Published online Jul 9, 2021. doi: 10.5492/wjccm.v10.i4.120
Peer-review started: February 26, 2021
First decision: April 6, 2021
Revised: April 29, 2021
Accepted: May 20, 2021
Article in press: May 20, 2021
Published online: July 9, 2021
Central venous catheterization is currently an important procedure in critical care. Central catheterization has important advantages in many clinical situations. It can also lead to different complications such as infection, hemorrhage, and thrombosis. It is important to investigate critically ill patients undergoing catheterization.
To evaluate the characteristics, such as hospitalization, demographic characteristics, post-catheterization complications, and mortality relationships, of patients in whom a central venous catheter was placed in the emergency room.
A total of 1042 patients over the age of 18 who presented to the emergency department between January 2005 and December 2015 were analyzed retros
The mean age of the patients was 60.99 ± 19.85 years; 423 (40.6%) of them were women. Hospitalization time was 11.89 ± 16.38 d. There was a significant correlation between the inserted catheters with gender (P = 0.009) and hospitalization time (P = 0.040). Also, blood glucose, blood urea nitrogen, creatinine, and serum potassium values among the biochemical values of the patients who were catheterized were significant. A significant association was observed in the analysis of patients with complications that develop according to the catheter region (P = 0.001) and the outcome stage (P = 0.001). In receiver operating characteristic curve analysis of hospitalization time and mortality area under curve was 0.575, the 95% confidence interval was 0.496-0.653, the sensitivity was 71%, and the specificity was 89% (P = 0.040).
Catheter location and length of stay are important risk factors for catheter-borne infections. Because the risk of infection was lower than other catheters, jugular catheters should be preferred at entry points, and preventive measures should be taken by monitoring patients closely to reduce hospitalization infections.
Core Tip: A total of 1042 patients were included in this retrospective study. All central venous catheters were inserted in the emergency room. This study included 10 years of experience in our emergency department. In receiver operating characteristic curve analysis of hospitalization time and mortality, sensitivity was 71%, and specificity was 89% (P = 0.040). Complications in the subclavian vein and femoral vein were observed more frequently in the long term. Jugular vein catheterization can be preferred primarily due to the difficulties in application and due to the low number of complications.