Matches in SemOpenAlex for { <https://semopenalex.org/work/W4254202323> ?p ?o ?g. }
Showing items 1 to 44 of
44
with 100 items per page.
- W4254202323 endingPage "1796" @default.
- W4254202323 startingPage "1791" @default.
- W4254202323 abstract "<h3>Background:</h3> Tunneled central venous catheters (CVCs) and infusion ports have often been considered as the only safe alternative for long-term venous access. The objective of this study was to assess the durability, cost, and infection rate of nontunneled, noncuffed Silastic CVCs. <h3>Methods:</h3> We studied a representative cohort of 340 consecutive cancer patients with 359 nontunneled Silastic CVCs inserted and followed up at our center. All patients were evaluated clinically and microbiologically at the time of CVC removal. <h3>Results:</h3> The mean in-place duration of the catheter for the 359 nontunneled CVCs studied was 109 days (total, 39 147 days of catheter use), and the infection rate was 0.13 per 100 catheter days. When compared with the tunneled Hickman catheter, the insertion cost saving was at least $2322 per CVC. At our institution, the use of nontunneled Silastic catheters with the support of an expert infusion team has resulted in an annual cost saving of at least $7 692 000. Long peripheral CVCs (in the basilic/cephalic vein) had a 26% rate of inflammation at the insertion site compared with only 2.6% for the short subclavian CVCs (<i>P</i><.01). Most of the exit-site inflammations were sterile, with negative skin and catheter cultures. Neutropenia, bone marrow transplantation, high-dose steroids, and use of vesicant chemotherapeutic agents through the CVC did not predispose the patients to catheter infection. By univariate analysis, acute leukemia was the only risk factor for catheter infection. <h3>Conclusions:</h3> Given the low infection rate and long durability of nontunneled silicone CVCs, these catheters could offer a cost-effective and safe alternative to surgically implantable tunneled catheters. (Arch Intern Med. 1993;153:1791-1796)" @default.
- W4254202323 created "2022-05-12" @default.
- W4254202323 creator A5033841614 @default.
- W4254202323 date "1993-08-09" @default.
- W4254202323 modified "2023-10-16" @default.
- W4254202323 title "Low infection rate and long durability of nontunneled silastic catheters. A safe and cost-effective alternative for long-term venous access" @default.
- W4254202323 doi "https://doi.org/10.1001/archinte.153.15.1791" @default.
- W4254202323 hasPublicationYear "1993" @default.
- W4254202323 type Work @default.
- W4254202323 citedByCount "24" @default.
- W4254202323 countsByYear W42542023232014 @default.
- W4254202323 countsByYear W42542023232017 @default.
- W4254202323 crossrefType "journal-article" @default.
- W4254202323 hasAuthorship W4254202323A5033841614 @default.
- W4254202323 hasConcept C141071460 @default.
- W4254202323 hasConcept C2781267111 @default.
- W4254202323 hasConcept C42219234 @default.
- W4254202323 hasConcept C71924100 @default.
- W4254202323 hasConcept C87396502 @default.
- W4254202323 hasConceptScore W4254202323C141071460 @default.
- W4254202323 hasConceptScore W4254202323C2781267111 @default.
- W4254202323 hasConceptScore W4254202323C42219234 @default.
- W4254202323 hasConceptScore W4254202323C71924100 @default.
- W4254202323 hasConceptScore W4254202323C87396502 @default.
- W4254202323 hasIssue "15" @default.
- W4254202323 hasLocation W42542023231 @default.
- W4254202323 hasOpenAccess W4254202323 @default.
- W4254202323 hasPrimaryLocation W42542023231 @default.
- W4254202323 hasRelatedWork W1586374228 @default.
- W4254202323 hasRelatedWork W2003938723 @default.
- W4254202323 hasRelatedWork W2044182560 @default.
- W4254202323 hasRelatedWork W2047967234 @default.
- W4254202323 hasRelatedWork W2118496982 @default.
- W4254202323 hasRelatedWork W2364998975 @default.
- W4254202323 hasRelatedWork W2369162477 @default.
- W4254202323 hasRelatedWork W2439875401 @default.
- W4254202323 hasRelatedWork W4238867864 @default.
- W4254202323 hasRelatedWork W2525756941 @default.
- W4254202323 hasVolume "153" @default.
- W4254202323 isParatext "false" @default.
- W4254202323 isRetracted "false" @default.
- W4254202323 workType "article" @default.