Catheter-related deep vein thrombosis in newborn infants

Longo, María C Rubio; Lucca, Patricio M De; Goldsmit, Gustavo; Fariña, Diana; Lipsich, José; Rodríguez, Susana

doi:10.5546/aap.2021.eng.32

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…The incidence rate of ICU thrombosis is 2%, which is consistent with previous studies, but higher than the incidence rate of ordinary ward thrombosis reported in other studies [ 34 ]. The incidence of neonatal thrombosis tends to increase annually and is strongly associated with the placement of catheters [ 35 ]. In the Pediatric Health Information System database, the incidence in neonates was 44 per 10,000 admissions between 2001 and 2007 [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and risk factors for thrombosis in children and newborns: systematic evaluation and meta-analysis

Song

Zhao

et al. 2023

BMC Pediatr

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Background Thrombosis is a serious condition in children and neonates. However, the risk factors for thrombosis have not been conclusively determined. This study aimed to identify the risk factors for thrombosis in children and neonates in Intensive Care Unit (ICU) through a meta-analysis to better guide clinical treatment. Methods A systematic search of electronic databases (PubMed, Embase, Cochrane Library, WOS, CNKI, Wanfang, VIP) was conducted to retrieve studies from creation on 23 May 2022. Data on the year of publication, study design, country of origin, number of patients/controls, ethnicity, and type of thrombus were extracted. The publication bias and heterogeneity between studies were assessed, and pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using fixed or random effects models. Results A total of 18 studies met the inclusion criteria. The incidence of thrombosis in children was 2% per year (95% CI 1%-2%, P < 0.01). Infection and sepsis (OR = 1.95, P < 0.01), CVC (OR = 3.66, [95%CL 1.78–7.51], P < 0.01), mechanical ventilation (OR = 2.1, [95%CL1.47–3.01], P < 0.01), surgery (OR = 2.25, [95%CL1.2–4.22], P < 0.01), respiratory distress (OR = 1.39, [95%CL0.42–4.63], P < 0.01), ethnicities (OR = 0.88, [95%CL 0.79–0.98], P = 0.78), gestational age (OR = 1.5, [95%CL1.34–1.68], P = 0.65)were identified as risk factors for thrombosis. Conclusions This meta-analysis suggests that CVC, Surgery, mechanical ventilation, Infection/sepsis, gestational age, Respiratory distress, and different ethnicities are risk factors for thrombosis in children and neonates in ICU. These findings may help clinicians to identify high-risk patients and develop appropriate prevention strategies. Trial registration PROSPERO (CRD 42022333449).

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Section: Discussionmentioning

confidence: 99%

Epidemiology and risk factors for thrombosis in children and newborns: systematic evaluation and meta-analysis

Song

Zhao

et al. 2023

BMC Pediatr

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Preditores de trombose associada ao cateter venoso central em crianças: revisão integrativa

Viana,

Gonçalves,

Machado

et al. 2024

Cuad. Ed. Desar.

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Objetivo: identificar fatores de risco para tromboembolismo venoso associado a cateter venoso central em crianças de zero a 5 anos. Método: revisão integrativa realizada em outubro 2022 nas bases de dados em ciências da saúde, pelas combinações dos termos “criança”, “cateter venoso central”, “trombose”. Resultados: principais fatores de risco para trombose associado ao cateter venoso central evidenciados foram comorbidades materna e da criança, idade, infecção, tempo de permanência e disfunção do cateter, número de tentativas de inserção, localização do cateter, cateter não tunelizado, uso de nutrição parenteral, medicamentos inotrópicos, transfusão de hemocomponentes; embora haja evidências de que a tromboembolia venosa tenha distribuição etária bimodal com um pico de incidência abaixo do ano de idade e outro na adolescência, a pesquisa não retornou estudos específicos com crianças de zero a cinco anos. Conclusão: achados indicaram lacuna no conhecimento quanto aos fatores de risco para tromboembolismo venoso associado ao cateter venoso central em crianças menores de cinco anos, apresentando pouca similaridade em relação aos fatores de risco identificados.

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Catheter-related deep vein thrombosis in newborn infants

Cited by 2 publications

References 29 publications

Epidemiology and risk factors for thrombosis in children and newborns: systematic evaluation and meta-analysis

Epidemiology and risk factors for thrombosis in children and newborns: systematic evaluation and meta-analysis

Preditores de trombose associada ao cateter venoso central em crianças: revisão integrativa

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