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Factors Associated with Central Venous Catheterization in Cancer Patients

암환자의 중심정맥관 삽입 예측요인

  • Park, Jeong-Yun (Department of Clinical Nursing, University of Ulsan) ;
  • Park, Yeon-Hwan (College of Nursing, Research Institute of Nursing Science, Seoul National University)
  • 박정윤 (울산대학교 임상전문간호학) ;
  • 박연환 (서울대학교 간호학과.서울대학교 간호과학연구소)
  • Received : 2010.09.20
  • Accepted : 2011.01.12
  • Published : 2011.02.28

Abstract

Purpose: The purpose of this study was to identify the types of venous access devices (VAD) for cancer patients and investigate the factors related to the insertions of central venous catheter (CVC) in cancer patients. Methods: The subjects were 379 cancer patients. A retrospective review of all patients who were discharged from a cancer unit from November 1st to 21st in 2008 was done using a structured questionnaire. Results: A total of 82 CVC (21.6%) was inserted among 379 patients for administering anticancer therapy. There were statistically significant differences in age, length of stay (LOS), cumulative LOS, medical department, history of CVC insertion, cancer category, and albumin level between patients using peripheral intravenous (IV) catheters and CVC. In addition, factors influencing the use of CVC were LOS (odds ratio [OR]=0.286, confidence interval [CI]=1.043-1.124), history of CVC insertion (OR=3.920, CI=0.128-0.637), albumin level (OR=1.010, CI=1.879-8.179), cumulative LOS (OR=1.010, CI=1.001-1.018), and hematological diseases (OR=4.863, CI=2.162-10.925). Conclusion: We found that central venous catheterization for anticancer therapy was minimal even though CVC was safe and effective device for IV access. It is necessary to develop a strategy to use VADs efficiently and timely for cancer patients.

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