DOI: 10.1097/01.pcc.0000449274.46876.14

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Issn Print: 1529-7535

Publication Date: 2014/05/01


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ABSTRACT 548: INCIDENCE AND RISK FACTORS FOR CENTRAL VENOUS CATHETER RELATED THROMBOSIS IN PICU AND DEVELOPMENT OF A RISK ASSESSMENT TOOL

H. Mehta; C. Goedvalk; R. Barber

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Author Information: Paediatric Intensive care unit, Royal Manchester Children’s Hospital, Manchester, United Kingdom

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Background and aims: Central venous catheters (CVC) although very useful are frequently associated with several complications.
Aims: To estimate the incidence and characterize risk factors for CVC related deep vein thrombosis (DVT) and develop a risk assessment tool to be used for generation of venous thromboembolism (VTE) prophylaxis guidelines.
Methods: Retrospective chart review of all patients with percutaneous short term CVCs admitted in PICU from September 2012 to August 2013. A pre-defined proforma was filled out for each CVC inserted to look for development of CVC related DVT and to identify common risk factors associated with it.
Results: A total of 215 CVCs were inserted into 156 patients. The incidence of CVC related DVT was 6% (13 of 215) all of which involved femoral CVCs. Risk factors most predictive of CVC related DVT were age < 2 or >14 years, immobility for >72 hours, line infection and hypercoagulable states such as DKA. The risk assessment score in children with DVT was 2 ± 1.4.
Conclusions: The frequency of CVC related DVT is substantial in PICU patients. We have identified high risk factors associated with this and devised a score which will be helpful for future generation of VTE prophylaxis guidelines to help prevent this serious complication of CVC use.

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