ICU sedation, delirium & recovery
Incidence and onset of central venous catheter-related thrombosis in critically ill surgical patients: A prospective observational single-center study
Authors' conclusion
Almost all CVCs in the internal jugular vein in critically ill surgical patients developed an asymptomatic CRT in the first days after catheterization.
Study context
- Population
- Critically ill patients with CVCs (surgical 79.8%/medical 20.2%) in a university hospital surgical ICU over six months
- Participants
- 94 first-time internal jugular CVCs
- Exposure
- Types of CVC
- Outcome
- Time of onset of CRT, depending on the type of CVC (3 to 5 lumens, 3 different manufacturers)
Methodological detailsinvestigator-initiated, single-centre
- Investigator-initiated
- Single-centre
Main finding
As reported in the abstract
Time to CRT
- Median time to catheter-related thrombosis (CRT) across CVC types (days)
- one to five
- CVCs with CRT within one day
- 37 to 64%
- CVCs with CRT within one week
- 64 to 100%
Observational data: associations, not effects.
Further findings
CRT risk factors (multiple Cox regression)
- Cancer, omitting prophylactic anticoagulation and some CVC types associated with higher CRT risk
Safety
Symptomatic CRT and complications
- All but one CRT asymptomatic; no complications
Original publication
Incidence and onset of central venous catheter-related thrombosis in critically ill surgical patients: A prospective observational single-center study. J Clin Anesth. Published 24 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →