Assessment of the Incidence of Mechanical Complication of Central Line Placement and Associated Factors at Different Health Institutions in Addis Ababa, Ethiopia, 2021.

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Date

2021-11

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Addis Ababa University

Abstract

Background Central venous catheters (CVC) are an essential component of modern medicine. They allow delivery of medications, intravenous fluids, parenteral nutrition, and hemodialysis and monitoring of hemodynamic variables. Placement of central venous catheters is often associated with mechanical, infectious, and thromboembolic complications. Mechanical complications are tissue trauma resulting in vascular, respiratory and cardiac complications as well as device related malfunctions happening In relation to central venous line insertion. Objective To assess the cumulative incidence of central venous line mechanical complications and their associated factors at selected health facilities in Addis Ababa, Ethiopia, 2021 GC. Methods A multi centered facility based cross- sectional study design was conducted at five different centers from May to September 2021.The data was collected using structured questionnaires, dopted from previous study and modified for this study. The data was entered to Epi-data V 5 for cleaning and was exported to SPSS V 25 for analysis. Descriptive analysis and association for the variables were done. Results The overall incidence of CVLMC among our study participants was found to be 49(22%) out of 219 participants. The study also showed increased central line mechanical complication among patients with 2 or more needle punctures at the same site (AOR=14.1 95CI: 3.59-55.28) and among junior proceduralists than consultants (AOR=0.09 95CI: 0.009-0.94). Conclusion: Central venous line mechanical complications rate is higher with multiple same site needle attempts and among junior proceduralists.

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Central venous catheters

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