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|Title:||Clinically manifest thromboembolic complications of femoral vein catheterization for continuous renal replacement therapy||Authors:||Lipcsey, M.
Intensive care unit
|Issue Date:||Feb-2014||Citation:||Lipcsey, M., Chua, H.-R., Schneider, A.G., Robbins, R., Bellomo, R. (2014-02). Clinically manifest thromboembolic complications of femoral vein catheterization for continuous renal replacement therapy. Journal of Critical Care 29 (1) : 18-23. ScholarBank@NUS Repository. https://doi.org/10.1016/j.jcrc.2013.08.010||Abstract:||Purpose: The safety of femoral vein (FV) catheterization for continuous renal replacement therapy is uncertain. We sought to determine the incidence of clinically manifest venous thromboembolism (VTE) in such patients. Methods: We retrospectively studied patients with femoral high flow catheters (≥. 13F) (December 2005 to February 2011). Discharge diagnostic codes were independently screened for VTE. The incidence of VTE was also independently similarly assessed in a control cohort of patients ventilated for more than 2 days (January 2011 to December 2011) in the same intensive care unit (ICU). Results: We studied 380 patients. Their mean age was 61 years, and 59% were male. The mean Acute Physiology and Chronic Health Evaluation III score was 84; average duration of continuous renal replacement therapy was 74 hours, and 232 patients (61%) survived to hospital discharge with an average length of hospital stay of 22 days. Only 5 patients (1.3%) had clinically manifest VTE after FV catheterization. In the control cohort of 514 ICU patients, the incidence of VTE was 4.4% (P < .05 compared with FV group). Conclusion: The incidence of clinically manifest VTE after FV catheterization with high flow catheters is low and lower to that seen in general ICU patients. © 2014 Elsevier Inc.||Source Title:||Journal of Critical Care||URI:||http://scholarbank.nus.edu.sg/handle/10635/125372||ISSN:||08839441||DOI:||10.1016/j.jcrc.2013.08.010|
|Appears in Collections:||Staff Publications|
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