scholarly journals The Risk Factors for Development of Sepsis in Newborns with a Central Venous Catheter and their Association with the Serum Zinc Levels

2019 ◽  
Author(s):  
Lakshmi Jagath Kumar ◽  
Soundarya Mahalingam ◽  
Rukmini Mysore Srikantiah ◽  
Ali Kumble ◽  
Basavaprabhu Achappa
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Serum Zinc ◽  
Venous Catheter ◽  
Central Venous ◽  
Zinc Levels ◽  
Serum Zinc Levels

Risk factor identification and predictive models for central line requirements for patients on vasopressors

2021 ◽  
pp. 0310057X2110242
Author(s):  
Adrian D Haimovich ◽  
Ruoyi Jiang ◽  
Richard A Taylor ◽  
Justin B Belsky
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Logistic Regression ◽  
Intensive Care ◽  
Central Venous Catheter ◽  
Single Agent ◽  
Composite Endpoint ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Central Venous

Vasopressors are ubiquitous in intensive care units. While central venous catheters are the preferred route of infusion, recent evidence suggests peripheral administration may be safe for short, single-agent courses. Here, we identify risk factors and develop a predictive model for patient central venous catheter requirement using the Medical Information Mart for Intensive Care, a single-centre dataset of patients admitted to an intensive care unit between 2008 and 2019. Using prior literature, a composite endpoint of prolonged single-agent courses (>24 hours) or multi-agent courses of any duration was used to identify likely central venous catheter requirement. From a cohort of 69,619 intensive care unit stays, there were 17,053 vasopressor courses involving one or more vasopressors that met study inclusion criteria. In total, 3807 (22.3%) vasopressor courses involved a single vasopressor for less than six hours, 7952 (46.6%) courses for less than 24 hours and 5757 (33.8%) involved multiple vasopressors of any duration. Of these, 3047 (80.0%) less than six-hour and 6423 (80.8%) less than 24-hour single vasopressor courses used a central venous catheter. Logistic regression models identified associations between the composite endpoint and intubation (odds ratio (OR) 2.36, 95% confidence intervals (CI) 2.16 to 2.58), cardiac diagnosis (OR 0.72, CI 0.65 to 0.80), renal impairment (OR 1.61, CI 1.50 to 1.74), older age (OR 1.002, Cl 1.000 to 1.005) and vital signs in the hour before initiation (heart rate, OR 1.006, CI 1.003 to 1.009; oxygen saturation, OR 0.996, CI 0.993 to 0.999). A logistic regression model predicting the composite endpoint had an area under the receiver operating characteristic curve (standard deviation) of 0.747 (0.013) and an accuracy of 0.691 (0.012). This retrospective study reveals a high prevalence of short vasopressor courses in intensive care unit settings, a majority of which were administered using central venous catheters. We identify several important risk factors that may help guide clinicians deciding between peripheral and central venous catheter administration, and present a predictive model that may inform future prospective trials.

scholarly journals Risk factors for central venous catheter-related infections in pediatric intensive care

Clinics ◽  
2007 ◽  
Vol 62 (5) ◽  
Author(s):  
Ricardo Vilela ◽  
Andréa D N Jácomo ◽  
Antonia Teresinha Tresoldi
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
Central Venous Catheter ◽  
Pediatric Intensive Care ◽  
Venous Catheter ◽  
Central Venous

scholarly journals Venous anomalies as potentially lethal risk factors during ordinary catheterization

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Savino Occhionorelli ◽  
Sergio Gianesini ◽  
Lorenzo Marinelli ◽  
Marianna Daniele ◽  
Sara Chierici ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Central Venous Catheter ◽  
Literature Review ◽  
Venous Catheter ◽  
Clinical Implications ◽  
Venous Malformations ◽  
Central Venous ◽  
Venous Anomalies ◽  
Technology Advancement

Venous malformations are rare but possible findings too, constituting a further risk factor for central venous catheter procedures. Herein we describe a case of death because of an innominate vein perforation by a catheter that incidentally was tucked into a sacciform malformation. Even if the technology advancement is constantly offering us new investigation tools, up to now diagnostic options are limited in the detection of those malformations that could potentially lead to dramatic complications as the described one. The present work raises the awareness about rare venous anomalies and their potential clinical implications. A proper literature review and diagnostic implementation proposal are reported.

scholarly journals Risk Factors of Central Venous Catheter Leakage in Neonatal Intensive Care Unit

Perinatology ◽  
2019 ◽  
Vol 30 (2) ◽  
pp. 60 ◽  
Author(s):  
Young Duck Kim ◽  
Na Mi Lee ◽  
Su Yeong Kim ◽  
Dae Yong Yi ◽  
Sin Weon Yun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Central Venous Catheter ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Venous Catheter ◽  
Central Venous

Risk Factors for Central Venous Catheter-Related Vascular Erosions

1991 ◽  
Vol 15 (5) ◽  
pp. 513-516 ◽  
Author(s):  
Leslie Mukau ◽  
Mark A. Talamini ◽  
James V. Sitzmann
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous

Central venous catheter—related blood stream infections: incidence, risk factors, outcome, and associated pathogens

2004 ◽  
Vol 18 (3) ◽  
pp. 304-308 ◽  
Author(s):  
Mandakini Pawar ◽  
Yatin Mehta ◽  
Pawan Kapoor ◽  
Jitendra Sharma ◽  
Abhinav Gupta ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Blood Stream ◽  
Central Venous ◽  
Blood Stream Infections ◽  
Incidence Risk

Early Onset versus Late Onset Peripherally Inserted Central Venous Catheter Infections: An Analysis of Risk Factors and Microbiology

2013 ◽  
Vol 34 (9) ◽  
pp. 980-983 ◽  
Author(s):  
Paul Chittick ◽  
Sobia Azhar ◽  
Kalyani Movva ◽  
Paula Keller ◽  
Judith A. Boura ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Early Onset ◽  
Late Onset ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Central Venous ◽  
Peripherally Inserted Central Catheters ◽  
Catheter Infections ◽  
Central Catheters

The risks and microbiology for peripherally inserted central catheters (PICCs) are less well described than those for traditional central catheters, particularly as they pertain to duration of catheterization. We compared patients with early- and late-onset PICC bloodstream infections at our institution and found significant differences in microbiologic etiologies.

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