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A prospective observational study on 249 subcutaneous central vein access ports in a Swedish county hospital
Ryhov County Hospital, Sweden .
Linköping University, Department of Medical and Health Sciences, Thoracic Surgery. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Thoracic and Vascular Surgery in Östergötland.
Ryhov County Hospital, Sweden .
Linköping University, Department of Clinical and Experimental Medicine, Infectious Diseases. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Infectious Diseases in Östergötland.
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2013 (English)In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 52, no 5, 893-901 p.Article in journal (Refereed) Published
Abstract [en]

Background. Reliable central vein access is a fundamental issue in modern advanced oncological care. The aim of this study was to determine the incidence of complications and patient perception regarding central vein access ports. Methods. We prospectively studied 249 single lumen access ports implanted between 1 July 2008 and 15 March 2010 in a mixed patient population at a 500-bed secondary level hospital in Sweden. We determined the number of catheter days, infection rate and mechanical complications, as well as patient satisfaction regarding the access port, over a six-month follow-up period. Results. Two hundred and forty-four different patients received 249 ports yielding a total of 37 763 catheter days. Ultrasound and fluoroscopic guidance was used in 98% of procedures. Vein access was obtained percutanously by an anaesthesiologist in all cases. There was no case of pneumo- or haemothorax. The incidence of catheter-related bloodstream infection, was 0.05/1000 catheter days and the incidence of pocket/tunnel infection was 0.39/1000 catheter days. Clinically apparent deep vein thrombosis occurred in four patients (1.6%). Patient satisfaction was overall high. Conclusion. These results confirm that our team-based approach with written easily accessible evidence-based guidelines and a structured education programme leads to a very low complication rate and a high degree of patient satisfaction.

Place, publisher, year, edition, pages
Informa Healthcare , 2013. Vol. 52, no 5, 893-901 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-93959DOI: 10.3109/0284186X.2013.770601ISI: 000318655300003OAI: oai:DiVA.org:liu-93959DiVA: diva2:628291
Note

Funding Agencies|Futurum - the Academy for Healthcare, Jonkoping County Council, Jonkoping, Sweden||

Available from: 2013-06-13 Created: 2013-06-13 Last updated: 2017-12-06

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Berg, SörenHanberger, Håkan

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Thoracic SurgeryFaculty of Health SciencesDepartment of Thoracic and Vascular Surgery in ÖstergötlandInfectious DiseasesDepartment of Infectious Diseases in Östergötland
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