Does Prophylactic Anticoagulation Prevent PICC-Related Upper Extremity Venous Thrombosis? A Case-Control Study

被引:10
作者
Wilson, James D. [1 ,2 ,3 ]
Alred, Steven C. [1 ,4 ]
机构
[1] Christus Spohn Hlth Syst, Corpus Christi, TX 78404 USA
[2] Christus Spohn Family Med Residency Program, Hospitalist Fellowship Program, Corpus Christi, TX USA
[3] US Army Reserve, Ft Bragg, NC USA
[4] Christus Spohn Family Med Residency Program, Corpus Christi, TX USA
关键词
anticoagulation; PICC; thrombosis;
D O I
10.1097/NAN.0000000000000067
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The evidence regarding the value of prophylactic anticoagulation to prevent peripherally inserted central catheter-related upper extremity venous thrombosis (PRUEVT) is inconsistent. The authors reviewed 3 years of data, identifying all cases of PRUEVT at a facility in Texas, and individually matched each for risk factors with 2 controls. Not being on any form of anticoagulant or antiplatelet agent was associated with a modestly increased risk of PRUEVT (odds ratio 1.93, P = .036, 95% confidence interval, 1.025-3.602). Each approach to thrombosis prevention showed a trend toward a protective effect, but none reached statistical significance individually.
引用
收藏
页码:381 / 385
页数:5
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