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10.1177/1129729821997252

http://scihub22266oqcxt.onion/10.1177/1129729821997252
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33618564!ä!33618564

suck abstract from ncbi


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pmid33618564      J+Vasc+Access 2022 ; 23 (4): 532-537
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  • Retrospective survey from vascular access team Lombardy net in COVID-19 era #MMPMID33618564
  • Gidaro A; Vailati D; Gemma M; Lugli F; Casella F; Cogliati C; Canelli A; Cremonesi N; Monolo D; Cordio G; Frosi C; Destefanis R; Rossi A; Alemanno MC; Valenza F; Luisoni MD; Elli S; Caldarini A; Lucchini A; Paglia S; Baroni M; Giustivi D
  • J Vasc Access 2022[Jul]; 23 (4): 532-537 PMID33618564show ga
  • 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.
  • |*COVID-19/epidemiology[MESH]
  • |*Catheter-Related Infections/epidemiology[MESH]
  • |*Catheterization, Central Venous/adverse effects[MESH]
  • |*Central Venous Catheters[MESH]
  • |Catheters[MESH]
  • |Humans[MESH]


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