Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study
European Journal of Clinical and Biomedical Sciences
Volume 5, Issue 4, August 2019, Pages: 58-61
Received: Sep. 4, 2019;
Accepted: Sep. 18, 2019;
Published: Oct. 5, 2019
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Cao Mingkun, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Yin Yuxia, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; School of Materials Science and Engineering, University of Science and Technology, Beijing, China
Gao Wei, PICC Clinic, Qilu Hospital of Shandong University, Jinan, China
Feng Shengyu, 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
Wang Dengxu, 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
Wan Min, Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China
Liu Chenghu, Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China
Wang Luning, School of Materials Science and Engineering, University of Science and Technology, Beijing, China
Zhang Haijun, 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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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.
Peripherally Inserted Central Catheters, Diabetes, Complications, Risk Factors
To cite this article
Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study, European Journal of Clinical and Biomedical Sciences.
Vol. 5, No. 4,
2019, pp. 58-61.
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World Health Organization. Diabetes [M]. Available from: https://www.who.int/health-topics/diabetes.
National Health Commission of the People's Republic of China. Health China Action [M]. 2019-07-15. Available from: http://www.nhc.gov.cn/xcs/s7847/201907/704b1ca3555e47c6a677e384a462bd7c.shtml.
Tejedor S C, Tong D, Stein J, et al. Temporary central venous catheter utilization patterns in a large tertiary care center: tracking the "idle central venous catheter" [J]. Infection control and hospital epidemiology, 2012, 33 (1): 50-57.
Bertoglio S, Faccini B, Lalli L, et al. Peripherally inserted central catheters (PICCs) in cancer patients under chemotherapy: A prospective study on the incidence of complications and overall failures [J]. Journal of surgical oncology, 2016, 113 (6): 708-714.
Chopra V, Ratz D, Kuhn L, et al. PICC-associated bloodstream infections: prevalence, patterns, and predictors [J]. The American journal of medicine, 2014, 127 (4): 319-328.
Sekold W S, Dwyer T. A comparison of silicone and polyurethane PICC lines and postinsertion complication rates: a systematic review [J]. The journal of vascular access, May-Jun 2015, 16 (3): 167-177.
Kang J, Chen W, Sun W, et al. Peripherally inserted central catheter-related complications in cancer patients: a prospective study of over 50, 000 catheter days [J]. J Vasc Access, 2017, 18 (2): 153-157.
Dutia M, White R H, Wun T. Risk assessment models for cancer-associated venous thromboembolism [J]. Cancer, 2012, 118 (14): 3468-3476.
Saber W, Moua T, Williams E C, et al. Risk factors for catheter-related thrombosis (CRT) in cancer patients: a patient-level data (IPD) meta-analysis of clinical trials and prospective studies [J]. Journal of thrombosis and haemostasis: JTH, 2011, 9 (2): 312-319.
D'amico G, Fabris T, Mojoli M, et al. Impact of drug-eluting stent generation on patient- and stent-related adverse events of diabetic patients treated by percutaneous coronary intervention [J]. Minerva cardioangiologica, 2014, 62 (1): 9-18.
Tarantini G, Facchin M, Capodanno D, et al. Paclitaxel versus sirolimus eluting stents in diabetic patients: does stent type and/or stent diameter matter?: long-term clinical outcome of 2, 429-patient multicenter registry [J]. Catheterization and cardiovascular interventions: official journal of the Society for Cardiac Angiography & Interventions, 2013, 81 (1): 80-89.
Ishihara M. Acute hyperglycemia in patients with acute myocardial infarction [J]. Circulation journal: official journal of the Japanese Circulation Society, 2012, 76 (3): 563-571
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.
Jones D, Wismayer K, Bozas G, et al. The risk of venous thromboembolism associated with peripherally inserted central catheters in ambulant cancer patients [J]. Thrombosis journal, 2017, 15: 25.
Paquet F, Boucher L M, ValentI D, et al. Impact of arm selection on the incidence of PICC complications: results of a randomized controlled trial [J]. J Vasc Access, 2017, 18 (5): 408-414.