Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study
Cao Mingkun,
Yin Yuxia,
Gao Wei,
Feng Shengyu,
Wang Dengxu,
Wan Min,
Liu Chenghu,
Wang Luning,
Zhang Haijun
Issue:
Volume 5, Issue 4, August 2019
Pages:
58-61
Received:
4 September 2019
Accepted:
18 September 2019
Published:
5 October 2019
Abstract: Background: Peripherally inserted central catheters (PICCs) related complications are common in catheterization patients. Many patients with PICC catheterization have diabetes mellitus. The data of incidence and risk factors in diabetic patients are scarce. Methods: A retrospective, multicenter study was performed on diabetic patients with PICC insertion from May 2017 to June 2018. A mobile App was used to collect patients and insertion information. We used univariable and multivariable analysis to examine the risk factors of PICC-related complications. Results: A total of 103 diabetic patients were included with 13 (12.6%) patients developed complications. In univariable analysis, marriage (P=0.002), prior surgery (P<0.001) were associated with complications. Following logistic regression analysis, marriage (OR 0.13, 95 CI% 0.03-0.58, P=0.007) and prior surgery (OR 2.30, 95% CI 2.33-42.68, P=0.002) remained to be independent risk factors of complications. Conclusion: For diabetic patients, paying more attention to these who unmarried and have surgery history may reduce the risk of adverse outcome.
Abstract: Background: Peripherally inserted central catheters (PICCs) related complications are common in catheterization patients. Many patients with PICC catheterization have diabetes mellitus. The data of incidence and risk factors in diabetic patients are scarce. Methods: A retrospective, multicenter study was performed on diabetic patients with PICC ins...
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Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review
Cao Mingkun,
Yin Yuxia,
Feng Shengyu,
Wang Dengxu,
Wan Min,
Liu Chenghu,
Wang Luning,
Zhang Haijun
Issue:
Volume 5, Issue 4, August 2019
Pages:
62-65
Received:
10 October 2019
Accepted:
28 October 2019
Published:
31 October 2019
Abstract: Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it’s convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related- and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.
Abstract: Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it’s convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-relate...
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