Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types

Cao Mingkun; Yin Yuxia; Gao Wei; Feng Shengyu; Wang Dengxu; Wan Min; Liu Chenghu; Wang Luning; Ge Junbo; Zhang Haijun

doi:doi:10.11648/j.ejpm.20190706.13

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Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types

Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, Wan Min, Liu Chenghu, Wang Luning, Ge Junbo, Zhang Haijun

Published in European Journal of Preventive Medicine (Volume 7, Issue 6)

Received: 29 September 2019 Accepted: 31 October 2019 Published: 7 November 2019

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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.

Published in	European Journal of Preventive Medicine (Volume 7, Issue 6)
DOI	10.11648/j.ejpm.20190706.13
Page(s)	108-111
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), 2019. Published by Science Publishing Group

Keywords

Peripherally Inserted Central Catheters, Disease Type, Complications, Risk Factors

References

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[2]	Clemence BJ, Maneval RE. Risk factors associated with catheter-related upper extremity deep vein thrombosis in patients with peripherally inserted central venous catheters: literature review: part 1. Journal of infusion nursing: the official publication of the Infusion Nurses Society. May-Jun 2014; 37 (3): 187-196.
[3]	Bertoglio S, Faccini B, Lalli L, Cafiero F, Bruzzi P. Peripherally inserted central catheters (PICCs) in cancer patients under chemotherapy: A prospective study on the incidence of complications and overall failures. Journal of surgical oncology. May 2016; 113 (6): 708-714.
[4]	Franklin I, Gilmore C. Placement of a peripherally inserted central catheter into the azygous vein. Journal of medical radiation sciences. Jun 2015; 62 (2): 160-162.
[5]	Wang W, Zhao C, Ji Q, Liu Y, Shen G, Wei L. Prevention of peripherally inserted central line-associated blood stream infections in very low-birth-weight infants by using a central line bundle guideline with a standard checklist: a case control study. BMC pediatrics. Jun 18 2015; 15: 69.
[6]	Organization WH. Cancer. Available at: https://www.who.int/health-topics/cancer#tab=tab_1.
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[8]	Saber W, Moua T, Williams EC, et al. Risk factors for catheter-related thrombosis (CRT) in cancer patients: a patient-level data (IPD) meta-analysis of clinical trials and prospective studies. Journal of thrombosis and haemostasis: JTH. Feb 2011; 9 (2): 312-319.
[9]	Yap YS, Karapetis C, Lerose S, Iyer S, Koczwara B. Reducing the risk of peripherally inserted central catheter line complications in the oncology setting. European journal of cancer care. Sep 2006; 15 (4): 342-347.
[10]	Scrivens N, Sabri E, Bredeson C, McDiarmid S. Comparison of complication rates and incidences associated with different peripherally inserted central catheters (PICC) in patients with hematological malignancies: a retrospective cohort study. Leukemia & lymphoma. Aug 7 2019: 1-9.
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[12]	Paje D, Conlon A, Kaatz S, et al. Patterns and Predictors of Short-Term Peripherally Inserted Central Catheter Use: A Multicenter Prospective Cohort Study. Journal of hospital medicine. Feb 2018; 13 (2): 76-82.
[13]	de Zambotti M, Willoughby AR, Baker FC, Sugarbaker DS, Colrain IM. Cardiac autonomic function during sleep: effects of alcohol dependence and evidence of partial recovery with abstinence. Alcohol. Jun 2015; 49 (4): 409-415.
[14]	Gardner JD, Mouton AJ. Alcohol effects on cardiac function. Comprehensive Physiology. Apr 2015; 5 (2): 791-802.
[15]	Crnich CJ, Halfmann JA, Crone WC, Maki DG. The effects of prolonged ethanol exposure on the mechanical properties of polyurethane and silicone catheters used for intravascular access. Infection control and hospital epidemiology. Aug 2005; 26 (8): 708-714.

