Incidence and Risk Factors of Accidental Removal of Femoral Venous Catheter in Pediatric Patients

Abstract

Incidence and Risk Factors of Accidental Removal of Femoral Venous Catheter in Pediatric Patients

Manutham Manavathongchai MD

Payon Boonyarittipong MD

Department of Pediatrics, BMA Medical College and Vajira Hospital

Objective: To determine the incidence and risk factors of accidental removal of femoral venous catheter in pediatric patients.

Study design: Descriptive study.

Subjects: A total of 69 pediatric patients who underwent femoral venous catheterization at the Department of Pediatrics, BMA Medical College and Vajira Hospital during August 2005 to July 2007 were recruited.

Methods: Data from medical records of the enrolled subjects were recorded and analyzed.

Main outcome measures: Incidence and risk factors of accidental removal of femoral venous catheter.

Results: Age of the patients ranged from 9 days to 2.8 years (median 2 months). Incidence of accidental removal of femoral venous catheter was 23.2%. Disruption of the securing stitches was the significant risk factor for an accidental removal of femoral venous catheter (odds ratio 34.2; 95% confidence interval: 6.6-177.5). Factors tended to be associated with this event but without statistical significance were: age less than 1 year, body weight less than 3 kg, and the duration of catheterization longer than 15 days.

Conclusion: The incidence of accidental removal of femoral venous catheter in pediatric patients was 23.2%. Disruption of the securing stitches was a significant risk factor associated with accidental catheter removal.

Vajira Med J 2008 ; 52 : 23 - 29