Are Cuffed Peripherally Inserted Central Catheters Superior to Uncuffed Peripherally Inserted Central Catheters? A Retrospective Review in a Tertiary Pediatric Center
| Autor: | Bairbre Connolly, Michael Temple, Philip John, Dimitri A. Parra, Ertuğrul Mavili, Rahim Moineddin, Joao G. Amaral, L. Toh |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Catheterization Central Venous medicine.medical_specialty Neonatal intensive care unit Adolescent medicine.medical_treatment Population Peripherally inserted central catheter Young Adult Risk Factors Central Venous Catheters Humans Medicine Radiology Nuclear Medicine and imaging Child education Retrospective Studies Ontario education.field_of_study Retrospective review Catheter insertion Tertiary Healthcare business.industry Incidence Infant Newborn Infant Equipment Design Hospitals Pediatric Surgery Equipment Failure Analysis Catheter Treatment Outcome Catheter-Related Infections Child Preschool Clinical diagnosis Equipment Failure Female Cardiology and Cardiovascular Medicine business Central venous catheter |
| Zdroj: | Journal of Vascular and Interventional Radiology. 24:1316-1322 |
| ISSN: | 1051-0443 |
| DOI: | 10.1016/j.jvir.2013.03.003 |
| Popis: | Purpose To assess the use of cuffed peripherally inserted central catheters (PICCs) compared with uncuffed PICCs in children with respect to their ability to provide access until the end of therapy. Materials and Methods A retrospective review of PICCs inserted between January 2007 and December 2008 was conducted. Data collected from electronic records included patient age, referring service, clinical diagnosis, inserting team (pediatric interventional radiologists or neonatal intensive care unit [NICU] nurse–led PICC team), insertion site, dates of insertion and removal, reasons for removal, and need for a new catheter insertion. A separate subset analysis of the NICU population was performed. Primary outcome measured was the ability of the PICCs to provide access until the end of therapy. Results Cuffed PICCs (n = 1,201) were significantly more likely to provide access until the end of therapy than uncuffed PICCs (n = 303) ( P = .0002). Catheter removal before reaching the end of therapy with requirement of placement of a new PICC occurred in 26% (n = 311) of cuffed PICCs and 38% (n = 114) of uncuffed PICCs. Uncuffed PICCs had a significantly higher incidence of infections per 1,000 catheter days ( P = .023), malposition ( P = .023), and thrombus formation ( P = .022). In the NICU subset analysis, cuffed PICCs had a higher chance of reaching end of therapy, but this was not statistically significant. Conclusions In this pediatric population, cuffed PICCs were more likely to provide access until the end of therapy. Cuffed PICCs were associated with lower rates of catheter infection, malposition, and thrombosis than uncuffed PICCs. |
| Databáze: | OpenAIRE |
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