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APA Style

Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, et al. (2019). Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types. European Journal of Preventive Medicine, 7(6), 108-111. https://doi.org/10.11648/j.ejpm.20190706.13

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ACS Style

Cao Mingkun; Yin Yuxia; Gao Wei; Feng Shengyu; Wang Dengxu, et al. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types. Eur. J. Prev. Med. 2019, 7(6), 108-111. doi: 10.11648/j.ejpm.20190706.13

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AMA Style

Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, et al. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types. Eur J Prev Med. 2019;7(6):108-111. doi: 10.11648/j.ejpm.20190706.13

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@article{10.11648/j.ejpm.20190706.13,
  author = {Cao Mingkun and Yin Yuxia and Gao Wei and Feng Shengyu and Wang Dengxu and Wan Min and Liu Chenghu and Wang Luning and Ge Junbo and Zhang Haijun},
  title = {Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types},
  journal = {European Journal of Preventive Medicine},
  volume = {7},
  number = {6},
  pages = {108-111},
  doi = {10.11648/j.ejpm.20190706.13},
  url = {https://doi.org/10.11648/j.ejpm.20190706.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20190706.13},
  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.},
 year = {2019}
}

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TY  - JOUR
T1  - Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types
AU  - Cao Mingkun
AU  - Yin Yuxia
AU  - Gao Wei
AU  - Feng Shengyu
AU  - Wang Dengxu
AU  - Wan Min
AU  - Liu Chenghu
AU  - Wang Luning
AU  - Ge Junbo
AU  - Zhang Haijun
Y1  - 2019/11/07
PY  - 2019
N1  - https://doi.org/10.11648/j.ejpm.20190706.13
DO  - 10.11648/j.ejpm.20190706.13
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 108
EP  - 111
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20190706.13
AB  - 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.
VL  - 7
IS  - 6
ER  -

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Author Information

Cao Mingkun

National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Yin Yuxia

National United Engineering Laboratory for Biomedical Material Modification, Dezhou, 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
Liu Chenghu

Shandong Quality Inspection Center for 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

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Plain Text BibTeX RIS

APA Style

Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, et al. (2019). Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types. European Journal of Preventive Medicine, 7(6), 108-111. https://doi.org/10.11648/j.ejpm.20190706.13

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ACS Style

Cao Mingkun; Yin Yuxia; Gao Wei; Feng Shengyu; Wang Dengxu, et al. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types. Eur. J. Prev. Med. 2019, 7(6), 108-111. doi: 10.11648/j.ejpm.20190706.13

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AMA Style

Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, et al. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types. Eur J Prev Med. 2019;7(6):108-111. doi: 10.11648/j.ejpm.20190706.13

Copy | Download

@article{10.11648/j.ejpm.20190706.13,
  author = {Cao Mingkun and Yin Yuxia and Gao Wei and Feng Shengyu and Wang Dengxu and Wan Min and Liu Chenghu and Wang Luning and Ge Junbo and Zhang Haijun},
  title = {Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types},
  journal = {European Journal of Preventive Medicine},
  volume = {7},
  number = {6},
  pages = {108-111},
  doi = {10.11648/j.ejpm.20190706.13},
  url = {https://doi.org/10.11648/j.ejpm.20190706.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20190706.13},
  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.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Different Disease Types
AU  - Cao Mingkun
AU  - Yin Yuxia
AU  - Gao Wei
AU  - Feng Shengyu
AU  - Wang Dengxu
AU  - Wan Min
AU  - Liu Chenghu
AU  - Wang Luning
AU  - Ge Junbo
AU  - Zhang Haijun
Y1  - 2019/11/07
PY  - 2019
N1  - https://doi.org/10.11648/j.ejpm.20190706.13
DO  - 10.11648/j.ejpm.20190706.13
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 108
EP  - 111
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20190706.13
AB  - 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.
VL  - 7
IS  - 6
ER  -

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