在儿童中切除中央静脉接入装置时出现并发症的发生率和危险因素
Sue Liu1, Ramesh M Nataraja1,2,3, Amiria Lynch3
1Department of Paediatrics, School of Clinical Sciences, Monash University, Melbourne, VIC, Australia.
The journal of vascular access
|August 4, 2024
概括
在儿童中中央静脉接入装置 (CVAD) 移除过程中,几乎10%的病例出现并发症. 较长的内置时间,特别是超过2年,显著增加了难以移除CVAD的风险.
科学领域:
- 儿科医学 儿科医学
- 医疗器械 医疗器械
- 手术并发症 手术并发症
背景情况:
- 中枢静脉接入装置 (CVAD) 对于儿科患者的长期治疗至关重要.
- 摘除CVAD期间的并发症可能会导致患者的痛苦和医疗费用增加.
研究的目的:
- 为了确定儿童中枢静脉接入装置摘除期间并发症的发生率.
- 确定与儿科患者难以移除CVAD相关的风险因素.
主要方法:
- 从2018年到2023年,对208例儿童中CVAD移除的回顾性分析.
- 使用后勤回归和ROC曲线分析来确定风险因素和居住时间的最佳截止值.
主要成果:
- 大约9.6%的CVAD移除因困难而复杂.
- 患有急性淋巴细胞白血病 (ALL) 和较长的住院时间 (>2.09年) 的儿童患有复杂切除的风险明显更高.
- 居住时间超过2.09年与难以搬迁的风险增加2.87倍有关.
结论:
- 近10%的儿科CVAD移除与并发症有关.
- 较长的停留时间 (>2年) 是复杂的CVAD移除的重要风险因素.
- 应考虑对长期中静脉接入的儿童采取预防策略,以减轻切除并发症.
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