
N2  - Background. One of the complications associated with central venous catheter (CVC) placement is catheter related deep vein thrombosis (CR-DVT). However a literature search revealed little evidence of this recognised complication. The primary aim of this study was to establish the incidence rate and risk factors for the development of CR-DVT in our critically ill adult patients. Methods. All critically ill adult patients admitted to the medical-surgical ICU with CVC inserted were included in this observational prospective study. After catheter removal we performed duplex ultrasound examination to assess the patency of the vein and establish if CR-DVT was present. Results. A total number of 308 catheters met the inclusion criteria of which 198 were included in the statistical analysis. The CVC was inserted into a subclavian vein (SCV) in 139 (70%) cases and in an internal jugular vein (IJV) in 59 (30%) cases. The 28-day mortality rate was 14.1%. We found CR-DVT during duplex ultrasound examination in 47 (26%) of all cases. 33 (70%) of the CR-DVT were diagnosed in the IJV and 14 (30%) in the SCV. The risk factors for the development of CR-DVT we identified included cannulation of the IJV and the use of treatment dose of LMWH. The effect of CR-DVT on 28-day mortality was not statistically significant. Conclusion. The risk factors for CR-DVT we identified were IJV as a site for CVC cannulation and the use of therapeutic anticoagulation prior to cannulation. Our recommendation would be preferential cannulation of a subclavian vein as opposed to an internal jugular vein in order to reduce the risk of CR-DVT.
ER  -

HRDÝ, Ondřej, Eva STRAŽEVSKÁ, Petr SUK, Robert VACH, Radim KARLÍK, Jiří JARKOVSKÝ, Igor SAS a Roman GÁL. Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study. \textit{Biomedical Papers, Olomouc: Palacky University}. Olomouc: Palacky University, 2017, roč.~161, č.~4, s.~369-373. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2017.034.

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