Why Do Subcutaneous Ports Get Stuck? A Case-Control Study
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Read the article on jpedsurg.org ↗Article · Aug 2021 · 1 min read
In brief
In brief
Case-control study examining factors associated with difficult subcutaneous port removals in pediatric patients. Analysis of 57 stuck ports versus 171 controls identified acute lymphoblastic leukemia diagnosis as significantly associated with difficult removal, with 28 cases requiring extreme intervention including 10 endovascular procedures.
Written by the GCMD Library team from the article.
Purpose
We sought to identify clinical features associated with difficult subcutaneous port removals in children.
Methods
Ports placed between April 2014-September 2017 at our institution were prospectively tracked for difficult removals. A case-control analysis was performed. Patients with ports that were difficult to remove (stuck; cases) were compared to biological sex and age-matched controls in a ratio of 1:3. Logistic regression determined the association between case/control status and clinical features adjusting for biological sex and age as covariates. A multivariable analysis was performed to identify independent associations.
Results
57 stuck ports (28 extreme [10 endovascular intervention] and 29 moderate) and 171 controls were analyzed. Stuck ports were associated with a diagnosis of acute lymphoblastic leukemia (86% cases versus 22.2% controls; p