Upper extremity deep venous thrombosis after port insertion: What are the risk factors?

Background Totally implantable venous access devices (ports) are widely used, especially for cancer chemotherapy. Although their use has been associated with upper extremity deep venous thrombosis, the risk factors of upper extremity deep venous thrombosis in patients with a port are not studied ade...

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Bibliographic Details
Published in:Surgery 2017-08, Vol.162 (2), p.437-444
Main Authors: Tabatabaie, Omidreza, MD, MPH, Kasumova, Gyulnara G., MD, Kent, Tara S., MD, Eskander, Mariam F., MD, MPH, Fadayomi, Ayotunde B., MBBS, MPH, Ng, Sing Chau, MS, Critchlow, Jonathan F., MD, Tawa, Nicholas E., MD, PhD, Tseng, Jennifer F., MD, MPH
Format: Article
Language:English
Subjects:
Aged
Antineoplastic Agents - administration & dosage
Female
Florida
Humans
Infusion Pumps, Implantable - adverse effects
Logistic Models
Male
Middle Aged
Neoplasms - complications
Neoplasms - drug therapy
Neoplasms - pathology
Retrospective Studies
Risk Factors
Surgery
Upper Extremity Deep Vein Thrombosis - diagnosis
Upper Extremity Deep Vein Thrombosis - etiology
Vascular Access Devices - adverse effects
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Summary:Background Totally implantable venous access devices (ports) are widely used, especially for cancer chemotherapy. Although their use has been associated with upper extremity deep venous thrombosis, the risk factors of upper extremity deep venous thrombosis in patients with a port are not studied adequately. Methods The Healthcare Cost and Utilization Project's Florida State Ambulatory Surgery and Services Database was queried between 2007 and 2011 for patients who underwent outpatient port insertion, identified by Current Procedural Terminology code. Patients were followed in the State Ambulatory Surgery and Services Database, State Inpatient Database, and State Emergency Department Database for upper extremity deep venous thrombosis occurrence. The cohort was divided into a test cohort and a validation cohort based on the year of port placement. A multivariable logistic regression model was developed to identify risk factors for upper extremity deep venous thrombosis in patients with a port. The model then was tested on the validation cohort. Results Of the 51,049 patients in the derivation cohort, 926 (1.81%) developed an upper extremity deep venous thrombosis. On multivariate analysis, independently significant predictors of upper extremity deep venous thrombosis included age
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2017.02.020