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Percutaneous central venous catheterization in a pediatric intensive care unit: a survival analysis of complications.

We investigated the relationship between the duration of percutaneous central venous catheterization and the occurrence of catheter-related complications in critically ill children by survival analysis techniques. Data were collected prospectively and analyzed for infectious and noninfectious compli...

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Published in:Critical Care Medicine Vol. 17; no. 10; pp. 984 - 989
Main Authors: Stenzel JP, Green TP, Fuhrman BP, Carlson PE, Marchessault RP, Stenzel, J P, Green, T P, Fuhrman, B P, Carlson, P E, Marchessault, R P
Format: research Journal Article
Published: Lippincott Williams & Wilkins 1989 Oct
Online Access:View this record in EBSCOhost
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      dt: 1989 Oct
      vid: 17
      iid: 10
      pid: 433
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Percutaneous central venous catheterization in a pediatric intensive care unit: a survival analysis of complications.
      aug:
        au:
          Stenzel JP
          Green TP
          Fuhrman BP
          Carlson PE
          Marchessault RP
          Stenzel, J P
          Green, T P
          Fuhrman, B P
          Carlson, P E
          Marchessault, R P
        affil: Department of Pediatrics, University of Minnesota, Minneapolis
      sug:
        subj:
          Catheterization, Central Venous Evaluation
          Intensive Care Units, Pediatric
          Survival Analysis In Infancy and Childhood
          Catheter Care
          Catheterization, Central Venous Adverse Effects
          Catheter-Related Infections Diagnosis
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Adult
          Human
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: We investigated the relationship between the duration of percutaneous central venous catheterization and the occurrence of catheter-related complications in critically ill children by survival analysis techniques. Data were collected prospectively and analyzed for infectious and noninfectious complications from 379 pediatric patients in whom central venous catheters had been placed in the pediatric ICU over a 45-month period. Cumulative survival rate analysis revealed a linear decrease in the number of complication-free catheters with time. The median duration of complication-free catheter survival was projected to be 23.3 days. The risk of catheter complication did not increase with increasing daily duration of catheter use as demonstrated by probability density function: catheter complication rates were similar on the first day after insertion (1.06 +/- 0.5%), the seventh day (4.27 +/- 1.6%), and the 24th day (2.48 +/- 2.4%). Therefore, in this population, routine catheter replacement would not be expected to lower the incidence of catheter-related complications, but may unnecessarily increase the number of insertion-related complications.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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