Incidence of catheter-related complications in patients with central venous

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#IVTEAM #Intravenous literature: Napalkov, P., Felici, D.M., Chu, L.K., Jacobs, J.R. and Begelman, S.M. (2013) Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis. BMC Cardiovascular Disorders. 13(1), p.86.

Abstract:

BACKGROUND: Central venous catheter (CVC) and hemodialysis (HD) catheter usage are associated with complications that occur during catheter insertion, dwell period, and removal. This study aims to identify and describe the incidence rates of catheter-related complications in a large patient population in a United States-based health care claims database after CVC or HD catheter placement.

METHODS: Patients in the i3 InVision DataMart(R) health care claims database with at least 1 CVC or HD catheter insertion claim were categorized into CVC or HD cohorts using diagnostic and procedural codes from the US Renal Data System, American College of Surgeons, and American Medical Association’s Physician Performance Measures. Catheter-related complications were identified using published diagnostic and procedural codes. Incidence rates (IRs)/1000 catheter-days were calculated for complications including catheter-related bloodstream infections (CRBSIs), thrombosis, embolism, intracranial hemorrhage (ICH), major bleeding (MB), and mechanical catheter–related complications (MCRCs).

RESULTS: Thirty percent of the CVC cohort and 54 % of the HD cohort had catheter placements lasting

CONCLUSIONS: The risk of catheter-related complications is highest during the first 90 days of catheter placement in patients with CVCs and HD catheters and in younger patients (<=16 years of age) with HD catheters. Data provided in this study can be applied toward improving patient care.

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