Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-20Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Beck, Olaf | - |
| dc.contributor.author | Muensterer, Oliver J. | - |
| dc.contributor.author | Hofmann, Sarah | - |
| dc.contributor.author | Rossmann, Heidi | - |
| dc.contributor.author | Poplawski, Alicia | - |
| dc.contributor.author | Faber, Jörg | - |
| dc.contributor.author | Gödeke, Jan | - |
| dc.date.accessioned | 2020-01-24T13:52:46Z | - |
| dc.date.available | 2020-01-24T14:52:46Z | - |
| dc.date.issued | 2019 | - |
| dc.identifier.uri | https://openscience.ub.uni-mainz.de/handle/20.500.12030/22 | - |
| dc.description.abstract | Central venous access devices (CVAD) provide important benefits in the management of oncological pediatric patients. However, these catheters are responsible for severe complications. Methods: In this context, we aimed to analyze all patients receiving a CVAD in the Department of Pediatric Hematology and Oncology of the University hospital of Mainz over a period of 9 years, focused on CVAD related complications. Data on demographics, as well as intraoperative and postoperative complications were extracted. Results: A total of 296 patients with a mean age 93.2 ± 62.4 months were analyzed. The majority suffered from leukemia (n = 91, 30.7%), lymphomas (n = 50, 16.9%), and brain tumors (n = 48, 16.2%). In 63 (21.3) patients, complications were observed. No death caused by complications of CVADs was found in our series. Catheter-related blood stream infections (BSI) (7.4%) were most prevalent, followed by dislodgements (5.4%), occlusions (2.7%), thrombosis (2.4%), and catheter leakage (2.4%). Insertion site infections were observed in three patients (1.0%). Fifty-nine percent of all patients with catheter-related BSI suffered from Leukemia. In patients with Catheter-related BSIs we detected the condition leukemia as the underlying disease as a risk factor compared to solid tumors as the underlying disease. Overall, totally implanted devices (ports) have a lower complication rate than tunneled catheter. Conclusion: Implantation of CVADs seems to be safe and reliable in this large pediatric patient cohort. Even if complications occur in the long-term management of CVADs, they can be treated successfully and long-term catheter survival rates are excellent. | en_GB |
| dc.description.sponsorship | DFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin | - |
| dc.language.iso | eng | - |
| dc.rights | CC BY | de_DE |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
| dc.subject.ddc | 610 Medizin | de_DE |
| dc.subject.ddc | 610 Medical sciences | en_GB |
| dc.title | Central venous access devices (CVAD) in pediatric oncology patients : a single-center retrospective study over more than 9 years | en_GB |
| dc.type | Zeitschriftenaufsatz | de_DE |
| dc.identifier.urn | urn:nbn:de:hebis:77-publ-595199 | - |
| dc.identifier.doi | http://doi.org/10.25358/openscience-20 | - |
| jgu.type.dinitype | article | - |
| jgu.type.version | Published version | en_GB |
| jgu.type.resource | Text | - |
| jgu.organisation.department | FB 04 Medizin | - |
| jgu.organisation.number | 2700 | - |
| jgu.organisation.name | Johannes Gutenberg-Universität Mainz | - |
| jgu.rights.accessrights | openAccess | - |
| jgu.journal.title | Frontiers in Pediatrics | - |
| jgu.journal.volume | 7 | - |
| jgu.pages.alternative | Art. 260 | - |
| jgu.publisher.year | 2019 | - |
| jgu.publisher.name | Frontiers Media | - |
| jgu.publisher.place | Lausanne | - |
| jgu.publisher.uri | http://dx.doi.org/10.3389/fped.2019.00260 | - |
| jgu.publisher.issn | 2296-2360 | - |
| jgu.organisation.place | Mainz | - |
| jgu.subject.ddccode | 610 | - |
| opus.date.accessioned | 2020-01-24T13:52:46Z | - |
| opus.date.modified | 2020-02-07T08:42:45Z | - |
| opus.date.available | 2020-01-24T14:52:46 | - |
| opus.subject.dfgcode | 00-000 | - |
| opus.organisation.string | FB 04: Medizin: Institut für Med. Biometrie, Epidemologie und Informatik | de_DE |
| opus.organisation.string | FB 04: Medizin: Institut für Klinische Chemie und Laboratoriumsmedizin | de_DE |
| opus.organisation.string | FB 04: Medizin: Klinik und Poliklinik für Kinderchirurgie | de_DE |
| opus.organisation.string | FB 04: Medizin: Zentrum für Kinder- und Jugendmedizin | de_DE |
| opus.identifier.opusid | 59519 | - |
| opus.institute.number | 0424 | - |
| opus.institute.number | 0428 | - |
| opus.institute.number | 0438 | - |
| opus.institute.number | 0462 | - |
| opus.metadataonly | false | - |
| opus.type.contenttype | Keine | de_DE |
| opus.type.contenttype | None | en_GB |
| opus.affiliated | Beck, Olaf | - |
| opus.affiliated | Muensterer, Oliver J. | - |
| opus.affiliated | Rossmann, Heidi | - |
| opus.affiliated | Faber, Jörg | - |
| opus.affiliated | Gödeke, Jan | - |
| jgu.publisher.doi | 10.3389/fped.2019.00260 | |
| jgu.organisation.ror | https://ror.org/023b0x485 | |
| Appears in collections: | JGU-Publikationen | |
