儿童外围插入中央静脉导管相关并发症的危险因素:一项追溯队列研究
Fang Wang1, Yu Wang2, Jingzhen Liu1
1Department of Pediatrics, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei, China.
Medicine
|September 29, 2023
概括
在儿童中外围插入的中央静脉导管 (PICC) 相关并发症的关键风险因素包括静脉穿刺,穿刺部位出血和导管停留时间. 了解这些因素对于实施有效的预防护理措施至关重要.
科学领域:
- 儿科医学 儿科医学
- 血管接入装置 血管接入装置
- 患者安全 患者安全
背景情况:
- 周围插入的中央静脉导管 (PICC) 在儿科患者中广泛用于长期静脉注射治疗.
- 与PICC相关的并发症可能导致发病率增加,住院时间延长和额外的医疗费用.
- 确定可修改的风险因素对于改善患者的治疗结果和减少这些并发症的发生率至关重要.
研究的目的:
- 在儿科患者群体中调查与外围插入的中央静脉导管 (PICC) 相关并发症相关的重大风险因素.
- 为制定有针对性的预防策略提供基于证据的见解.
主要方法:
- 一项回顾性研究分析了2019年1月至2021年8月期间584名患有PICC的儿科患者的电子医疗记录.
- 患者被分为对照组 (没有并发症) 和观察组 (有并发症).
- 进行了单变量和多变量逻辑回归分析,以确定PICC相关并发症的独立风险因素.
主要成果:
- 在584名患者中,共有46名患者 (7.88%) 经历了与PICC相关的并发症.
- 通过多变量分析确定的重大风险因素包括:静脉穿刺 (OR 10.115),穿刺部位血流 (OR 9.217),停留时间 (OR 6.390),静脉内营养溶液使用 (OR 2.593) 和导管类型 (OR 8.588).
- 所有确定的因素都具有统计学意义 (P < .05).
结论:
- 静脉穿刺技术,穿刺部位出血的存在,导管治疗的持续时间,静脉注射营养溶液的使用以及导管的类型是儿童PICC相关并发症的重要风险因素.
- 建议对这些因素进行密切监测,并迅速实施预防性护理干预措施,以最大限度地降低儿科患者PICC相关并发症的风险.
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