Peripherally inserted central venous catheter-associated thrombosis : Retrospective analysis of clinical risk factors in adult patients
作者： Melissa M. King , Mark S. Rasnake , Rechell G. Rodriguez , Nancy J. Riley , Jason A. Stamm
DOI: 10.1097/01.SMJ.0000240707.22171.12
关键词: Diabetes mellitus 、 Thrombosis 、 Vascular disease 、 Venous thrombosis 、 Cancer 、 Prospective cohort study 、 Incidence (epidemiology) 、 Surgery 、 Medicine 、 Risk factor
摘要: Background: Peripherally inserted central catheters (PICC) are common venous access devices. Clinical conditions and therapies that increase the risk of PICC-associated thrombosis have not been studied. Methods: We performed a retrospective case-control analysis all adult patients who underwent placement PICC at our hospital over three-year period (n = 1296). variables examined were indication for placement, active cancer treatment, history DVT, diabetes mellitus, use prophylactic anticoagulation. Results: The overall incidence DVT was 2% 27). Active therapy significantly associated with (OR 3.5, 95% CI 1.3-9.8). anticoagulation did reduce this risk. Conclusions: Patients suffered more likely to be undergoing treatment cancer. This lowered by These results suggest need prospective studies on effective high DVT.
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