Safety, Efficacy, and Patient Satisfaction with Initial Peripherally Inserted Central Catheters Compared with Usual Intravenous Access in Terminally Ill Cancer Patients: A Randomized Phase II Study
| Autor: | Kwonoh Park, Sang-Bo Oh, Joo Yeon Jang, Jin Hyeok Kim, So Yeon Oh, Yun Jeong Hong, Ki Sun Jung, Ung-Bae Jeon, Jae-Joon Kim, Eun Ju Park |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty Palliative care Terminally ill Phases of clinical research Antineoplastic Agents Peripherally inserted central catheter 03 medical and health sciences 0302 clinical medicine Patient satisfaction Neoplasms Catheterization Peripheral Terminally ill cancer patients Clinical endpoint Humans Terminally Ill Medicine Prospective Studies 030212 general & internal medicine Palliative Medicine Aged Aged 80 and over Terminal Care business.industry Palliative Care Hospices Cancer Middle Aged medicine.disease Surgery Treatment Outcome Oncology Patient Satisfaction 030220 oncology & carcinogenesis Administration Intravenous Female Original Article business Venous cannulation |
| Zdroj: | Cancer Research and Treatment : Official Journal of Korean Cancer Association |
| ISSN: | 2005-9256 1598-2998 |
| Popis: | Purpose The purpose of this study was to investigate whether routine insertion of peripherally inserted central catheter (PICC) at admission to a hospice-palliative care (HPC) unit is acceptable in terms of safety and efficacy and whether it results in superior patient satisfaction compared to usual intravenous (IV) access.Materials and Methods Terminally ill cancer patients were randomly assigned to two arms: routine PICC access and usual IV access arm. The primary endpoint was IV maintenance success rate, defined as the rate of functional IV maintenance until the intended time (discharge, transfer, or death).Results A total of 66 terminally ill cancer patients were enrolled and randomized to study arms. Among them, 57 patients (routine PICC, 29; usual IV, 28) were analyzed. In the routine PICC arm, mean time to PICC was 0.84 days (range, 0 to 3 days), 27 patients maintained PICC with function until the intended time. In the usual IV arm, 11 patients maintained peripheral IV access until the intended time, and 15 patients underwent PICC insertion. The IV maintenance success rate in the routine PICC arm (27/29, 93.1%) was similar to that in the usual IV arm (26/28, 92.8%, p=0.958). Patient satisfaction at day 5 was better in the routine PICC arm (97%, ‘a little comfort’ or ‘much comfort’) compared with the usual IV arm (21%) (p |
| Databáze: | OpenAIRE |
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