Major immediate insertion-related complications after central venous catheterisation and associations with mortality, length of hospital stay, and costs: A prospective observational study.

Autor:	Ingefors S; Medical Faculty, Lund University, Lund, Sweden., Adrian M; Anaesthesiology and Intensive Care, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.; Department of Cardiothoracic Surgery, Anaesthesia and Intensive Care, Skåne University Hospital Lund, Sweden., Heckley G; Health Economics Unit, Department of Clinical Sciences, Lund University, Lund, Sweden., Borgquist O; Anaesthesiology and Intensive Care, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.; Department of Cardiothoracic Surgery, Anaesthesia and Intensive Care, Skåne University Hospital Lund, Sweden., Kander T; Anaesthesiology and Intensive Care, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.; Department of Intensive and Perioperative Care, Skåne University Hospital Lund, Sweden.
Jazyk:	angličtina
Zdroj:	The journal of vascular access [J Vasc Access] 2024 Jan 24, pp. 11297298231222929. Date of Electronic Publication: 2024 Jan 24.
DOI:	10.1177/11297298231222929
Abstrakt:	Background: It is well-known that infectious complications after central venous catheterisation are associated with increased mortality, length of hospital stay and costs. However, there are limited data regarding such associations for immediate insertion-related complications. Therefore, the aim of this study was to investigate whether major immediate insertion-related complications are associated with mortality, length of hospital stay and costs. Methods: This was a preplanned substudy to the CVC-MECH trial on immediate insertion-related complications after central venous catheterisation in the ultrasound-guided era. Patients receiving central venous catheters at Skåne University Hospital from 2 March 2019 to 31 December 2020 were prospectively included. Patient characteristics, clinical data and costs were automatically collected from medical journals and the patient administration system. Associations between major immediate insertion-related complications and mortality, length of hospital stay and costs were studied by multivariable logistic and linear regression analyses. Results: In total, 6671 patients were included, of whom 0.5% suffered major immediate insertion-related complications. Multivariable analyses, including surrogates for general morbidity, showed associations between major immediate insertion-related complications and 30-day (odds ratio 2.46 [95% CI 1.05-5.77]), 90-day (2.90 [1.35-6.21]) and 180-day (2.26 [1.05-4.83]) mortality. There were no associations between major immediate insertion-related complications and increased length of hospital stay or costs. Conclusion: This study showed that major immediate insertion-related complications, although not directly responsible for any death, were associated with increased 30-day, 90-day and 180-day mortality. These findings clearly demonstrate the importance of using all possible means to prevent avoidable insertion-related complications after central venous catheterisation. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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