Volume 6, Issue 4, December 2020, Page: 79-83
Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications
Cao Mingkun, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Yin Yuxia, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; School of Materials Science and Engineering, University of Science and Technology Beijing, Beijing, China
Li Xuying, Hunan Cancer Hospital, Changsha, China
Zhang Haijun, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; Department of Vascular & Intervention, Tenth Peoples' Hospital of Tongji University, Shanghai, China
Received: Sep. 4, 2020;       Accepted: Sep. 22, 2020;       Published: Oct. 7, 2020
DOI: 10.11648/j.bs.20200604.11      View  21      Downloads  19
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.
Keywords
PICC, Complications, Risk Factors
To cite this article
Cao Mingkun, Yin Yuxia, Li Xuying, Zhang Haijun, Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications, Biomedical Sciences. Vol. 6, No. 4, 2020, pp. 79-83. doi: 10.11648/j.bs.20200604.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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