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Analysis of Risk Factors for Central Venous Catheter-Associated Thrombosis in Children after Congenital Heart Surgery

by Hanfang Deng1,2, Zhimin Yang1, Wenlan Zhang3, Zhuomin Xu1, Lin Chen1, Yueyue Zhang1, Li Yuan1,*, Wenyi Luo4,*

1 Department of Cardiothoracic Surgery, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China
2 School of Nursing, Shanghai Jiao Tong University, Shanghai, 200025, China
3 Intensive Care of Unit, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China
4 Department of Nursing, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China

* Corresponding Authors: Li Yuan. Email: email; Wenyi Luo. Email: email

Congenital Heart Disease 2024, 19(6), 603-615. https://doi.org/10.32604/chd.2025.057681

Abstract

Objective: To investigate the status and influencing factors of central venous catheter-associated thrombosis in children after congenital heart surgery and to provide evidence for preventive measures. Methods: From January 2024 to March 2024, hospitalized children with central venous catheters (CVC) in the Shanghai Grade III Children’s Hospital intensive care unit were selected. Catheter-related thrombosis (CRT) was evaluated using bedside ultrasound technology combined with visible thrombus after CVC extraction, dividing the patients into the thrombus and non-thrombus groups. Univariate and LASSO regression analyses were used to analyze the factors influencing CRT in children after congenital heart surgery, and binary logistic regression was used to analyze the risk factors. Results: 229 children were included, of which 24 (10.48%) had CRT. Binary logistic regression analysis showed that time of vasoconstrictor use >one day, sedation and analgesia time, and flushing the CVC with saline were the risk factors for CRT in children after congenital heart surgery. Conclusion: The incidence of CRT is higher in children after congenital heart surgery. The medical staff can formulate targeted intervention measures based on the corresponding risk factors to reduce the incidence of CRT.

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APA Style
Deng, H., Yang, Z., Zhang, W., Xu, Z., Chen, L. et al. (2024). Analysis of risk factors for central venous catheter-associated thrombosis in children after congenital heart surgery. Congenital Heart Disease, 19(6), 603–615. https://doi.org/10.32604/chd.2025.057681
Vancouver Style
Deng H, Yang Z, Zhang W, Xu Z, Chen L, Zhang Y, et al. Analysis of risk factors for central venous catheter-associated thrombosis in children after congenital heart surgery. Congeni Heart Dis. 2024;19(6):603–615. https://doi.org/10.32604/chd.2025.057681
IEEE Style
H. Deng et al., “Analysis of Risk Factors for Central Venous Catheter-Associated Thrombosis in Children after Congenital Heart Surgery,” Congeni. Heart Dis., vol. 19, no. 6, pp. 603–615, 2024. https://doi.org/10.32604/chd.2025.057681



cc Copyright © 2024 The Author(s). Published by Tech Science Press.
This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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