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Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications

Received: 4 September 2020     Accepted: 22 September 2020     Published: 7 October 2020
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Abstract

Background: Peripherally inserted central catheter (PICC) is widely used all over the world, but the complications related to it have not been well solved. Objective: To evaluate PICC-related complications and risk factors. Methods: We conducted a retrospective study at multicenters on patients who underwent PICC placement from May 2017 to June 2018 to identify the incidence and risk factors of complications. Information of patients and insertion was collected by an mobile App. Univariable and multivariable analysis were fit to examine the risk factors of complications. Odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were used to indicate the association between risk factors and complications. Results: A total of 4959 patients were included with 511 (10.3%) patients developed complications. In univariable analysis, age (P=0.026), smoke (P<0.001), drinking (P<0.001), prior surgery (P<0.001) and PICC insertion site (P=0.023) were associated with complications. Following logistic regression analysis, drinking (OR 1.72, 95 CI% 1.07-2.778, P=0.025) and prior surgery (OR 2.04, 95% CI 1.55-2.67, P<0.001) remained to be independent risk factors of complications. Drinking was associated with phlebitis (P=0.002) and thrombosis (P=0.007), and prior surgery was associated with phlebitis (P<0.001), infections (P=0.001) and mechanical complications (P=0.008). Conclusion: Paying more attention to patients who drink alcohol and have surgery history may reduce the risk of adverse outcome.

Published in Biomedical Sciences (Volume 6, Issue 4)
DOI 10.11648/j.bs.20200604.11
Page(s) 79-83
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

PICC, Complications, Risk Factors

References
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  • APA Style

    Cao Mingkun, Yin Yuxia, Li Xuying, Zhang Haijun. (2020). Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications. Biomedical Sciences, 6(4), 79-83. https://doi.org/10.11648/j.bs.20200604.11

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    ACS Style

    Cao Mingkun; Yin Yuxia; Li Xuying; Zhang Haijun. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications. Biomed. Sci. 2020, 6(4), 79-83. doi: 10.11648/j.bs.20200604.11

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    AMA Style

    Cao Mingkun, Yin Yuxia, Li Xuying, Zhang Haijun. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications. Biomed Sci. 2020;6(4):79-83. doi: 10.11648/j.bs.20200604.11

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  • @article{10.11648/j.bs.20200604.11,
      author = {Cao Mingkun and Yin Yuxia and Li Xuying and Zhang Haijun},
      title = {Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications},
      journal = {Biomedical Sciences},
      volume = {6},
      number = {4},
      pages = {79-83},
      doi = {10.11648/j.bs.20200604.11},
      url = {https://doi.org/10.11648/j.bs.20200604.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20200604.11},
      abstract = {Background: Peripherally inserted central catheter (PICC) is widely used all over the world, but the complications related to it have not been well solved. Objective: To evaluate PICC-related complications and risk factors. Methods: We conducted a retrospective study at multicenters on patients who underwent PICC placement from May 2017 to June 2018 to identify the incidence and risk factors of complications. Information of patients and insertion was collected by an mobile App. Univariable and multivariable analysis were fit to examine the risk factors of complications. Odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were used to indicate the association between risk factors and complications. Results: A total of 4959 patients were included with 511 (10.3%) patients developed complications. In univariable analysis, age (P=0.026), smoke (PPPP=0.023) were associated with complications. Following logistic regression analysis, drinking (OR 1.72, 95 CI% 1.07-2.778, P=0.025) and prior surgery (OR 2.04, 95% CI 1.55-2.67, PP=0.002) and thrombosis (P=0.007), and prior surgery was associated with phlebitis (PP=0.001) and mechanical complications (P=0.008). Conclusion: Paying more attention to patients who drink alcohol and have surgery history may reduce the risk of adverse outcome.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications
    AU  - Cao Mingkun
    AU  - Yin Yuxia
    AU  - Li Xuying
    AU  - Zhang Haijun
    Y1  - 2020/10/07
    PY  - 2020
    N1  - https://doi.org/10.11648/j.bs.20200604.11
    DO  - 10.11648/j.bs.20200604.11
    T2  - Biomedical Sciences
    JF  - Biomedical Sciences
    JO  - Biomedical Sciences
    SP  - 79
    EP  - 83
    PB  - Science Publishing Group
    SN  - 2575-3932
    UR  - https://doi.org/10.11648/j.bs.20200604.11
    AB  - Background: Peripherally inserted central catheter (PICC) is widely used all over the world, but the complications related to it have not been well solved. Objective: To evaluate PICC-related complications and risk factors. Methods: We conducted a retrospective study at multicenters on patients who underwent PICC placement from May 2017 to June 2018 to identify the incidence and risk factors of complications. Information of patients and insertion was collected by an mobile App. Univariable and multivariable analysis were fit to examine the risk factors of complications. Odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were used to indicate the association between risk factors and complications. Results: A total of 4959 patients were included with 511 (10.3%) patients developed complications. In univariable analysis, age (P=0.026), smoke (PPPP=0.023) were associated with complications. Following logistic regression analysis, drinking (OR 1.72, 95 CI% 1.07-2.778, P=0.025) and prior surgery (OR 2.04, 95% CI 1.55-2.67, PP=0.002) and thrombosis (P=0.007), and prior surgery was associated with phlebitis (PP=0.001) and mechanical complications (P=0.008). Conclusion: Paying more attention to patients who drink alcohol and have surgery history may reduce the risk of adverse outcome.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

  • Hunan Cancer Hospital, Changsha, China

  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

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