在小儿重症监护病房以外使用中央静脉接入装置
Alina G Burek1,2, Chris Bumgardner3, Tracey Liljestrom3,4
1Children's Wisconsin, 8915 W Connell Ct, Milwaukee, WI, USA. aburek@mcw.edu.
Pediatric research
|June 27, 2024
概括
在非ICU环境中使用中央静脉接入装置 (CVAD) 在十年内下降. 使用率较低的网站通常有专门的团队指导设备选择,这表明资源变化会影响CVAD的使用.
科学领域:
- 儿科医院医药 儿科医院医药
- 血管接入 血管接入
- 患者安全 患者安全
背景情况:
- 中枢静脉接入装置 (CVAD) 与中枢线相关的血液感染 (CLABSI) 和静脉血栓栓塞 (VTE) 有关.
- 了解非重症监护室 (ICU) 的CVAD趋势和相关并发症对于患者安全至关重要.
研究的目的:
- 分析儿童非ICUCVAD使用的10年趋势.
- 为了描述与非ICU CVADs相关的并发症率 (CLABSI,VTE).
- 为了比较医院资源,如血管接入团队和设备选择指南,在低和高CVAD利用地点之间.
主要方法:
- 来自儿科健康信息系统 (PHIS) 数据库和医院调查的综合数据.
- 分析了儿童患者非ICU CVAD遭遇的10年趋势 (2012-2021年).
- 描述了变异和并发症率 (2017-2021),并使用费舍尔的精确测试比较了资源.
主要成果:
- 在十年内,非ICU的CVAD使用量从6.3%降至3.8%的住院病例.
- 在67830个非ICU CVAD遭遇中 (2017-2021年),CLABSI和VTE的发病率分别为4.0%和3.4%.
- 观察到CVAD使用的机构差异显著 (1.4-16.9%);使用较少的网站更有可能有团队指导设备选择.
结论:
- 在ICU以外的CVAD利用率正在下降,但仍然存在显著的机构差异.
- 医院资源,特别是血管接入团队和引导设备选择,可能会影响CVAD利用率.
- 尽管有像中线导管这样的替代品可用,但在许多机构中,它们的使用仍然很少.
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