Risk Assessment of Venous Thromboembolism among Septic Shock Patients: Single versus Concurrent Insertion of Central Venous Catheters

Thrombosis is a serious complication experienced by some hospitalized patients. While concurrent placement of two catheters (CVCs) in the same central vein offers several benefits in clinical settings, we aimed to investigate the role of this procedure in relation to the risk of thrombosis. Over a t...

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Bibliographic Details
Published in:	Medicina (Kaunas, Lithuania) Vol. 60; no. 5; p. 785
Main Authors:	Trebuian, Cosmin Iosif, Marza, Adina Maria, Cindrea, Alexandru Cristian, Petrica, Alina, Onea, Stefania, Sutoi, Dumitru, Barsac, Claudiu, Crintea-Najette, Iulia, Popa, Daian, Chioibas, Raul, Mederle, Ovidiu Alexandru
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 01-05-2024
Subjects:	Aged Apheresis Blood diseases Caprini risk score Catheterization, Central Venous - adverse effects Catheters Central Venous Catheters - adverse effects concurrent CVCs COVID-19 COVID-19 - complications Data analysis Female Hematology Hemodialysis hemodialysis catheters Hospital patients Hospitalization Hospitals Humans Infections Logistic Models Male Middle Aged Monte Carlo simulation Patients Pulmonary embolisms Renal replacement therapy Retrospective Studies Risk assessment Risk Assessment - methods Risk Factors SARS-CoV-2 Sepsis Septic shock Severe acute respiratory syndrome coronavirus 2 Shock, Septic - complications Thromboembolism Thrombosis Veins & arteries Venous access venous thromboembolism Venous Thromboembolism - epidemiology Venous Thromboembolism - etiology Romania Caprini risk score septic shock concurrent CVCs hemodialysis catheters venous thromboembolism
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Summary:	Thrombosis is a serious complication experienced by some hospitalized patients. While concurrent placement of two catheters (CVCs) in the same central vein offers several benefits in clinical settings, we aimed to investigate the role of this procedure in relation to the risk of thrombosis. Over a two-year retrospective analysis, we examined 114 patients with septic shock caused by a pulmonary infection, who underwent the insertion of one or more central lines into a central vein during their ICU stay. Logistic regression models were employed to assess the correlation between the Caprini risk score, the placement of two CVCs in the same vein, COVID-19 infection and the risk of venous thromboembolism (VTE). In total, 53% of the patients underwent the concurrent insertion of two CVCs. The placement of two CVCs in the same vein appears to elevate the VTE risk by 2.5 times (95% CI: 1.03-6.12). Logistic regression analysis indicated that hemodialysis catheters amplify the VTE risk by nearly five times, even when accounting for a series of factors (95% CI: 1.86-12.31). Our study suggests that the elevated risk of VTE is likely associated with the insertion of the hemodialysis catheters rather than solely the presence of two concurrent catheters.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1648-9144 1010-660X 1648-9144
DOI:	10.3390/medicina60050785