Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types
European Journal of Preventive Medicine
Volume 7, Issue 6, December 2019, Pages: 108-111
Received: Sep. 29, 2019; Accepted: Oct. 31, 2019; Published: Nov. 7, 2019
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Authors
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, China
Gao Wei, PICC Clinic, Qilu Hospital of Shandong University, Jinan, China
Feng Shengyu, National Engineering Technology Research Center for Colloidal Materials & Key Laboratory of Special Functional Aggregated Materials, Ministry of Education, School of Chemistry and Chemical Engineering, Shandong University, Jinan, China
Wang Dengxu, National Engineering Technology Research Center for Colloidal Materials & Key Laboratory of Special Functional Aggregated Materials, Ministry of Education, School of Chemistry and Chemical Engineering, Shandong University, Jinan, China
Wan Min, Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China
Liu Chenghu, Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China
Wang Luning, School of Materials Science and Engineering, University of Science and Technology, Beijing, China
Ge Junbo, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, 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
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Abstract
Background: Cancer patients or critical patients need reliable vascular access to meet the requirements of transporting therapeutic drugs or nutrients. Peripherally inserted central catheters (PICCs) are widely used in these patients, however, the incidence of PICC-related complications is high and the data on specific diseases are not yet clear. Methods: We collected geographic characteristics and insertion information of patients with lung cancer, breast cancer, digestive tract tumor and ICU status who underwent PICC during May 2017 to June 2018. Univariate and multivariate analysis were used to estimate the risk factors of PICC-related complications. Results: 634 lung cancer, 979 breast cancer, 1453 digestive tract cancer, and 374 ICU status patients were enrolled in the study with 351 (10.2%) developed complications. There was no difference in the distribution of complications among different disease types (P>0.05). Drinking (OR 2.15, 95 CI% 1.05-3.69, P=0.012) and prior surgery (OR 1.97, 95% CI 1.05-3.69, P=0.035) were risk factors of breast cancer patients. Prior surgery (OR 2.51, 95% CI 1.54-4.09, P<0.001) and site of PICC (OR 1.56, 95% CI 1.10-2.23, P=0.014) were the influenced factors of digestive tract tumor patients. Complications of ICU status patients were influenced by smoke (OR 5.83, 95% CI 1.30-26.14, P=0.021) and prior surgery (OR 3.43, 95% CI 1.44-8.13, P=0.005). Conclusion: The targeted and reasonable prevention and nursing care should be focused on by medical staff.
Keywords
Peripherally Inserted Central Catheters, Disease Type, Complications, Risk Factors
To cite this article
Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, Wan Min, Liu Chenghu, Wang Luning, Ge Junbo, Zhang Haijun, Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types, European Journal of Preventive Medicine. Vol. 7, No. 6, 2019, pp. 108-111. doi: 10.11648/j.ejpm.20190706.13
Copyright
Copyright © 2019 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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