Contrast media extravasation injury: a prospective observational cohort study.
Contrast media
Extravasation
Moderate extravasation injury
Risk factor
Journal
European journal of medical research
ISSN: 2047-783X
Titre abrégé: Eur J Med Res
Pays: England
ID NLM: 9517857
Informations de publication
Date de publication:
25 Oct 2023
25 Oct 2023
Historique:
received:
16
05
2023
accepted:
11
10
2023
medline:
27
10
2023
pubmed:
26
10
2023
entrez:
26
10
2023
Statut:
epublish
Résumé
To identify the risk factors for moderate and severe contrast media extravasation and provide effective guidance to reduce the degree of extravasation injuries. We observed 224 adult patients who underwent contrast media extravasation at Xiangya Hospital of Central South University, Hunan Provincial Maternal and Child Healthcare Hospital, and Xiangya Changde Hospital, Hunan Province between January 1, 2018 and December 31, 2022. Risk factors for moderate extravasation injuries were evaluated using univariate and multivariate logistic regression. Among 224 patients, 0 (0%) had severe, 18 (8.0%) had moderate, and 206 (92.0%) had mild contrast media extravasation injury. Multivariate logistic regression analysis revealed malignant tumors (odds ratio [OR] = 6.992, 95% confidence interval [CI]: 1.674-29.208), Iohexol (OR = 9.343, 95% CI 1.280-68.214), large-volume (> 50 mL) extravasation (OR = 5.773, 95% CI 1.350‒24.695), and injection site (back of the hand) (OR = 13.491, 95% CI 3.056-59.560) as independent risk factors for moderate injury. Risk factors for moderate contrast media extravasation injury are malignant tumors, iohexol, large-volume (> 50 mL) extravasation, and back-of-the-hand injection. Analysis of these risk factors can help reduce the degree of injury after extravasation. High-risk patients with extravasation support should choose the appropriate contrast media type, avoiding back-of-the-hand injections. We recommend that patients with cancer be implanted with a high-pressure resistant central venous catheter and receive effective measures to timely detect and reduce extravasation.
Identifiants
pubmed: 37880738
doi: 10.1186/s40001-023-01444-5
pii: 10.1186/s40001-023-01444-5
pmc: PMC10598951
doi:
Substances chimiques
Contrast Media
0
Iohexol
4419T9MX03
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
458Subventions
Organisme : the Training Plan for Young Excellent Scientific and Technological Workers of Hunan Provincial Science and Technology Talent Promotion Project
ID : 2022TJ-N20
Organisme : and the Key Research Project of Ningxia Hui Autonomous Region in 2021 (Major Project)
ID : 2021BEG01001
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
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