{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:06:24Z","timestamp":1791918384018,"version":"4.3.4"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2018,2,15]],"date-time":"2018-02-15T00:00:00Z","timestamp":1518652800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec id=\"S0899823X18000089_abs1\" sec-type=\"general\"><jats:title>OBJECTIVE<\/jats:title><jats:p>Outpatient central venous catheters (CVCs) are being used more frequently; however, data describing mechanical complications and central-line\u2013associated bloodstream infections (CLABSI) in the outpatient setting are limited. We performed a retrospective observational cohort study to understand the burden of these complications to elucidate their impact on the healthcare system.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18000089_abs2\" sec-type=\"methods\"><jats:title>METHODS<\/jats:title><jats:p>Data were retrospectively collected on patients discharged from Vanderbilt University Medical Center with a CVC in place and admitted into the care of Vanderbilt Home Care Services. Risk factors for medically attended catheter-associated complications (CACs) and outpatient CLABSIs were analyzed.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18000089_abs3\" sec-type=\"results\"><jats:title>RESULTS<\/jats:title><jats:p>A CAC developed in 143 patients (21.9%), for a total of 165 discrete CAC events. Among these, 76 (46%) required at least 1 visit to the emergency department or an inpatient admission, while the remaining 89 (54%) required an outpatient clinic visit. The risk for developing a CAC was significantly increased in female patients, patients with a CVC with &gt;1 lumen, and patients receiving total parenteral nutrition. The absolute number of CLABSIs identified in the study population was small at 16, or 2.4% of the total cohort.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18000089_abs4\" sec-type=\"conclusions\"><jats:title>CONCLUSIONS<\/jats:title><jats:p>Medically attended catheter complications were common among outpatients discharged with a CVC, and reduction of these events should be the focus of outpatient quality improvement programs.<\/jats:p><jats:p><jats:italic>Infect Control Hosp Epidemiol<\/jats:italic> 2018;39:439\u2013444<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2018.8","type":"journal-article","created":{"date-parts":[[2018,2,15]],"date-time":"2018-02-15T04:34:40Z","timestamp":1518669280000},"page":"439-444","source":"Crossref","is-referenced-by-count":14,"title":["Medically Attended Catheter Complications Are Common in Patients With Outpatient Central Venous Catheters"],"prefix":"10.1017","volume":"39","author":[{"given":"Steven S.","family":"Spires","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter F.","family":"Rebeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mickie","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Koss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patty W.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R.","family":"Talbot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,2,15]]},"reference":[{"key":"S0899823X18000089_ref21","doi-asserted-by":"publisher","DOI":"10.1086\/676533"},{"key":"S0899823X18000089_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/MPH.0b013e3182820edd"},{"key":"S0899823X18000089_ref1","doi-asserted-by":"publisher","DOI":"10.1086\/508456"},{"key":"S0899823X18000089_ref19","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1306801"},{"key":"S0899823X18000089_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/0148607113491783"},{"key":"S0899823X18000089_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-016-0932-y"},{"key":"S0899823X18000089_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/jth.12549"},{"key":"S0899823X18000089_ref24","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199008023230504"},{"key":"S0899823X18000089_ref17","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.21497"},{"key":"S0899823X18000089_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.01.001"},{"key":"S0899823X18000089_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4757-3462-1"},{"key":"S0899823X18000089_ref3","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.11.135"},{"key":"S0899823X18000089_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-016-0161-0"},{"key":"S0899823X18000089_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2016.223"},{"key":"S0899823X18000089_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.24677"},{"key":"S0899823X18000089_ref4","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-131-5-199909070-00004"},{"key":"S0899823X18000089_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0221-0363(08)71453-7"},{"key":"S0899823X18000089_ref7","doi-asserted-by":"publisher","DOI":"10.4065\/81.9.1159"},{"key":"S0899823X18000089_ref9","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-0302"},{"key":"S0899823X18000089_ref12","volume-title":"National Action Plan to Improve Health Literacy","year":"2010"},{"key":"S0899823X18000089_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.03.009"},{"key":"S0899823X18000089_ref18","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1315399"},{"key":"S0899823X18000089_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2015.04.029"},{"key":"S0899823X18000089_ref13","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197408012910501"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X18000089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,14]],"date-time":"2019-04-14T18:50:18Z","timestamp":1555267818000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X18000089\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,15]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["S0899823X18000089"],"URL":"https:\/\/doi.org\/10.1017\/ice.2018.8","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,15]]}}}