共 26 条
Incidence and risk factors of catheter-related deep vein thrombosis in a pediatric intensive care unit: A prospective study
被引:116
作者:

Beck, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Montreal, Hop St Justine, Div Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada

Dubois, J
论文数: 0 引用数: 0
h-index: 0
机构: Univ Montreal, Hop St Justine, Div Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada

Grignon, AE
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h-index: 0
机构: Univ Montreal, Hop St Justine, Div Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada

Lacroix, J
论文数: 0 引用数: 0
h-index: 0
机构: Univ Montreal, Hop St Justine, Div Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada

Dnuiz, I
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h-index: 0
机构: Univ Montreal, Hop St Justine, Div Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada

David, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Montreal, Hop St Justine, Div Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada
机构:
[1] Univ Montreal, Hop St Justine, Div Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada
[2] Univ Montreal, Hop St Justine, Dept Radiol, Montreal, PQ H3T 1C5, Canada
关键词:
D O I:
10.1016/S0022-3476(98)70226-4
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
Objective: To estimate the incidence and to characterize risk factors for central venous catheter (CVC)-related deep vein thrombosis (DVT) in a pediatric intensive care unit. Study design: Consecutive children admitted to a pediatric intensive care unit who required a CVC for more than 48 hours were examined by Doppler ultrasonography of the catheterized vein at days 2, 4, 6, or 7 after insertion and weekly thereafter until CVC removal. Results: The incidence of CVC-related DVT was 18.3% (17 of 93) (95% confidence interval = 10.2% to 25.8%). Thromboses were diagnosed within the first 4 days of catheter placement for 15 of 17 CVC-related thromboses. Multivariate analysis showed that risk factors most predictive of CVC-related DVT were presence of a cancer (odds ratio = 17.23, 95% confidence interval = 1.5 to 194) and young age (odds ratio for age = 0.72, 95% confidence interval = 0.54 to 0.96). Conclusion: The frequency of CVC-related DVT is substantial in pediatric intensive care units. Risk is highest during the 4 days after insertion and decreases thereafter. The clinical impact, optimal prevention, and therapy of these thromboses remain to be determined.
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页码:237 / 241
页数:5
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共 26 条
[1]
VENOUS THROMBOEMBOLIC COMPLICATIONS (VTE) IN CHILDREN - FIRST ANALYSES OF THE CANADIAN REGISTRY OF VTE
[J].
ANDREW, M
;
DAVID, M
;
ADAMS, M
;
ALI, K
;
ANDERSON, R
;
BARNARD, D
;
BERNSTEIN, M
;
BRISSON, L
;
CAIRNEY, B
;
DESAI, D
;
GRANT, R
;
ISRAELS, S
;
JARDINE, L
;
LUKE, B
;
MASSICOTTE, P
;
SILVA, M
.
BLOOD,
1994, 83 (05)
:1251-1257

ANDREW, M
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

论文数: 引用数:
h-index:
机构:

ADAMS, M
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

ALI, K
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

论文数: 引用数:
h-index:
机构:

BARNARD, D
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

BERNSTEIN, M
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

BRISSON, L
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

CAIRNEY, B
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

DESAI, D
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

GRANT, R
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

ISRAELS, S
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

JARDINE, L
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

LUKE, B
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

MASSICOTTE, P
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA

SILVA, M
论文数: 0 引用数: 0
h-index: 0
机构: CHILDRENS HOSP CHEDOKE MCMASTER,HAMILTON,ON,CANADA
[2]
A CROSS-SECTIONAL STUDY OF CATHETER-RELATED THROMBOSIS IN CHILDREN RECEIVING TOTAL PARENTERAL-NUTRITION AT HOME
[J].
ANDREW, M
;
MARZINOTTO, V
;
PENCHARZ, P
;
ZLOTKIN, S
;
BURROWS, P
;
INGRAM, J
;
ADAMS, M
;
FILLER, R
.
JOURNAL OF PEDIATRICS,
1995, 126 (03)
:358-363

ANDREW, M
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA

MARZINOTTO, V
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA

PENCHARZ, P
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA

ZLOTKIN, S
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA

BURROWS, P
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA

INGRAM, J
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA

ADAMS, M
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA

FILLER, R
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN, DIV HEMATOL, TORONTO, ON, CANADA
[3]
MURAL THROMBI IN CHILDREN - POTENTIALLY LETHAL COMPLICATION OF CENTRAL VENOUS HYPERALIMENTATION
[J].
BAGWELL, CE
;
MARCHILDON, MB
.
CRITICAL CARE MEDICINE,
1989, 17 (03)
:295-296

