Complications of central venous catheterization and risk factors in Pediatric Intensive Care Unit of Xi 'an Children's Hospital
10.3760/cma.j.cn341190-20220826-00679
- VernacularTitle:西安市儿童医院儿科重症监护病房中心静脉置管相关并发症及危险因素分析
- Author:
Jingmei LI
1
;
Feiran GE
;
Yi WANG
;
Hua ZHANG
Author Information
1. 西安市儿童医院儿童重症医学科，西安 710003
- Keywords:
Central venous catheters;
Intensive care units, pediatric;
Catheter-related infections;
Catheters, indwelling;
Venous thrombosis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2023;30(6):824-828
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the incidence of complications of central venous catheterization and risk factors in the Pediatric Intensive Care Unit of Xi'an Children 's Hospital.Methods:The clinical data of 310 children who underwent central venous catheterization in the Pediatric Intensive Care Unit of Xi 'an Children's Hospital from June 2020 to February 2021 were retrospectively analyzed. The incidence of complications of central venous catheterization and risk factors were analyzed.Results:A total of 334 central venous catheters were used in 310 chidren. Among the 310 children who underwent central venous catheterization, 102 children (30.54%) had complications related to central venous catheterization. The complications related to central venous catheterization included catheter infection (13.17%), catheter malposition (8.38%), exudation at the puncture site (4.79%), catheter occlusion (2.99%), accidental removal (0.60%), and central venous thrombosis (0.60%). Central venous catheters were removed in 82 children (24.55%) because of complications. There was a significant difference in the incidence of central venous thrombosis among three surgical approaches: femoral vein, internal jugular vein, and subclavian vein ( χ2 = 7.06, P = 0.029). Longer time for catheterization resulted in a higher incidence of complications, including catheter-related infection ( χ2 = 7.17, P = 0.028), puncture point exudation and obstruction ( χ2 = 8.59, P = 0.014), central venous thrombosis ( χ2 = 6.78, P = 0.034). Regression analysis showed that suture shedding and bleeding at the insertion sites were the main risk factors for catheter-related complications (suture shedding OR = 4.85, P = 0.001; bleeding at the insertion sites OR = 1.83, P = 0.008). Conclusion:The most common complications of central venous catheterization in the Pediatric Intensive Care Unit of Xi'an Children's Hospital include catheter-related infection, catheter malposition, and puncture site exudation. Risk factors for complications during catheter retention include suture shedding and bleeding at the insertion sites.
