A retrospective analysis of risk factors associated with catheter-related thrombosis: a single-center study

作者：Xuezhen Zhou, Xi Lin, Runnan Shen, Qu Yingying, Chunling Mo, Yan Li, Qinchang Chen, Guitao Wu, Zhenhong Chen, Kai Huang · 发表于：Perfusion · 年份：2020 · DOI：10.1177/0267659120915142 · 被引用次数：6 · 研究领域：Central Venous Catheters and Hemodialysis、Venous Thromboembolism Diagnosis and Management、Vascular Procedures and Complications

Background: Catheter-related thrombosis may lead to catheter infections and failure, further deep venous thrombosis, and pulmonary embolism. Recognizing the risk factors for catheter-related thrombosis is extremely important to inform the development of catheter care guidelines. Methods: Data were collected from a total of 1,532 patients who had undergone venous catheterization, including indwelling catheterization from 19 March 2019 to 30 March 2019 in the Sun Yat-sen Memorial Hospital. The factors for which data were to be collected included the patients’ physical characteristics, catheter-related factors, and catheter care-related factors. Logistic regression analysis, the chi-squared test, Fisher’s exact test, and the t-test were used to analyze the data. Results: Of the 1,532 patients studied, 28 developed intraductal thrombi, and of the factors analyzed, malignancy, a catheterization history, a history of thrombophilia, surgery during the week before catheterization, the catheterization duration, and anticoagulant therapy were significant risk factors associated with catheter-related thrombosis (all p < 0.05). There were no significant associations between the catheter brand, the number of lumens, the insertion direction, or the factors associated with catheter care and catheter-related thrombosis (all p > 0.05). Conclusion: Our study incorporated clear and systematic risk factors associated with catheter-related thrombosis. Malignancy, history of thrombophilia, h...