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    Risk factors for radiologically confirmed VTE in hospitalized pediatric patientsless than 1 year of age

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    PHR_2020_Poster_Group34.pdf
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    Author
    Evans, Nate
    Shumway, Cody
    Webb, Aaron
    Affiliation
    College of Pharmacy, The University of Arizona
    Issue Date
    2020
    Keywords
    radiologically
    pediatric patients
    Phoenix Children’s Hospital (PCH)
    venous thromboembolism (VTE)
    neonates
    infants
    central venous catheters
    Pediatric Health Information System (PHIS)
    MeSH Subjects
    venous thromboembolism
    infants
    central venous catheters
    Advisor
    Slack, Marion
    Kurz, Rhonda
    
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    Copyright © is held by the author.
    Collection Information
    This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
    Publisher
    The University of Arizona.
    Abstract
    Specific Aims Healthcare providers at Phoenix Children's Hospital (PCH) perceived an increase in rates of venous thromboembolism (VTE) in neonates and infants. This study aimed to identify the rate of VTE at PCH and compare to other pediatric institutions. Secondarily this study aimed to identify risk factors for VTE for all patients with central venous catheters at PCH. Methods An IRB approved retrospective chart review including inpatients < 1 year of age who underwent CVC placement or developed VTE was conducted. Patient demographics, characteristics of CVC, and known co-morbidities and risk variables were collected along with rates of VTE for infants < 1 year of age Pediatric Health Information System (PHIS) database for comparison. A Chi2 Test was used for comparison of VTE rates and multivariate logistic regression for risk factors/ characteristics of CVC analysis. Main Results The VTE rate was found to be 1.3257 per 1000 patient days, which was higher than 37 of 52 centers. In 100% of VTE cases a CVC was present. Presence of congenital heart disease(CHD) was found in 56% of cases with a significantly increased risk of VTE (OR=2.718, 95% CI: 1.12-6.52). Analysis of the size of CVC related to VTE demonstrated CVCs ? 4 French were associated with an increased frequency of VTE compared to CVCs ? 3 French (OR=19.2, 95% CI: 2.1-3.8). Conclusions The rate of VTE for this patient population warrants further attention and venous diameter measurements need to be performed and documented.
    Description
    Class of 2020 Abstract and Poster
    Collections
    Pharmacy Student Research Projects

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