BAGWELL, CE
论文数: 0 引用数: 0
h-index: 0
机构:
UNIV MED DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT SURG,CAMDEN,NJ UNIV MED DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT SURG,CAMDEN,NJ

MARCHILDON, MB
论文数: 0 引用数: 0
h-index: 0
机构:
UNIV MED DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT SURG,CAMDEN,NJ UNIV MED DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT SURG,CAMDEN,NJ
[4]
GREAT VEIN AND RIGHT ATRIAL THROMBOSIS IN CRITICALLY ILL INFANTS AND CHILDREN WITH CENTRAL VENOUS LINES
[J].
BERMAN, W
;
FRIPP, RR
;
YABEK, SM
;
WERNLY, J
;
CORLEW, S
.
CHEST,
1991, 99 (04)
:963-967

BERMAN, W
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NEW MEXICO, SCH MED, DEPT PEDIAT & SURG, ALBUQUERQUE, NM 87131 USA

FRIPP, RR
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NEW MEXICO, SCH MED, DEPT PEDIAT & SURG, ALBUQUERQUE, NM 87131 USA

YABEK, SM
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NEW MEXICO, SCH MED, DEPT PEDIAT & SURG, ALBUQUERQUE, NM 87131 USA

WERNLY, J
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NEW MEXICO, SCH MED, DEPT PEDIAT & SURG, ALBUQUERQUE, NM 87131 USA

CORLEW, S
论文数: 0 引用数: 0
h-index: 0
机构: UNIV NEW MEXICO, SCH MED, DEPT PEDIAT & SURG, ALBUQUERQUE, NM 87131 USA
[5]
EVALUATION OF DOPPLER EXAMINATION FOR DIAGNOSIS OF CATHETER-RELATED DEEP-VEIN THROMBOSIS
[J].
BONNET, F
;
LORIFERNE, JF
;
TEXIER, JP
;
TEXIER, M
;
SALVAT, A
;
VASILE, N
.
INTENSIVE CARE MEDICINE,
1989, 15 (04)
:238-240

BONNET, F
论文数: 0 引用数: 0
h-index: 0

LORIFERNE, JF
论文数: 0 引用数: 0
h-index: 0

TEXIER, JP
论文数: 0 引用数: 0
h-index: 0

TEXIER, M
论文数: 0 引用数: 0
h-index: 0

SALVAT, A
论文数: 0 引用数: 0
h-index: 0

VASILE, N
论文数: 0 引用数: 0
h-index: 0
[6]
SUBCLAVIAN VEIN CATHETERIZATION IN CRITICALLY ILL CHILDREN - ANALYSIS OF 322 CANNULATIONS
[J].
CASADOFLORES, J
;
VALDIVIELSOSERNA, A
;
PEREZJURADO, L
;
POZOROMAN, J
;
MONLEONLUQUE, M
;
GARCIAPEREZ, J
;
RUIZBELTRAN, A
;
GARCIATERESA, MA
.
INTENSIVE CARE MEDICINE,
1991, 17 (06)
:350-354

CASADOFLORES, J
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid

VALDIVIELSOSERNA, A
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid

PEREZJURADO, L
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid

POZOROMAN, J
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid

MONLEONLUQUE, M
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid

GARCIAPEREZ, J
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid

RUIZBELTRAN, A
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid

GARCIATERESA, MA
论文数: 0 引用数: 0
h-index: 0
机构: Pediatric Intensive Care Unit, Niño Jesús Hospital, Autónoma University of Madrid, Madrid
[7]
AN ULTRASTRUCTURAL-STUDY OF THE INTIMAL INJURY INDUCED BY AN INDWELLING UMBILICAL ARTERY CATHETER
[J].
CHIDI, CC
;
KING, DR
;
BOLES, ET
.
JOURNAL OF PEDIATRIC SURGERY,
1983, 18 (02)
:109-115

CHIDI, CC
论文数: 0 引用数: 0
h-index: 0
机构:
OHIO STATE UNIV,DEPT MED,DIV PEDIAT SURG,COLUMBUS,OH 43210 OHIO STATE UNIV,DEPT MED,DIV PEDIAT SURG,COLUMBUS,OH 43210

