Thrombosis, Venous Catheterization
Conditions
Brief summary
The aim is to determine the prevalence of catheter-related thrombosis (CRT) in hospitalized patients carrying PICC, FICC, CICC, and midline catheters through a multicenter, standardized prevalence study. To achieve this, a cross-sectional study with prospective data collection will be conducted, including, through consecutive sampling to minimize selection bias, all hospitalized patients over 18 years of age from both general wards and critical care units who have had one of these catheters in place for at least 7 days. During data collection, an ultrasound examination of the catheter insertion site will be performed in order to rule out the presence of thrombotic complications.
Interventions
None listed
Sponsors
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta
Hospital del Mar Research Institute (IMIM)
Althaia Xarxa Assistencial Universitària de Manresa
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All hospitalized patients aged ≥18 years from all hospital wards, including critical care units, who are carriers of a midline, FICC, PICC, or CICC catheter with a dwell time of at least 7 days will be included.
Exclusion criteria
* Patients who do not provide informed consent for the ultrasound assessment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall prevalence of catheter-related thrombosis | From the beginning of the cutoff to the end of the cutoff at 4 weeks | Number of patients with CRT / total number of patients evaluated) × 100 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Symptomatic CRT | From the beginning of the cutoff to the end of the cutoff at 4 weeks | (Number of CRT cases with ≥1 clinical sign / total number of CRT cases) × 100 |
| Asymptomatic CRT | From the beginning of the cutoff to the end of the cutoff at 4 weeks | (Number of CRT cases without clinical signs / total number of CRT cases) × 100 |
| Superficial CRT | From the beginning of the cutoff to the end of the cutoff at 4 weeks | Number of superficial CRT cases / total number of CRT cases) × 100 |
| Deep CRT | From the beginning of the cutoff to the end of the cutoff at 4 weeks | Number of deep CRT cases / total number of CRT cases) × 100 |
| Prevalence by responsible service | From the beginning of the cutoff to the end of the cutoff at 4 weeks | (Number of CRT cases in each service category / total number of patients evaluated in that service) × 100 |
| Time from implantation to CRT diagnosis | From the beginning of the cutoff to the end of the cutoff at 4 weeks | Mean, SD, median, and IQR (interquartile range) of elapsed days |
| Distribution by implanting operator | From the beginning of the cutoff to the end of the cutoff at 4 weeks | Number of CRT cases by implanting operator / total number of CRT cases × 100 |
Outcome results
None listed