Occurrence and Risk Factors for Unplanned Central Venous Catheter Removal in Critically Ill Patients: A Multicenter Cohort Study

Xiaofeng He, Chunlei Li, Zhe Wang, Mayi Yang, Tianjun Zhou, Ying Gu, Yuxia Zhang, Wenchao Wang, Wenyan Pan and Yan Hu

Nursing Research and Practice, 2025, vol. 2025, 1-10

Abstract: Background: Central venous catheters (CVCs) are crucial for critically ill patients but pose risks of complications and unplanned removal, which can interrupt treatment, prolong hospital stays, and increase mortality. This investigation sought to examine the occurrence and risk factors for unplanned CVC removal among intensive care patients in China.Methods: A multicenter cohort study was conducted across 22 public tertiary hospitals throughout China, from September 4, 2023, to February 29, 2024, enrolling critically ill patients with CVCs. Cox proportional hazards regression models were used to assess the risk factors for unplanned CVC removal.Results: The study comprised a total of 2680 first-time CVC insertion events (one per patient) in critically ill patients. 1151 (42.95%) CVCs were removed; most (n = 832, 31.04%) were elective. A total of 153 CVCs were removed prematurely (5.71%; 95% CI: 4.84–6.68), and infection-related complication was the leading cause (n = 124, 4.63%; 95% CI: 3.85–5.50; 5.26 per 1000 CVC days). Independent risk factors included male gender (HR, 2.04; 95% CI: 1.40–2.99; p 0.05). No significant interactions were found between gender and diagnosis, mechanical ventilation, or urgent insertion (all p>0.05.Conclusions: Unplanned CVC removal occurred in 5.71% of cases, primarily due to infection. Identified risk factors (male gender, neurological disorders, and mechanical ventilation) and protective factors (urgent insertion) highlight targets for preventive strategies in critical care.

Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
http://downloads.hindawi.com/journals/nrp/2025/7640284.pdf (application/pdf)
http://downloads.hindawi.com/journals/nrp/2025/7640284.xml (application/xml)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hin:jnlnrp:7640284

DOI: 10.1155/nrp/7640284

Access Statistics for this article

More articles in Nursing Research and Practice from Hindawi
Bibliographic data for series maintained by Mohamed Abdelhakeem ().