Academic Journal
Retrospective survey from vascular access team Lombardy net in COVID-19 era
| العنوان: | Retrospective survey from vascular access team Lombardy net in COVID-19 era |
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| المؤلفون: | Gidaro, Antonio, Vailati, Davide, Gemma, Marco, Lugli, Francesca, Casella, Francesco, Cogliati, Chiara, Canelli, Antonio, Cremonesi, Nadia, Monolo, Davide, Cordio, Giuseppe, Frosi, Chiara, Destefanis, Riccardo, Rossi, Anna, Alemanno, Maria Chiara, Valenza, Franco, Luisoni, Mara Dina, Elli, Stefano, Caldarini, Andrea, Lucchini, Alberto, Paglia, Stefano, Baroni, Monica, Giustivi, Davide |
| المساهمون: | A. Gidaro, D. Vailati, M. Gemma, F. Lugli, F. Casella, C. Cogliati, A. Canelli, N. Cremonesi, D. Monolo, G. Cordio, C. Frosi, R. Destefani, A. Rossi, M.C. Alemanno, F. Valenza, M.D. Luisoni, S. Elli, A. Caldarini, A. Lucchini, S. Paglia, M. Baroni, D. Giustivi |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2021 |
| المجموعة: | The University of Milan: Archivio Istituzionale della Ricerca (AIR) |
| مصطلحات موضوعية: | accidental remove, catheter related thrombosi, catheter-related bloodstream infection, COVID-19, Venous access device, Settore MED/09 - Medicina Interna |
| الوصف: | 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); p < 0.001), CRSB (OR = 3.82(1.82–8.97); p < 0.001), and Accidental Removal (OR = 2.39(1.80–3.20); p < 0.001) in our propensity score weighted models. 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. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/33618564; info:eu-repo/semantics/altIdentifier/wos/WOS:000631222400001; firstpage:1; lastpage:6; numberofpages:6; journal:JOURNAL OF VASCULAR ACCESS; http://hdl.handle.net/2434/909328; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85101749993 |
| DOI: | 10.1177/1129729821997252 |
| الاتاحة: | http://hdl.handle.net/2434/909328 https://doi.org/10.1177/1129729821997252 |
| Rights: | info:eu-repo/semantics/restrictedAccess |
| رقم الانضمام: | edsbas.711EEFD7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/1129729821997252 |
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