Risk factor analysis of PICC-related upper extremity venous thrombosis in patients with chronic disorder of consciousness
- Author:
- No author available
- Journal Title:
- Chinese Journal of Nautical Medicine and Hyperbaric Medicine
- Issue:
- 3
- DOI:
- 10.3760/cma.j.cn311847-20210222-00062
- Key Word:
- 慢性意识障碍;上肢静脉血栓;中心静脉导管;危险因素;Chronic disorder of consciousness;Upper extremity venous thrombosis;PICC;Risk factor
Abstract： Objective:To explore the risk factors of peripherally inserted central catheter (PICC)-related upper extremity venous thrombosis (UEVT) in patients with chronic disorder of consciousness (DOC) for preventing and reducing the occurrence of UEVT.Methods:A total of 127 chronic DOC patients with PICC placement treated in the Department of Hyperbaric Medicine of the Sixth Medical Center of PLA General Hospital from 2019 January to 2020 December were selected and divided into UEVT group ( n=26) and non-UEVT group ( n=101) depending on whether the patients were suffering from UEVT. Potential risk factors were analyzed statistically using the clinical data of the patients in the two groups. Results:The univariate logistic analysis showed that the D-dimer, catheterization history, and puncture times within one single catheterization had a significant impact on the formation of UEVT in chronic DOC patients with PICC placement ( P<0.05). The multivariate logistic regression showed that the above factors were the risk factors in the formation of UEVT in chronic DOC patients with PICC placement ( P<0.05). Conclusion:Targeted precautionary intervention on chronic DOC patients with PICC placement can reduce the incidence of UEVT.
- [1]彭彦,王燕,李峻岭,等.低分子肝素预防高危深静脉置管的恶性肿瘤患者发生静脉血栓栓塞的效果研究[J].2012,(33).
- [2]李云芳,陈云.PICC置管后并发静脉血栓的危险因素分析与预防措施[J].2018,(9).
- [3]朱丽群,庄若,曹松梅,等.PICC相关性血栓风险评估的最佳证据总结[J].2017,(10).
- [4]黄卓燕,邢伟立,胡丽茎.PICC在耳鼻咽喉肿瘤患者应用中并发症的预防及护理[J].2012,(9).
- [5]刘聿秀.PICC相关上肢静脉血栓的研究进展[J].2010,(9).
- [6]李孝红.肿瘤患者 PICC 相关静脉血栓形成时间及其影响因素[J].2016,(1).
- [7]成芳,闻曲,鲍爱琴,等.肿瘤病人留置PICC致上肢静脉血栓形成的患病率调查[J].2015,(19).
- [8]James D. Paauw,Heather Borders,Nichole Ingalls,etc.The Incidence of PICC Line-Associated Thrombosis With and Without the Use of Prophylactic Anticoagulants[J].2008,32(4).
- [9]McDevitt TJ,Nifong TP.The effect of catheter to vein ratio on blood flow rates in a simulated model of peripherally inserted central venous catheters.[J].2011,140(1).
- [10]王丽丽,王金荣,高攀,等.中心静脉置入设备相关上肢深静脉血栓形成的诊断、预防和治疗[J].2018,(5).
- [11]Frija G,Clement O,Bassot V,etc.Catheter-related upper extremity deep venous thrombosis in cancer patients: a prospective study based on Doppler US.[J].2001,220(3).
- [12]Riley NJ,King MM,Stamm JA,etc.Peripherally inserted central venous catheter-associated thrombosis: retrospective analysis of clinical risk factors in adult patients.[J].2006,99(10).
- [13]Walshe L. J..Complication Rates Among Cancer Patients With Peripherally Inserted Central Catheters[J].2002.
- [14]Linping Song,Xiaosong Li,Yanyan Guo,etc.Malposition of peripherally inserted central catheter: Experience from 3012 cancer patients.[J].2014,20(4).
- [15]Maxim Itkin,Jeffrey I Mondshein,S William Stavropoulos,etc.Peripherally inserted central catheter thrombosis--reverse tapered versus nontapered catheters: a randomized controlled study.[J].2014,25(1).
- [16]Chemaly, Roy F.,de Parres, Joaquin Barbara,Rehm, Susan J.,etc.Venous Thrombosis Associated with Peripherally Inserted Central Catheters: A Retrospective Analysis of the Cleveland Clinic Experience.[J].2002,34(9).
- [17]Lloyd JF,Stevens SM,Linford LH,etc.Risk of symptomatic DVT associated with peripherally inserted central catheters.[J].2010,138(4).
- [18]Lundberg,D.,Arnlind,M.H.,Hammarskj?ld,F.,etc.Advantages and disadvantages of peripherally inserted central venous catheters (PICC) compared to other central venous lines: A systematic review of the literature[J].2013,52(5).
- [19]Elliott,C.G.,Tripp,J.S.,Evans,R.S.,etc.Reduction of peripherally inserted central catheter-associated DVT[J].2013,143(3).
- [20]马俊英,赵翠枝,宋俊英.危重病患者中心静脉导管相关性感染的危险因素分析[J].2014,24(5).
- [21]A. Cortelezzi,N. S. Fracchiolla,P. Maisonneuve,etc.Central Venous Catheter-related Complications in Patients with Hematological Malignancies: A Retrospective Analysis of Risk Factors and Prophylactic Measures[J].2003,44(9).