Trombosis asociada a cateter venoso central en pediatría de la Fundación Cardioinfantil julio 2013 a julio 2015
| Contribuinte(s) |
Garces Sterling, Sandra Patricia Morón Duarte, Lina Sofía |
|---|---|
| Data(s) |
07/12/2015
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| Resumo |
La trombosis relacionada al uso del catéter es un problema que cobra cada vez mayor importancia. Se han descrito factores de riesgo para su presentación en la población pediátrica pero aún no se han realizado estudios en nuestro medio. Objetivo: Determinar los factores de riesgo y la prevalencia de la trombosis asociada a catéter venoso central en los pacientes pediátricos de la Fundación Cardioinfantil hospitalizados durante el periodo comprendido entre Julio 2013 a Julio 2015. Metodología: Se realizó un estudio de corte transversal de asociación. Se incluyeron pacientes clasificados en 4 grupos: trombosis y catéter, trombosis sin catéter, catéter sin trombosis y sin trombosis ni catéter. Se estimaron OR como medidas de asociación utilizando el estadístico mantel haenszel. Resultados: En total se incluyeron 221 pacientes. La prevalencia de la trombosis y uso del catéter fue del 22%. La edad inferior a los 36 meses (OR 2,27 IC95% 1,16-4,44,p<0.001), profilaxis antitrombótica (OR 34,4 IC95% 4,18-282,92, p<0.01), hospitalización en la UCI (OR 3,82, IC95% 1,69-8,65, p<0.001) y el tiempo de hospitalización (OR 16,83 IC95% 7,8-36,27, p<0.001) están asociadas con un mayor riesgo de presentación de la trombosis. Conclusión: La edad, hospitalización en UCI, uso de profilaxis antitrombótica y el tiempo de hospitalización son factores de riesgo que estan relacionados con la presentación de la trombosis en pacientes con cateter. Thrombosis related to catheter use is a problem that is becoming increasingly important. The risk factors for presentation in the pediatric population has been described but no studies have been conducted in our country. Objective: To determine the risk factors and prevalence of thrombosis associated with central venous catheters in pediatric patients hospitalized Cardioinfantil Foundation for the period from July 2013 to July 2015. Methodology: An association cross-sectional study was conducted. Thrombosis and catheter thrombosis without catheter without catheter thrombosis without thrombosis and catheter: patients classified into 4 groups were included. OR they were estimated as measures of association using the statistical mantel-haenszel. Results: In total 221 patients were included. The prevalence of thrombosis and catheter use was 22%. Age less than 36 months (OR 2.27 95% CI 1.16 to 4.44, p <0.001) antithrombotic prophylaxis (OR 34.4 95% CI 4.18 to 282.92, P <0.01), hospitalization ICU (OR 3.82, 95% CI 1.69 to 8.65, p <0.001) and hospitalization time (95% CI 7.8 to 36.27 OR 16.83, p <0.001) are associated with presenting a higher risk of thrombosis. Conclusion: Age, ICU hospitalization, use of antithrombotic prophylaxis and hospitalization time are risk factors that are related to the presentation of thrombosis in patients with catheter. |
| Formato |
application/pdf |
| Identificador | |
| Idioma(s) |
spa |
| Publicador |
Facultad de medicina |
| Direitos |
info:eu-repo/semantics/openAccess |
| Fonte |
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| Palavras-Chave | #Pediatría #618.92 #Pediatría #Trombosis #Enfermedades de las arterias #Thrombosis #Catheter #Central venous catheter #Children |
| Tipo |
info:eu-repo/semantics/bachelorThesis info:eu-repo/semantics/acceptedVersion |
