Akademik Veri Yönetim Sistemi
24th EUPSA CONGRESS, İzmir, Türkiye, 7 - 10 Haziran 2023, ss.55
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.