KING, DR
论文数: 0 引用数: 0
h-index: 0
机构:
OHIO STATE UNIV,DEPT MED,DIV PEDIAT SURG,COLUMBUS,OH 43210 OHIO STATE UNIV,DEPT MED,DIV PEDIAT SURG,COLUMBUS,OH 43210

BOLES, ET
论文数: 0 引用数: 0
h-index: 0
机构:
OHIO STATE UNIV,DEPT MED,DIV PEDIAT SURG,COLUMBUS,OH 43210 OHIO STATE UNIV,DEPT MED,DIV PEDIAT SURG,COLUMBUS,OH 43210
[8]
VENOUS THROMBOEMBOLIC COMPLICATIONS IN CHILDREN
[J].
DAVID, M
;
ANDREW, M
.
JOURNAL OF PEDIATRICS,
1993, 123 (03)
:337-346

DAVID, M
论文数: 0 引用数: 0
h-index: 0
机构:
MCMASTER UNIV, CHILDRENS HOSP, DEPT PEDIAT, HAMILTON L8S 4L8, ONTARIO, CANADA MCMASTER UNIV, CHILDRENS HOSP, DEPT PEDIAT, HAMILTON L8S 4L8, ONTARIO, CANADA

ANDREW, M
论文数: 0 引用数: 0
h-index: 0
机构:
MCMASTER UNIV, CHILDRENS HOSP, DEPT PEDIAT, HAMILTON L8S 4L8, ONTARIO, CANADA MCMASTER UNIV, CHILDRENS HOSP, DEPT PEDIAT, HAMILTON L8S 4L8, ONTARIO, CANADA
[9]
Venous catheter thrombus formation and pulmonary embolism in children
[J].
Derish, MT
;
Smith, DW
;
Frankel, LR
.
PEDIATRIC PULMONOLOGY,
1995, 20 (06)
:349-354

Derish, MT
论文数: 0 引用数: 0
h-index: 0
机构:
STANFORD UNIV,LUCILE SALTER PACKARD CHILDRENS HOSP,DEPT PEDIAT,DIV PEDIAT INTENS CARE,PALO ALTO,CA 94304 STANFORD UNIV,LUCILE SALTER PACKARD CHILDRENS HOSP,DEPT PEDIAT,DIV PEDIAT INTENS CARE,PALO ALTO,CA 94304

Smith, DW
论文数: 0 引用数: 0
h-index: 0
机构:
STANFORD UNIV,LUCILE SALTER PACKARD CHILDRENS HOSP,DEPT PEDIAT,DIV PEDIAT INTENS CARE,PALO ALTO,CA 94304 STANFORD UNIV,LUCILE SALTER PACKARD CHILDRENS HOSP,DEPT PEDIAT,DIV PEDIAT INTENS CARE,PALO ALTO,CA 94304

Frankel, LR
论文数: 0 引用数: 0
h-index: 0
机构:
STANFORD UNIV,LUCILE SALTER PACKARD CHILDRENS HOSP,DEPT PEDIAT,DIV PEDIAT INTENS CARE,PALO ALTO,CA 94304 STANFORD UNIV,LUCILE SALTER PACKARD CHILDRENS HOSP,DEPT PEDIAT,DIV PEDIAT INTENS CARE,PALO ALTO,CA 94304
[10]
THROMBOSIS AND EMBOLISM IN LONG-TERM CENTRAL VENOUS ACCESS FOR PARENTERAL-NUTRITION
[J].
DOLLERY, CM
;
SULLIVAN, ID
;
BAURAIND, O
;
BULL, C
;
MILLA, PJ
.
LANCET,
1994, 344 (8929)
:1043-1045

DOLLERY, CM
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN,CARDIOTHORAC UNIT,LONDON WC1N 3JH,ENGLAND

SULLIVAN, ID
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN,CARDIOTHORAC UNIT,LONDON WC1N 3JH,ENGLAND

BAURAIND, O
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN,CARDIOTHORAC UNIT,LONDON WC1N 3JH,ENGLAND

BULL, C
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN,CARDIOTHORAC UNIT,LONDON WC1N 3JH,ENGLAND

MILLA, PJ
论文数: 0 引用数: 0
h-index: 0
机构: HOSP SICK CHILDREN,CARDIOTHORAC UNIT,LONDON WC1N 3JH,ENGLAND