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Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review

Received: 10 October 2019    Accepted: 28 October 2019    Published: 31 October 2019
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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.

Published in European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 4)
DOI 10.11648/j.ejcbs.20190504.12
Page(s) 62-65
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), 2024. Published by Science Publishing Group

Keywords

Peripherally Inserted Central Catheters, Complications, Risk Factors

References
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[2] Clemence B J, Maneval R E. Risk factors associated with catheter-related upper extremity deep vein thrombosis in patients with peripherally inserted central venous catheters: literature review: part 1 [J]. Journal of infusion nursing: the official publication of the Infusion Nurses Society, 2014, 37 (3): 187-196.
[3] Fallouh N, Mcguirk H M, Flanders S A, et al. Peripherally Inserted Central Catheter-associated Deep Vein Thrombosis: A Narrative Review [J]. The American journal of medicine, 2015, 128 (7): 722-738.
[4] Wang W, Zhao C, JiI Q, et al. 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 [J]. BMC pediatrics, 2015, 15 (69).
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[10] Al-Asadi O, Almusarhed M, Eldeeb H. Predictive risk factors of venous thromboembolism (VTE) associated with peripherally inserted central catheters (PICC) in ambulant solid cancer patients: retrospective single Centre cohort study [J]. Thrombosis journal, 2019, 17 (2).
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[12] Curto-Garcia N, Garcia-Suarez J, Callejas Chavarria M, et al. A team-based multidisciplinary approach to managing peripherally inserted central catheter complications in high-risk haematological patients: a prospective study [J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 2016, 24 (1): 93-101.
[13] Fracchiolla NS, Todisco E, Bilancia A, et al. Clinical management of peripherally inserted central catheters compared to conventional central venous catheters in patients with hematological malignancies: A large multicenter study of the REL GROUP (Rete Ematologica Lombarda - Lombardy Hematologic Network, Italy) [J]. 2017, 92 (12): E656-e9.
[14] Morano SG, Latagliata R, Girmenia C, et al. Catheter-associated bloodstream infections and thrombotic risk in hematologic patients with peripherally inserted central catheters (PICC) [J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 2015, 23 (11): 3289-3295.
[15] Hashimoto Y, Fukuta T, Maruyama J, et al. Experience of Peripherally Inserted Central Venous Catheter in Patients with Hematologic Diseases [J]. Internal medicine, 2017, 56 (4): 389-393.
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[17] Herc E, Patel P, Washer LL, et al. A Model to Predict Central-Line-Associated Bloodstream Infection Among Patients With Peripherally Inserted Central Catheters: The MPC Score [J]. Infection control and hospital epidemiology, 2017, 38 (10): 1155-1166.
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Cite This Article
  • APA Style

    Cao Mingkun, Yin Yuxia, Feng Shengyu, Wang Dengxu, Wan Min, et al. (2019). Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. European Journal of Clinical and Biomedical Sciences, 5(4), 62-65. https://doi.org/10.11648/j.ejcbs.20190504.12

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    ACS Style

    Cao Mingkun; Yin Yuxia; Feng Shengyu; Wang Dengxu; Wan Min, et al. Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. Eur. J. Clin. Biomed. Sci. 2019, 5(4), 62-65. doi: 10.11648/j.ejcbs.20190504.12

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    AMA Style

    Cao Mingkun, Yin Yuxia, Feng Shengyu, Wang Dengxu, Wan Min, et al. Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. Eur J Clin Biomed Sci. 2019;5(4):62-65. doi: 10.11648/j.ejcbs.20190504.12

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  • @article{10.11648/j.ejcbs.20190504.12,
      author = {Cao Mingkun and Yin Yuxia and Feng Shengyu and Wang Dengxu and Wan Min and Liu Chenghu and Wang Luning and Zhang Haijun},
      title = {Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {5},
      number = {4},
      pages = {62-65},
      doi = {10.11648/j.ejcbs.20190504.12},
      url = {https://doi.org/10.11648/j.ejcbs.20190504.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20190504.12},
      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.},
     year = {2019}
    }
    

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    T1  - Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review
    AU  - Cao Mingkun
    AU  - Yin Yuxia
    AU  - Feng Shengyu
    AU  - Wang Dengxu
    AU  - Wan Min
    AU  - Liu Chenghu
    AU  - Wang Luning
    AU  - Zhang Haijun
    Y1  - 2019/10/31
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    N1  - https://doi.org/10.11648/j.ejcbs.20190504.12
    DO  - 10.11648/j.ejcbs.20190504.12
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
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    EP  - 65
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20190504.12
    AB  - 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.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; School of Materials Science and Engineering, University of Science and Technology, Beijing, China

  • 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

  • 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

  • Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China

  • Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China

  • School of Materials Science and Engineering, University of Science and Technology, Beijing, China

  • 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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