Clinically manifest thromboembolic complications of femoral vein catheterization for continuous renal replacement therapy.
Details
Serval ID
serval:BIB_8A88DA50D3C9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clinically manifest thromboembolic complications of femoral vein catheterization for continuous renal replacement therapy.
Journal
Journal of Critical Care
ISSN
1557-8615 (Electronic)
ISSN-L
0883-9441
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
29
Number
1
Pages
18-23
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
PURPOSE: The safety of femoral vein (FV) catheterization for continuous renal replacement therapy is uncertain. We sought to determine the incidence of clinically manifest venous thromboembolism (VTE) in such patients.
METHODS: We retrospectively studied patients with femoral high flow catheters (≥ 13F) (December 2005 to February 2011). Discharge diagnostic codes were independently screened for VTE. The incidence of VTE was also independently similarly assessed in a control cohort of patients ventilated for more than 2 days (January 2011 to December 2011) in the same intensive care unit (ICU).
RESULTS: We studied 380 patients. Their mean age was 61 years, and 59% were male. The mean Acute Physiology and Chronic Health Evaluation III score was 84; average duration of continuous renal replacement therapy was 74 hours, and 232 patients (61%) survived to hospital discharge with an average length of hospital stay of 22 days. Only 5 patients (1.3%) had clinically manifest VTE after FV catheterization. In the control cohort of 514 ICU patients, the incidence of VTE was 4.4% (P < .05 compared with FV group).
CONCLUSION: The incidence of clinically manifest VTE after FV catheterization with high flow catheters is low and lower to that seen in general ICU patients.
METHODS: We retrospectively studied patients with femoral high flow catheters (≥ 13F) (December 2005 to February 2011). Discharge diagnostic codes were independently screened for VTE. The incidence of VTE was also independently similarly assessed in a control cohort of patients ventilated for more than 2 days (January 2011 to December 2011) in the same intensive care unit (ICU).
RESULTS: We studied 380 patients. Their mean age was 61 years, and 59% were male. The mean Acute Physiology and Chronic Health Evaluation III score was 84; average duration of continuous renal replacement therapy was 74 hours, and 232 patients (61%) survived to hospital discharge with an average length of hospital stay of 22 days. Only 5 patients (1.3%) had clinically manifest VTE after FV catheterization. In the control cohort of 514 ICU patients, the incidence of VTE was 4.4% (P < .05 compared with FV group).
CONCLUSION: The incidence of clinically manifest VTE after FV catheterization with high flow catheters is low and lower to that seen in general ICU patients.
Keywords
APACHE, Adult, Aged, Aged, 80 and over, Catheterization, Peripheral/adverse effects, Comorbidity, Critical Care, Female, Femoral Vein, Hematologic Tests, Humans, Incidence, Intensive Care Units, Male, Middle Aged, Renal Replacement Therapy/methods, Retrospective Studies, Venous Thromboembolism/epidemiology, Venous Thromboembolism/etiology
Pubmed
Web of science
Create date
26/11/2014 21:38
Last modification date
20/08/2019 14:49
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