Multifactor Analysis of Malposition of Peripherally Inserted Central Catheters in Patients With Cancer

Li, Xuying; Wang, Honghong; Chen, Yongyi; Yuan, Zuyi

doi:10.1188/15.cjon.e70-e73

Cited by 11 publications

(7 citation statements)

References 16 publications

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“…However, a study by Minkovich et al showed that a left-sided approach might be more suitable because it produced a lower incidence of malposition 21. Another multivariate logistic regression analysis revealed that the risk of adverse events related to malposition was higher when the catheter was inserted in the right than in the left upper limb 22. However, in our study, we found that the side of insertion had no influence on the movement of the tip location.…”

Section: Discussioncontrasting

confidence: 68%

Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study

et al. 2019

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ObjectivesThe aim of this study was to identify the prevalence of peripherally inserted central catheter (PICC) malposition and the influence of guide wire removal on tip location in PICCs and determine whether related factors, including age, sex, side of insertion and brand of catheter, influence the PICC tip location.SettingSingle-centre research institute in China recruiting patients from the hospital.ParticipantsA total of 837 adult patients with inserted PICCs were recruited from October 2016 to May 2017.InterventionsThis was a cross-sectional study aiming to identify the prevalence of PICC malposition and the influence of guide wire removal on tip location in PICCs. A linear regression model and a variance of factorial design analysis were performed. The PICC tip location was documented on a postinsertion chest X-ray. Multivariable analyses were performed based on the following related factors: age, sex, side of insertion and brand of catheter.ResultsThe tip location moved a mean of 17.4 mm among the 837 included patients. The prevalence of PICC malposition was 83.6% (700/837), while 16.4% (137/837) of PICCs remained in correct location. The mean movement caused by guide wire removal without an adjusted tail end was (−1.95±26.90) mm. The difference between tail end adjustment movement and actual tip position movement in each PICC was (33.0±17.1) mm in type C, which was significantly higher than the findings for type A (12.8±13.3) mm and type B (12.9±12.7) mm.ConclusionsPICC malposition is a frequent event. Different catheter brands were associated with different ranges of movement in tip location after guide wire removal. The age and sex of the patients and the insertion side did not influence the extent of movement.

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Section: Discussioncontrasting

confidence: 68%

Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study

et al. 2019

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“…Basilic vein is the major vein of choice for catheterization in this study, because the risk of PICC-related complications in patients with basilic vein is lower than other veins. 30…”

Section: Discussionmentioning

confidence: 99%

Effects of passive music therapy on anxiety and vital signs in lung cancer patients undergoing peripherally inserted central catheter placement procedure

Mou

Wang

et al. 2020

J Vasc Access

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Purpose: To evaluate the effects of passive music therapy on anxiety and vital signs among lung cancer patients at their first peripherally inserted central catheter placement procedure in China. Methods: A randomized controlled clinical trial was conducted in the cancer center of a hospital in Chengdu from May to December 2017. A total of 304 lung cancer patients who met the inclusion and exclusion criteria were recruited and randomly assigned to experimental ( n = 152) and control ( n = 152) group, respectively. The control group only received standard care, while the experimental group received standard care and passive music therapy during peripherally inserted central catheter placement (30–45 min) and after catheterization, until discharged from the hospital (twice a day, 30 min once). Measures include anxiety and vital signs (blood pressure, heart rate, and respiratory rate). Results: Repetitive measurement and analysis of variance showed that the patients in experimental group had a statistically significant decrease in anxiety, diastolic blood pressure, and heart rate over time compared to the control group, but no significant difference was identified in systolic blood pressure and respiratory rate. Conclusion: Passive music therapy can efficiently relieve the anxiety of lung cancer patients during peripherally inserted central catheter placement. It also can lower the patient’s diastolic blood pressure and slow down the heart rate. So, music therapy benefits patients with peripherally inserted central catheter.

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“…Previous studies have identified risk factors for complications of PICCs in neonates. These risk factors included young age, severity of illness, catheter dwell time, catheter tip position, and catheter insertion site [ 8 , 10 – 14 ], but reports in Chinese neonates are rare. Identifying modifiable risk factors of complications is especially important as clinicians work to prevent catheter complications.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Related to Peripherally Inserted Central Venous Catheter Nonselective Removal in Neonates

Yue

Wang

et al. 2018

BioMed Research International

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We aimed to investigate the incidence and risk factors associated with nonselective removal of peripherally inserted central venous catheter (PICC) in neonates. In this prospective cohort study, neonates who underwent PICC placement at neonatal intensive care units (NICUs) in China from October 2012 to November 2015 were included. The patient demographics, catheter characteristics, catheter duration, PICC insertion site, indication for PICC insertion, infuscate composition, PICC tip location, and catheter complications were recorded in a computerized database. Risk factors for nonselective removal were analyzed. A total of 497 PICCs were placed in 496 neonates. Nonselective removal occurred in 9.3% of PICCs during 10,540 catheter-days (4.6 nonselective removals per 1,000 catheter-days). These included occlusion (3%), infection (1.4%), leakage (2.0%), phlebitis (0.6%), displacement (1%), pleural effusion(0.6%), and breaks (0.6%). Noncentral tip position was independently associated with an increased risk of nonselective removal (odds ratio 2.621; 95% confidence interval, 1.258-5.461) after adjusting for gestational age, sex, birth weight, and PICC dwell time. No significant differences in the rate of complications occurred between silastic and polyurethane PICC or different insertion sites. Noncentral PICC tip position was the only independent risk factor for nonselective removal of PICC.

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Multifactor Analysis of Malposition of Peripherally Inserted Central Catheters in Patients With Cancer

Cited by 11 publications

References 16 publications

Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study

Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study

Effects of passive music therapy on anxiety and vital signs in lung cancer patients undergoing peripherally inserted central catheter placement procedure

Risk Factors Related to Peripherally Inserted Central Venous Catheter Nonselective Removal in Neonates

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