title: [Retrospective evaluation of predictors and risks of multiple puncture in central venous catheterization].
abstract: BACKGROUND
  It has been reported that multiple puncture more than or equal to 3 times is a factor associated with the development of CVC-related complications. The present retrospective study was undertaken to evaluate the predictors and risks of multiple puncture during the insertion of CVC.
  
  
  METHODS
  After the IRB approval, 1296 patients who underwent CVC in the operating room were enrolled. Data were collected using CVC report and the medical charts. Multiple puncture was defined as the puncture performed more than or equal to three times during the insertion of CVC. Univariate and multivariate logistic regression analysis were performed to assess the predictors of multiple puncture during the CVC insertion.
  
  
  RESULTS
  Univariate analysis revealed that age less than 6 years, complications during insertion and the way to use ultrasound echo were associated with multiple puncture. Multivariate analysis also revealed that age less than 6 years was a significant predictor for multiple puncture (odds ratio 2.08, 95% CI 1.01-4.29).
  
  
  CONCLUSIONS
  The results of the study indicate that the age less than 6 years is a significant predictor for multiple puncture during the CVC insertion.
authors.affiliation: Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Ida
authors.affiliation: Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
authors.forename: Yuu
authors.initials: Y
authors.lastname: Tanaka
authors.affiliation: Division of Intensive Care, Nara Medical University, Kashihara 634-8522.
authors.forename: Yasunobu
authors.initials: Y
authors.lastname: Kawano
authors.affiliation: Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
authors.forename: Satoki
authors.initials: S
authors.lastname: Inoue
authors.affiliation: Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Furuya
authors.affiliation: Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kawaguchi
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods; D002648:Child; D005260:Female; D005544:Forecasting; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects* / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012306:Risk; D014463:Ultrasonography / Q000379:methods