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[Modes of use of central venous catheters in pediatric hematology]
C Billaud-Debarre1, J P Alibeu, C C Arvieux
1Département d'Anesthésiologie, CHRU Grenoble.
Insights
Central venous catheters in children with cancer are safe for both continuous hospitalization and intermittent day care. This study found no significant differences in complications between the two treatment approaches.
Area of Science:
- Pediatric Oncology
- Medical Devices
- Hematology
Context:
- Central venous catheters (CVCs) are crucial for administering chemotherapy to pediatric patients with malignancies.
- Assessing the safety and efficacy of different CVC management strategies is essential for optimizing patient care.
Purpose:
- To compare the safety and complication rates of central venous catheters in children with leukemia, solid tumors, and lymphomas undergoing continuous hospitalization versus intermittent day care.
Summary:
- A study of 51 children with 63 CVCs found no significant differences in infection, bleeding, thrombosis, or migration between continuous hospitalization and intermittent day care groups.
- The mean duration of catheterization was 149 days, totaling 9,724 catheter days across both groups.
- No statistically significant variations in adverse events were observed between the two management approaches.
Impact:
- Results suggest that permanent hospitalization is not mandatory for chemotherapy in children with severe malignant diseases.
- Intermittent day care with CVCs can facilitate a near-normal life for pediatric patients and improve parental cooperation.
- This approach may enhance quality of life for children undergoing long-term cancer treatment.
Abstract:
The authors have studied a population of 51 children in which 63 central venous catheters were used for the treatment of leukemias, solid tumors and lymphomas. Two groups were isolated: continuous hospitalization (group A) and intermittent hospitalization with periodical day care (group B). Mean duration of catheterization was 129 days in group A and 176 days in group B (whole population: 149 days), with a total of 9,724 days of catheterization. There was no significant differences between the two groups concerning infection, bleeding, thrombosis or migration. So the authors believe that permanent hospitalization is not mandatory for chemotherapy in children with severe malignant diseases. Periodical day care therapy allows a near normal life for children and a better cooperation from their parents.