Emergency Department Placed Central Lines for Trauma Patients: A Retrospective Case-Control Study on Central Line-Associated Blood Stream Infection Risk From Central Lines Placed Emergently in the Emergency Department.

OBJECTIVES: Emergent central line (CL) insertion may be associated with a higher risk of central line-associated blood stream infection (CLABSI). We hypothesized that CLs placed emergently within 2 hours of arrival to the emergency department (ED) for critical trauma patients are associated with a higher risk of CLABSI compared with CLs placed outside the ED. We additionally hypothesized that femoral ED-CLs are associated with a higher risk of CLABSI compared with internal jugular (IJ) vein ED-CLs. METHODS: The 2017-2019 Trauma Quality Improvement Program database was queried for critical trauma patients admitted to the intensive care unit or operating suite from the ED who underwent CL insertion. Patients who were transferred, died < 72 hours, or hospitalized