The Central Venous Catheter Related Complications in Critically Ill Patients
The Central Venous Catheter Related Complications in Critically Ill Patients
In this prospective clinical study, the researchers investigate the incidence of
 catheter-related thrombosis and catheter-related infection during indwelling central venous
 catheterization in critically ill patients, and analyzed the risk factors for
 catheter-related complications and the relationship between catheter-related thrombi and
 catheter-related infections. The sample size is about 500.
A prospective clinical trial is conducted. Five hundred participants who need to place
 central venous catheters admit to the Department of Critical Care Medicine of Zhujiang
 Hospital,Southern Medical University from February 2019. Ultrasound is used for screening
 catheter-related thrombosis, and catheter-related infections are diagnosed according to the
 Guidelines for the Diagnosis and Management of Intravascular Catheter-Related Infections. The
 primary outcome is the incidence of catheter-related thrombosis and catheter-related
 infections. The primary exposure factors are age, gender, APACHE II, RBC, Hct, PLT, FIB,
 D-dimer, PCT, blood glucose, anticoagulants, and vasoactive drugs, catheter type, tube
 placement, indwelling time, etc. Descriptive analysis is used for the incidence of various
 complications. T-test or non-parametric statistical test is used for single factor analysis
 of risk factors, chi-square test or Fisher's exact probability test is used for counting
 data. Multivariate analysis of risk factors and the relationship between complications are
 analyzed by logistic regression. Statistical analysis is performed with SPSS Statistics
 version 20.
Inclusion Criteria:

 -  Age > 18 years old and <80 years old;

 -  Central venous catheter is required to be placed through the internal jugular vein,
 subclavian vein or femoral vein;

 -  Catheter placement is estimated to be ≥ 72 hours.

 Exclusion Criteria:

 -  The central venous catheter has been placed before entering the department;

 -  There is obvious trauma or infection at the site of implantation;

 -  There is already a blood vessel thrombus in the site before implantation;

 -  Recently, deep vein thrombosis or catheter-related thrombosis has occurred.