Thrombotic risk factors in patients undergoing chemotherapy via peripherally inserted central catheter.
OBJECTIVE
To evaluate risk factors for venous thrombosis in patients undergoing chemotherapy via peripherally inserted central catheter (PICC).


METHODS
Data regarding age, sex, body mass index (BMI), smoking history, diagnosis, medical history, family history of thrombosis, haemoglobin level, and white blood cell (WBC) and platelet counts were prospectively collected from consecutively recruited patients. Patients were evaluated using six thrombotic risk-assessment scales prior to PICC. Assessments of the general venous system and the catheterized vein and limb were made. Deep vein thrombosis (DVT) was diagnosed by colour Doppler ultrasonography. Thrombosis risk factors were identified by logistic regression analysis.


RESULTS
Thrombosis occurred in 12/188 patients (6.38%). Age >60 years, BMI >25 kg/m(2) and WBC >11.4 × 10(9)/l were identified as independent risk factors for thrombosis. The incidence of thrombosis was 16.6% (12/72) in patients with one or more risk factors, and 55.5% (five of nine) in those with two or more risk factors.


CONCLUSIONS
Age >60 years, BMI >25 kg/m(2) and WBC >1.4 × 10(9)/l are major risk factors for thrombosis in Chinese patients undergoing PICC chemotherapy.
Department of Surgical Oncology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yulan
Y
Shi
Department of Surgical Oncology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Li
L
Wen
Department of Surgical Oncology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yanyan
Y
Zhou
Department of Surgical Oncology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China taosifeng@aliyun.com.
Sifeng
S
Tao
D000328:Adult; D000367:Age Factors; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D015992:Body Mass Index; D002406:Catheterization, Peripheral; D002408:Catheters, Indwelling; D002681:China; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D007962:Leukocytes / Q000473:pathology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D018570:Risk Assessment; D012307:Risk Factors; D020246:Venous Thrombosis / Q000150:complications / Q000188:drug therapy / Q000473:pathology*
D000970:Antineoplastic Agents
Peripherally inserted central catheter; chemotherapy; risk factors; thrombosis