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Risk of deep venous thrombosis associated with peripherally inserted central catheter: A retrospective cohort study of 11.588 catheters in Brazil.
Silva, Telma Christina do Campo; Braga, Luciene Muniz; Vieira Junior, Jose Mauro.
Afiliación
  • Silva TCDC; Department Nursing Specialized in Vascular Access, RN, MD. Hospital Sírio Libanês, São Paulo, São Paulo, Brazil.
  • Braga LM; Adjunct Professor at the Federal University of Viçosa, RN, PhD. Viçosa, Minas Gerais, Brazil.
  • Vieira Junior JM; Physician at the Dialysis Center, MD, PhD. Hospital Sírio Libanês, Nephrologist and Professor at Hospital das Clínicas of the University of São Paulo, São Paulo, São Paulo, Brazil.
PLoS One ; 19(5): e0300425, 2024.
Article en En | MEDLINE | ID: mdl-38709807
ABSTRACT

INTRODUCTION:

Deep Venous Thrombosis (DVT) due to Peripherally Inserted Central Catheter (PICC) is one of the most threatening complications after device insertion.

OBJECTIVE:

To assess the rate of PICC-associated DVT and analyze the risk factors associated with this event in cancer and critically ill patients.

METHODS:

We conducted a descriptive, retrospective cohort study with 11,588 PICCs from December 2014 to December 2019. Patients ≥ 18 years receiving a PICC were included. Pre-and post-puncture variables were collected and a logistic regression was used to identify the independent factors associated with the risk of DVT.

RESULTS:

The DVT prevalence was 1.8% (n = 213). The median length of PICC use was 15.3 days. The median age was 75 years (18; 107) and 52% were men, 53.5% were critically ill and 29.1% oncological patients. The most common indications for PICC's were intravenous antibiotics (79.1%). Notably, 91.5% of PICC showed a catheter-to-vein ratio of no more than 33%. The tip location method with intracavitary electrocardiogram was used in 43%. Most catheters (67.9%) were electively removed at the end of intravenous therapy. After adjusting for cancer profile ou chemotherapy, regression anaysis revealed that age (OR 1.011; 95% CI 1.002-1.020), previous DVT (OR 1.96; 95% CI 1.12-3.44) and obstruction of the device (OR 1.60; 95% CI 1.05-2.42) were independent factors associated with PICC-associated DVT, whereas the use of an anticoagulant regimen was a protective variable (OR 0.73; 95% CI 0.54-0.99).

CONCLUSION:

PICC is a safe and suitable intravenous device for medium and long-term therapy, with low rates of DVT even in a cohort of critically ill and cancer patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Periférico / Trombosis de la Vena Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Periférico / Trombosis de la Vena Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos