中线导管在患有晚期慢性病的患者中
David Paje1,2, Megan Heath1,2, Michael Heung3
1Department of Internal Medicine, Division of Hospital Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.
Journal of hospital medicine
|September 29, 2023
概括
中线导管在晚期慢性病 (CKD) 患者中很常见. 这项研究发现,CKD患者和没有CKD患者接受中线之间的并发症率相似.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管接入装置 血管接入装置
- 患者安全 患者安全
背景情况:
- 中线导管越来越多地用于被诊断为晚期慢性病 (CKD) 的患者.
- 了解当前的做法和潜在的急性并发症与中线使用在这个特定的患者群体是至关重要的.
研究的目的:
- 描述中线导管在晚期CKD患者中使用的当前临床实践.
- 评估与中线相关的急性并发症的发生率和类型,与非CKD患者相比,在CKD患者中.
主要方法:
- 在密歇根医院医疗安全联盟的66家医院中,对21,415次中线插入进行了回顾性分析.
- 患者根据晚期CKD (eGFR <45mL/min/1.73m2) 进行了分类.
- 患者,提供者和设备特征的比较,以及急性并发症 (主要:UE-DVT,CRBSI;次要:闭塞,脱落,透等) 在使用多变量逻辑回归的高级CKD和非CKD组之间.
主要成果:
- 24.6%的中线接受者患有晚期CKD.
- 晚期CKD (15.3%) 和非CKD (14.4%) 组之间的整体并发症率相似 (aOR=1.04;95%CI:0.94-1.14)).
- 在晚期CKD患者中,导管相关的血流感染 (CRBSI) 发生在0.2%,上肢深静脉血栓塞 (UE-DVT) 发生在1.2%.
结论:
- 中线导管的使用在晚期CKD患者中很普遍.
- 在接受中线治疗的晚期CKD和非CKD患者中,急性并发症的风险似乎相当.
- 在接受中线治疗的晚期CKD患者的比例和中线并发症的频率方面,医院间存在显著的差异.
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