Incidence and risk factors of subclinical umbilical catheter-related thrombosis in neonates.

Abstract:

INTRODUCTION:This study aimed to determine the risk factors for subclinical umbilical catheter-related thrombosis (UCRT) and its association with clinical morbidities. MATERIALS AND METHODS:In infants without any symptoms associated with umbilical catheterization, the presence of thrombosis was monitored using abdominal ultrasonography within 1 week after umbilical catheter removal. The association between UCRT and the clinical variables was analyzed by comparing the groups with and without UCRT. RESULTS:UCRT occurred in 26 (19.0%) of 137 infants. The relative incidence rate of thrombosis was 12.3% at the umbilical artery and 21.7% at the umbilical vein. However, the type of umbilical vessels with a catheter was not associated with thrombosis (P = 0.095). Subclinical UCRT was associated with high serum calcium concentration in the multivariate analysis (95% confidence interval, 1.26-15.32; P = 0.020). UCRT was resolved within 3 weeks in 13 infants (50.0%), although the thrombosis persisted for up to 2 months in 2 infants (7.7%). We found no significant association between the subclinical UCRT and the neonatal morbidities in preterm infants. CONCLUSIONS:Though a rare cause of thrombosis, hypercalcemia should be considered in the assessment of infants with subclinical UCRT, and calcium levels should be routinely checked in infants with umbilical catheters.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Hwang JH,Chung ML,Lim YJ

doi

10.1016/j.thromres.2020.05.034

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

21-25

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(20)30206-1

journal_volume

194

pub_type

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