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Title: Risk factors of vascular accesses complications in patients treated in intensive care unit

Abstract:

Modern intensive therapy and care could not exist without a certain and permanent vascular access. However the procedure of establishing and maintaining a cannula is associated with the risk of complications. The aim of the study was to assess the risk factors for complications of vascular access among patients treated in Anaesthesiology and Intensive Care Unit. The study was conducted in 11-bed multi-profile Anaesthesiology and Intensive Care Unit. The study used retrospective analysis of individual and collective medical documentation. Statistical analysis was performed using STATISTICA 10 PL. The statistical inference was performed with significance level of α=0,05. For 1742 established vascular accesses, complications occurred in 411 cases. The most frequent reason for decannulation was suspected case of infection, cannula obstruction and accidental removal of catheter. The incidence of complications among peripheral venous cannula differed significantly from the average rate of complications for all types of intravascular accesses. The incidence of complications significantly depended on the maintenance of the catheter in a central venous and arterial vessel. The complication rate increased linearly with the number of manipulations. Decompensation of chronic respiratory failure, duration of stay in the Anaesthesiology and Intensive Care Unit, hospitalization time positively correlated with the occurrence of complications, and the average number of actions taken in the TISS-28 negatively.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

opieka intensywna

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Nauk o Zdrowiu.

Promoter:

Agnieszka Gniadek

Date issued:

2017

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:4227

Call number:

ZB-127388

ControlNumberVIRTUA:

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Language:

pol

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

Mar 20, 2018

In our library since:

Mar 20, 2018

Number of object content hits:

10

Number of object content views in PDF format

10

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4228

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ZB-127388 Mar 20, 2018
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