A retrospective analysis of risk factors associated with catheter-related thrombosis: a single-center study

Xuezhen Zhou1, Xi Lin2, Runnan Shen2

  • 1Department of Nursing, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Perfusion
|May 19, 2020
PubMed

Insights

Identifying risk factors for catheter-related thrombosis is crucial. Malignancy, prior catheterization, thrombophilia history, recent surgery, and longer catheter duration increase risk, while anticoagulation is protective.

Area of Science:

  • Medical research
  • Vascular medicine
  • Patient safety

Background:

  • Catheter-related thrombosis (CRT) can lead to serious complications like infections, deep venous thrombosis, and pulmonary embolism.
  • Understanding CRT risk factors is vital for developing effective catheter care guidelines.

Purpose of the Study:

  • To identify significant risk factors associated with catheter-related thrombosis in patients undergoing venous catheterization.

Main Methods:

  • A retrospective study analyzed data from 1,532 patients who underwent venous catheterization.
  • Logistic regression, chi-squared, Fisher's exact, and t-tests were used to evaluate patient characteristics, catheter factors, and care practices.

Main Results:

  • Twenty-eight patients developed intraductal thrombi.
  • Significant risk factors for CRT included malignancy, prior catheterization, thrombophilia history, recent surgery, and catheterization duration (p < 0.05).
  • Catheter brand, lumen number, insertion direction, and care factors were not significantly associated with CRT.

Conclusions:

  • Malignancy, history of thrombophilia, prior catheterization, recent surgery, and catheterization duration are key risk factors for CRT.
  • Prophylactic anticoagulation demonstrated effectiveness in preventing and treating CRT.
Abstract

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