Scholarlink

Background <p>Accidental removal of dialysis central venous catheters is a potentially life-threatening complication in hemodialysis patients. This study investigated the incidence, risk factors, and outcomes of accidental catheter removal in a community hospital setting.</p> Methods <p>We conducted a retrospective analysis of patients who received dialysis central venous catheter insertions at our community hospital in Fukushima, Japan, from January 2015 to December 2023. We evaluated catheter insertions and removals; reviewed patient characteristics, catheter specifications, and clinical outcomes; and assessed the effectiveness of safety protocols implemented during the study period.</p> Results <p>We identified 2456 catheter insertions and 40 removal events&#xa0;(1.6%) among 39 patients (median age 81&#xa0;years, 51.4% female). Cognitive impairment was present in 75.0% of documented cases. The overall removal rate was 1.5%, with higher rates in non-cuffed catheters (1.7%) than cuffed catheters (1.0%). Insertion sites included internal jugular (62.2%), femoral (35.1%), and subclavian (2.7%). Three fatal cases occurred with femoral catheters between 2016 and 2017, all during nighttime. No fatalities occurred after implementing comprehensive safety measures in 2020.</p> Conclusions <p>In this community hospital, accidental catheter removal occurred at a rate of 1.5%, with potentially fatal outcomes particularly among patients with femoral catheters. Comprehensive safety measures effectively prevented fatal events, although non-fatal removals persisted.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Accidental removal of dialysis central venous catheters: 9-year experience and prevention strategies in a Japanese community hospital

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年6月20日

查看全文
  • Soki Urushibara,
  • Akemi Hara,
  • Hirose Nakamoto,
  • Haruhisa Ozawa,
  • Yuki Nemoto,
  • Shun Watanabe,
  • Ryo Ohata,
  • Takuto Sakai,
  • Toyoaki Sawano,
  • Akihiko Ozaki,
  • Tomohiro Kurokawa,
  • Masayuki Okazaki,
  • Yukiko Kouchi,
  • Yutaka Tamada,
  • Naoto Yoshida,
  • Tetsuya Tanimoto,
  • Fumito Yamabe,
  • Junpei Iizuka,
  • Toshio Takagi,
  • Motoshi Hattori,
  • Hiroshi Kawaguchi,
  • Hiroaki Shimmura

摘要

Background

Accidental removal of dialysis central venous catheters is a potentially life-threatening complication in hemodialysis patients. This study investigated the incidence, risk factors, and outcomes of accidental catheter removal in a community hospital setting.

Methods

We conducted a retrospective analysis of patients who received dialysis central venous catheter insertions at our community hospital in Fukushima, Japan, from January 2015 to December 2023. We evaluated catheter insertions and removals; reviewed patient characteristics, catheter specifications, and clinical outcomes; and assessed the effectiveness of safety protocols implemented during the study period.

Results

We identified 2456 catheter insertions and 40 removal events (1.6%) among 39 patients (median age 81 years, 51.4% female). Cognitive impairment was present in 75.0% of documented cases. The overall removal rate was 1.5%, with higher rates in non-cuffed catheters (1.7%) than cuffed catheters (1.0%). Insertion sites included internal jugular (62.2%), femoral (35.1%), and subclavian (2.7%). Three fatal cases occurred with femoral catheters between 2016 and 2017, all during nighttime. No fatalities occurred after implementing comprehensive safety measures in 2020.

Conclusions

In this community hospital, accidental catheter removal occurred at a rate of 1.5%, with potentially fatal outcomes particularly among patients with femoral catheters. Comprehensive safety measures effectively prevented fatal events, although non-fatal removals persisted.