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Outcomes following port-a-catheter placement in the Medicare population

BACKGROUND: We aimed to evaluate the long-term complication profile associated with port-a-catheter placement. METHODS: Patients undergoing port-a-catheter placement from 2007 to 2012 with 5-year follow up were identified. Descriptive statistics, χ(2) tests, and multivariate regression models were a...

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Autores principales: Khalid, Syed I., Maasarani, Samantha, Shanker, Rachyl M., Wiegmann, Aaron Lee, Wu, Rita, Skertich, Nicholas J., Terranella, Samantha L., DeCesare, Laura, Chan, Edie Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077681/
https://www.ncbi.nlm.nih.gov/pubmed/33937739
http://dx.doi.org/10.1016/j.sopen.2020.10.002
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author Khalid, Syed I.
Maasarani, Samantha
Shanker, Rachyl M.
Wiegmann, Aaron Lee
Wu, Rita
Skertich, Nicholas J.
Terranella, Samantha L.
DeCesare, Laura
Chan, Edie Y.
author_facet Khalid, Syed I.
Maasarani, Samantha
Shanker, Rachyl M.
Wiegmann, Aaron Lee
Wu, Rita
Skertich, Nicholas J.
Terranella, Samantha L.
DeCesare, Laura
Chan, Edie Y.
author_sort Khalid, Syed I.
collection PubMed
description BACKGROUND: We aimed to evaluate the long-term complication profile associated with port-a-catheter placement. METHODS: Patients undergoing port-a-catheter placement from 2007 to 2012 with 5-year follow up were identified. Descriptive statistics, χ(2) tests, and multivariate regression models were analyzed. RESULTS: Any complication occurring within 5 years postoperatively was common (59.04%, n = 53,353). Arrhythmogenic (32.66%, n = 30,625) and thrombovascular (36.80%, n = 34,499) complications were more common than infection (17.86%, n = 16,745) and mechanical (10.31%, n = 9,670) complications. Multivariate analysis demonstrated that history of atrial fibrillation is a risk factor for developing any complication (odds ratio 7.99, 95% confidence interval 7.29–8.77). CONCLUSION: Patients with history of atrial fibrillation have increased odds of developing infectious, thrombovascular, mechanical, and arrhythmogenic complications with port-a-catheter placement. This study is the first to show that postprocedure arrhythmias occur at significant rates within the 5-year follow-up period. We caution that development of new arrhythmia should be monitored throughout a prolonged follow-up period. We hope our analysis encourages multidisciplinary coordination of patients with ports so that implants are promptly removed when they are no longer needed to avoid these complications.
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spelling pubmed-80776812021-04-29 Outcomes following port-a-catheter placement in the Medicare population Khalid, Syed I. Maasarani, Samantha Shanker, Rachyl M. Wiegmann, Aaron Lee Wu, Rita Skertich, Nicholas J. Terranella, Samantha L. DeCesare, Laura Chan, Edie Y. Surg Open Sci Article BACKGROUND: We aimed to evaluate the long-term complication profile associated with port-a-catheter placement. METHODS: Patients undergoing port-a-catheter placement from 2007 to 2012 with 5-year follow up were identified. Descriptive statistics, χ(2) tests, and multivariate regression models were analyzed. RESULTS: Any complication occurring within 5 years postoperatively was common (59.04%, n = 53,353). Arrhythmogenic (32.66%, n = 30,625) and thrombovascular (36.80%, n = 34,499) complications were more common than infection (17.86%, n = 16,745) and mechanical (10.31%, n = 9,670) complications. Multivariate analysis demonstrated that history of atrial fibrillation is a risk factor for developing any complication (odds ratio 7.99, 95% confidence interval 7.29–8.77). CONCLUSION: Patients with history of atrial fibrillation have increased odds of developing infectious, thrombovascular, mechanical, and arrhythmogenic complications with port-a-catheter placement. This study is the first to show that postprocedure arrhythmias occur at significant rates within the 5-year follow-up period. We caution that development of new arrhythmia should be monitored throughout a prolonged follow-up period. We hope our analysis encourages multidisciplinary coordination of patients with ports so that implants are promptly removed when they are no longer needed to avoid these complications. Elsevier 2020-11-11 /pmc/articles/PMC8077681/ /pubmed/33937739 http://dx.doi.org/10.1016/j.sopen.2020.10.002 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Khalid, Syed I.
Maasarani, Samantha
Shanker, Rachyl M.
Wiegmann, Aaron Lee
Wu, Rita
Skertich, Nicholas J.
Terranella, Samantha L.
DeCesare, Laura
Chan, Edie Y.
Outcomes following port-a-catheter placement in the Medicare population
title Outcomes following port-a-catheter placement in the Medicare population
title_full Outcomes following port-a-catheter placement in the Medicare population
title_fullStr Outcomes following port-a-catheter placement in the Medicare population
title_full_unstemmed Outcomes following port-a-catheter placement in the Medicare population
title_short Outcomes following port-a-catheter placement in the Medicare population
title_sort outcomes following port-a-catheter placement in the medicare population
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077681/
https://www.ncbi.nlm.nih.gov/pubmed/33937739
http://dx.doi.org/10.1016/j.sopen.2020.10.002
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