Peripherally inserted central catheter-related complications in cancer patients: a prospective study of over 50,000 catheter days

Kang, Junren; Chen, Wei; Sun, Wenyan; Ge, Ruibin; Li, Hailong; Ma, Enlong; Su, Qingxia; Cheng, Fang; Hong, Jinhua; Zhang, Yuanjuan; Cheng, Lei; Wang, Xinchuan; Jin, Aiyun; Liu, Wanli

doi:10.5301/jva.5000670

Cited by 105 publications

(112 citation statements)

References 29 publications

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“…Consistent with the literature [13,27,30,31], the basilic vein was most often used. The cephalic and brachial veins were cannulated in only one-fourth of patients.…”

Section: Discussionsupporting

confidence: 61%

“…In Bertoglio's study, almost 75% of PICCs were 5 Fr in diameter, and symptomatic thrombosis accounted for more than one-fourth of all removals, whereas the majority of our patients had a 4-Fr PICC. Generally, when 4-Fr PICCs are adopted, thrombosisrelated removals range from 0.01 [27] to 0.05 per 1,000 PICC-days [12]. Our thrombosis rate was slightly higher than that in the aforementioned studies, likely because we also included patients with hematological malignancies, who are at higher risk of thrombotic events [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

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Can Peripherally Inserted Central Catheters Be Safely Placed in Patients with Cancer Receiving Chemotherapy? A Retrospective Study of Almost 400,000 Catheter-Days

Campagna¹,

Gonella

Berchialla

et al. 2019

The Oncologist

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Background Peripherally inserted central catheters (PICCs) are central venous catheters (CVCs) that are commonly used in onco‐hematologic settings for chemotherapy administration. As there is insufficient evidence to recommend a specific CVC for chemotherapy administration, we aimed to ascertain PICC‐related adverse events (AEs) and identify independent predictors of PICC removal in patients with cancer receiving chemotherapy. Materials and Methods Information on adult patients with cancer with a PICC inserted for chemotherapy administration between September 2007 and December 2014 was extracted from six hospital databases. The primary outcome was PICC removal due to PICC‐related AEs (occlusion, infection, or symptomatic thrombosis). Independent predictors of PICC removal were identified using a multivariate Cox regression model. Results Among the 2,477 included patients, 419 PICC‐related AEs (16.9%; 1.09 AEs per 1,000 PICC‐days) were reported. AEs increased when PICC was inserted at the brachial site (hazard ratio [HR], 1.37; 95% confidence interval [CI], 1.02–1.84) and with open systems (HR, 1.89; 95% CI, 1.24–2.88) and decreased in older men (HR, 0.63; 95% CI, 0.49–0.81). Conclusion Use of PICC for chemotherapy administration was associated with a low all‐AEs rate. The basilic vein was the safer site, and valved systems had fewer AEs than open systems. More research is needed to explore the interaction between AEs, sex, and age. Implications for Practice These findings provide clinicians with evidence that peripherally inserted central catheters (PICCs) are safe for chemotherapy administration. They also suggest that clinicians should limit the use of open systems when long chemotherapy regimens are scheduled. Moreover, alternatives to PICCs should be considered when administering chemotherapy to young men.

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“…Consistent with the literature [13,27,30,31], the basilic vein was most often used. The cephalic and brachial veins were cannulated in only one-fourth of patients.…”

Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Can Peripherally Inserted Central Catheters Be Safely Placed in Patients with Cancer Receiving Chemotherapy? A Retrospective Study of Almost 400,000 Catheter-Days

Campagna¹,

Gonella

Berchialla

et al. 2019

The Oncologist

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“…A PICC is usually inserted by a trained nurse who decides to attend and complete special training regarding PICC insertion and management [1]. PICCs are very popular among Chinese patients because of their simplicity, long indwelling time, high level of safety, and low cost [2].…”

Section: Introductionmentioning

confidence: 99%

Self-management of peripherally inserted central catheters after patient discharge via the WeChat smartphone application: A systematic review and meta-analysis

Kangwen

Ding

et al. 2018

PLoS ONE

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WeChat is a smartphone application that may help patients self-manage peripherally inserted central catheters (PICC), although additional data are needed regarding this topic. This systematic review and meta-analysis aimed to determine whether WeChat helped improve PICC-related complications, self-care ability, PICC maintenance dependency in that the behavior of a patient is in compliance with a doctor’s order or a will, knowledge mastery, and satisfaction among patients with a PICC. The PubMed, Embase, Cochrane Library, China Biology Medicine, China national Knowledge Infrastructure, Wanfang, Wiper, and Baidu Scholar databases were searched to identify related reports that were published up to April 2018. This search revealed 36 reports that were published during 2014–2018, including 2,623 controls and 2,662 patients who used the WeChat application. Relative to the traditional follow-up group, the group that received WeChat follow-up had a lower risk of PICC-related complications (odds ratio [OR]: 0.23, 95% confidence interval [CI]: 0.19–0.27, P < 0.00001), better self-care ability (mean difference: 36.41, 95% CI: 34.68–38.14, P < 0.00001), higher PICC maintenance dependency (OR: 4.27, 95% CI: 3.35–5.44, P < 0.00001), and higher patient satisfaction (OR: 6.20, 95% CI: 4.32–8.90, P < 0.00001). Eight studies reported knowledge mastery, although the different evaluation tools precluded a meta-analysis. Nevertheless, those eight studies revealed that knowledge mastery was significantly higher in the WeChat group than in the traditional follow-up group (P < 0.05). To the best of our knowledge, this is the first meta-analysis to evaluate the effects of WeChat follow-up on self-management among patients who are discharged with a PICC. It appears that WeChat follow-up can help improve the incidence of complications, self-care ability, PICC maintenance dependence, and patient satisfaction. However, the WeChat application itself cannot improve patients’ self-management ability. Further studies are needed to produce high-quality evidence to determine whether WeChat is an effective follow-up tool.

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“…Previous studies showed catheter type [6], study objects [4] and sample size [7] et al could influence the incidence of complications. However, most of the previous and present studies were conducted in cancer patients [4,8,9].…”

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study

Mingkun¹,

Yin²,

Gao³

et al. 2019

EJCBS

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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.

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Peripherally inserted central catheter-related complications in cancer patients: a prospective study of over 50,000 catheter days

Abstract: Cancer patients with BMI greater than 25 were more likely to have PICC complications.

Cited by 105 publications

References 29 publications

Can Peripherally Inserted Central Catheters Be Safely Placed in Patients with Cancer Receiving Chemotherapy? A Retrospective Study of Almost 400,000 Catheter-Days

Can Peripherally Inserted Central Catheters Be Safely Placed in Patients with Cancer Receiving Chemotherapy? A Retrospective Study of Almost 400,000 Catheter-Days

Self-management of peripherally inserted central catheters after patient discharge via the WeChat smartphone application: A systematic review and meta-analysis

Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study

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