THE EFFECT OF BODY MASS INDEX ON PERMANENT TUNNELED INTRAVASCULAR CATHETER COMPLICATIONS IN PEDIATRIC PATIENTS


Ulusoy O., Aydın E., Kural C., Ateş O., Hakgüder F. G., Olguner M., ...More

24th EUPSA CONGRESS, İzmir, Turkey, 7 - 10 June 2023, pp.55

  • Publication Type: Conference Paper / Summary Text
  • City: İzmir
  • Country: Turkey
  • Page Numbers: pp.55
  • Dokuz Eylül University Affiliated: Yes

Abstract

Aim: Permanent tunneled intravascular catheters (PTIC) are increasingly used in children. Although the effects of body mass index (BMI) on complications in different surgical procedures in children have been studied, there is no study evaluating the effects of BMI on management of PTIC. Herein, we aimed to evaluate the correlation between BMI and complications seen in children with PTIC.

Methods: Patients who underwent PTIC placement between 2006 and 2022 were analyzed retrospectively. Demographic characteristics, underlying diseases, catheter indications, surgical reports, BMI values and complications were evaluated. BMI values were evaluated in five groups according to percentile (p) ranges. Results were statistically analyzed and a p-value <0,05 was considered statistically significant.

Results: 400 patients were included in the study – 182 female (45.5 %) and 218 male (54.5 %). Intravascular catheter line-associated bloodstream infection (CLABSI) and wound infection (WI) were the most common complications. The BMI percentile groups were <3 p, 3-15 p, 15-85 p, 85-97 p and >97 p, containing 26, 26, 259, 58, 31 patients respectively. CLABSI was found to be highest in the <3 p group (13 patients 50 %). As BMI decreased, CLABSI rates have been found to be significantly increased (p <0.001). WI was found to be highest in the >97 p group (17 patients, 44.7 %). WI rates were found significantly higher as the patients BMI increases (p <0.001).

Conclusion: While patients with higher BMI are at more risk of WI, the risk of CLABSI decreases. It appears that BMI has a protective effect on CLABSI.