The incidence of symptomatic upper limb venous thrombosis associated with midline catheter: Prospective observation

被引:27
作者
Lisova, Katerina [1 ,2 ]
Hromadkova, Jaroslava [1 ,2 ]
Pavelkova, Katerina [1 ,2 ]
Zauska, Vladimir [1 ,2 ]
Havlin, Jan [2 ,3 ]
Charvat, Jiri [1 ,2 ]
机构
[1] Charles Univ Prague, Fac Med 2, Dept Internal Med, V Uvalu 84, Prague 15006 5, Czech Republic
[2] Fac Hosp Prague Motol, V Uvalu 84, Prague 15006 5, Czech Republic
[3] Charles Univ Prague, Fac Med 1, Dept Surg 3, Prague, Czech Republic
关键词
Midline catheter; thrombosis risk; upper limb venous thrombosis; INSERTED CENTRAL CATHETERS; SAFETY;
D O I
10.1177/1129729818761276
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Aim: The evaluation of the incidence of symptomatic upper limb venous thrombosis (ULVT) associated with midline catheters in patients admitted to the hospital. Methods: The frequency of symptomatic ULVT diagnosed in a group of patients with midline catheters confirmed by sonographic examination in hospitalised patients at Faculty Hospital over the period of 1year. Results: Four hundred thirty-nine midline catheters were inserted in 430 patients (250 women and 180 men) during year 2015. Nine patients had two midline catheters. The average age of the patient was 68years (range: 19-96 years). The median time of midline catheter introduction into a vein was 10days (range: 1-112days). Symptomatic thrombosis was diagnosed in 20 patients (4.5%), 3.3/1000catheter days. It was associated with gender (male) and midline insertion in the cephalic vein. Conclusion: The risk of upper limb symptomatic thrombosis associated with midline catheters during a stay in the hospital should be taken into consideration when indicating optimal venous access.
引用
收藏
页码:492 / 495
页数:4
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