The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill Patients
Abstract Introduction In our study we aimed to determine the prevalence and risk factors that make the incidence of central line associated deep venous thrombosis increase. Materials and Methods This descriptive study was conducted on 80 critically ill patients with inserted central venous catheter....
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| Format: | Article |
| Language: | English |
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Springer
2021-07-01
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| Series: | Egyptian Journal of Critical Care Medicine |
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| Online Access: | https://doi.org/10.1097/EJ9.0000000000000026 |
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| author | Tamer Sayed Abdel Mawla Arsany Thabet Amin Engy Shawky El Kayal Osama Mahmoud Momtaz |
| author_facet | Tamer Sayed Abdel Mawla Arsany Thabet Amin Engy Shawky El Kayal Osama Mahmoud Momtaz |
| author_sort | Tamer Sayed Abdel Mawla |
| collection | DOAJ |
| description | Abstract Introduction In our study we aimed to determine the prevalence and risk factors that make the incidence of central line associated deep venous thrombosis increase. Materials and Methods This descriptive study was conducted on 80 critically ill patients with inserted central venous catheter. Venous duplex was done before 5th and 10th day of central venous catheters insertion. Results The incidence of thrombosis was 22.5% (18 cases); 61.1% (11 cases) of them developed at 5th day and 38.9% (7 cases) developed at 10th day of using central line. There was higher incidence of thrombosis in patients with presence of malignancy (38.9%) with risk ratio 7.25 (bladder cancer was associated with the most significant high risk of catheter related thrombosis), autoimmune disease (27.8%) with risk ratio 7.5, patients with chronic kidney disease (27.8%), and shocked patients on vasopressors (55.6%). There was higher incidence of thrombosis among patients with Mahurkar insertion (35.7%) versus (15.3%) among patients with central line insertion with P: .05. Discussion Central venous catheter related thrombosis is a frequent complication that occurs frequently, affecting about 1 quarter of ICU patients. Most cases occur as early as 5 days with increasing frequency over days. Mahurkar catheters carry more risk of thrombosis than central venous line catheters. Malignancy and autoimmune diseases have the higher risk of thrombosis, as well as shock and chronic kidney disease. |
| format | Article |
| id | doaj-art-6e51163a50754b8fb20f95e916d0ba67 |
| institution | OA Journals |
| issn | 2090-7303 2090-9209 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | Springer |
| record_format | Article |
| series | Egyptian Journal of Critical Care Medicine |
| spelling | doaj-art-6e51163a50754b8fb20f95e916d0ba672025-08-20T02:01:35ZengSpringerEgyptian Journal of Critical Care Medicine2090-73032090-92092021-07-0181202410.1097/EJ9.0000000000000026The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill PatientsTamer Sayed Abdel Mawla0Arsany Thabet Amin1Engy Shawky El Kayal2Osama Mahmoud Momtaz3Critical Care Department, Fayoum UniversityCritical Care Department, Fayoum UniversityRadiology Department, Fayoum UniversityCritical Care Department, Fayoum UniversityAbstract Introduction In our study we aimed to determine the prevalence and risk factors that make the incidence of central line associated deep venous thrombosis increase. Materials and Methods This descriptive study was conducted on 80 critically ill patients with inserted central venous catheter. Venous duplex was done before 5th and 10th day of central venous catheters insertion. Results The incidence of thrombosis was 22.5% (18 cases); 61.1% (11 cases) of them developed at 5th day and 38.9% (7 cases) developed at 10th day of using central line. There was higher incidence of thrombosis in patients with presence of malignancy (38.9%) with risk ratio 7.25 (bladder cancer was associated with the most significant high risk of catheter related thrombosis), autoimmune disease (27.8%) with risk ratio 7.5, patients with chronic kidney disease (27.8%), and shocked patients on vasopressors (55.6%). There was higher incidence of thrombosis among patients with Mahurkar insertion (35.7%) versus (15.3%) among patients with central line insertion with P: .05. Discussion Central venous catheter related thrombosis is a frequent complication that occurs frequently, affecting about 1 quarter of ICU patients. Most cases occur as early as 5 days with increasing frequency over days. Mahurkar catheters carry more risk of thrombosis than central venous line catheters. Malignancy and autoimmune diseases have the higher risk of thrombosis, as well as shock and chronic kidney disease.https://doi.org/10.1097/EJ9.0000000000000026central venous catheterpulmonary embolismupper extremity deep vein thrombosisvenous duplex |
| spellingShingle | Tamer Sayed Abdel Mawla Arsany Thabet Amin Engy Shawky El Kayal Osama Mahmoud Momtaz The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill Patients Egyptian Journal of Critical Care Medicine central venous catheter pulmonary embolism upper extremity deep vein thrombosis venous duplex |
| title | The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill Patients |
| title_full | The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill Patients |
| title_fullStr | The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill Patients |
| title_full_unstemmed | The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill Patients |
| title_short | The Incidence of Central Venous Catheter Related Deep Venous Thrombosis Detected by Routine Doppler Despite of Adequate Prophylactic Anticoagulation in Critically Ill Patients |
| title_sort | incidence of central venous catheter related deep venous thrombosis detected by routine doppler despite of adequate prophylactic anticoagulation in critically ill patients |
| topic | central venous catheter pulmonary embolism upper extremity deep vein thrombosis venous duplex |
| url | https://doi.org/10.1097/EJ9.0000000000000026 |
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