Article ; Online: Retrospective survey from vascular access team Lombardy net in COVID-19 era.
The journal of vascular access
2021 Volume 23, Issue 4, Page(s) 532–537
Abstract: Background: Venous Access Devices (VADs) are the most used devices in COVID-19 patients ... infection (CRBSI), and accidental remove of VADs in both COVID-19 positive and COVID-19 free patients ... Successive analysis was conducted comparing COVID-19 positive patients with COVID-19 free with inverse ...
| Abstract | Background: Venous Access Devices (VADs) are the most used devices in COVID-19 patients. Objective: Identify VADs implanted, catheter related thrombosis (CRT), catheter-related bloodstream infection (CRBSI), and accidental remove of VADs in both COVID-19 positive and COVID-19 free patients. Successive analysis was conducted comparing COVID-19 positive patients with COVID-19 free with inverse probability propensity score weights using simple regression to account for these two confounders (peripheral tip as central/peripheral and hospitalization as no/yes). Methods: This multicenter, retrospective cohort study collected data from seven hospitals in Lombardy during the pandemic period from February 21st to May 31st 2020. Results: A total of 2206 VADs were evaluated, 1107 (50.2%) of which were inserted in COVID-19 patients. In COVID-19 cohort the first choice was Long Peripheral Cannula in 388 patients (35.1%) followed by Midline Catheter in 385 (34.8%). The number of "central tip" VADs inserted in COVID-free inpatients and COVID-19 positive were similar (307 vs 334). We recorded 42 (1.9%) CRT; 32 (79.2%) were observed in COVID-19 patients. A total of 19 CRBSI were diagnosed; 15 (78.95%) were observed in COVID-19. Accidental removals were the more represented complication with 123 cases, 85 (69.1%) of them were in COVID-19. COVID-19 significantly predicted occurrence of CRT (OR = 2.00(1.85-5.03); Conclusions: CRT, CRBSI, and accidental removal are significantly more frequent in COVID-19 patients. Accidental removals are the principal complication, for this reason, the use of subcutaneously anchored securement is recommended for a shorter period than usual. |
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| MeSH term(s) | COVID-19/epidemiology ; Catheter-Related Infections/epidemiology ; Catheterization, Central Venous/adverse effects ; Catheters ; Central Venous Catheters ; Humans ; Retrospective Studies |
| Language | English |
| Publishing date | 2021-02-23 |
| Publishing country | United States |
| Document type | Journal Article ; Multicenter Study |
| ZDB-ID | 2252820-9 |
| ISSN | 1724-6032 ; 1129-7298 |
| ISSN (online) | 1724-6032 |
| ISSN | 1129-7298 |
| DOI | 10.1177/1129729821997252 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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