静脉血栓栓塞在严重烧伤患者血管内加热导管:回顾性队列研究

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
I. Reid, Hadley Bortz, A. Burrell, D. Gantner, S. Rosenblum, H. Cleland
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引用次数: 0

摘要

背景:在严重烧伤后使用血管内加热导管已被证明对维持体温正常有效,但其使用可能与并发症有关。本研究的目的是确定使用血管内加热导管的患者发生潜在导管相关性静脉血栓栓塞(VTE)的比例,并确定相关的危险因素。方法:这是一项回顾性队列研究,研究对象是2013年1月至2018年7月在维多利亚州成人烧伤服务中心接受ICYTM血管内加热导管治疗的严重烧伤(TBSA > 20%)患者。温热导管插入和其他细节由单个作者通过对患者医疗记录的手动搜索确定,而静脉血栓栓塞的发生率由编码部门从中央数据库确定。结果:40例患者在研究期间置入了血管内加热导管。导管组发生静脉血栓栓塞8例(20%),其中4例(10%)由于解剖位置的原因可能与导管相关。在4例可能与导管相关的静脉血栓栓塞病例中,其他可预防的静脉血栓栓塞危险因素包括不理想的预防性抗凝(n = 2)、延长的导管时间(n = 1)和延长的血液浓度(n = 2)。结论:我们发现20%使用血管内加热装置的严重烧伤患者有明显的静脉血栓栓塞;然而,其中只有一半可能与导管有关。在使用血管内加热装置之前,应对每位患者进行仔细评估,平衡风险和收益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Venous Thromboembolism in Severe Burns Patients with Intravascular Warming Catheter: A Retrospective Cohort Study
Background: Use of intravascular warming catheters following major burns has been shown to be effective to maintain normothermia, but their use may be associated with complications. The aim of this study was to determine what proportion of patients with an intravascular warming catheter developed a potentially catheter-related venous thromboembolism (VTE) and to identify contributing risk factors. Methods: This was a retrospective cohort study of patients admitted to the Victorian Adult Burns Service January 2013 to July 2018 with major burns (TBSA > 20%) who had an ICYTM intravascular warming catheter. Warming catheter insertion and other details were identified with a manual search of the patients’ medical records by a single author while incidence of VTE was determined by the coding department from a central database. Results: Forty patients had an intravascular warming catheter inserted during the study period. The number of patients in the catheter group that sustained a VTE was eight (20%), of which four (10%) could have been catheter-related due to the anatomical location. In the cases of the four potentially catheter-related VTE, other preventable VTE risk factors including suboptimal prophylactic anticoagulation (n = 2), prolonged catheter duration (n = 1) and prolonged haemoconcentration (n = 2) were identified. Conclusions: We found 20% of major burns patients with an intravascular warming device had significant VTE; however, only half of these may have been related to the catheter. A careful assessment for each patient that balances risks and benefits should be undertaken prior to using intravascular warming devices.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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