Risk factors for peripherally inserted central catheter complications in neonates
Objective To determine factors associated with nonelective PICC removal and complications. Study design Overall, 1234 PICCs were placed in 918 hospitalized infants
Gespeichert in:
| Veröffentlicht in: | Journal of perinatology 2020-04, Vol.40 (4), p.581-588 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 588 |
|---|---|
| container_issue | 4 |
| container_start_page | 581 |
| container_title | Journal of perinatology |
| container_volume | 40 |
| creator | Pet, Gillian C. Eickhoff, Jens C. McNevin, Kate E. Do, Julie McAdams, Ryan M. |
| description | Objective
To determine factors associated with nonelective PICC removal and complications.
Study design
Overall, 1234 PICCs were placed in 918 hospitalized infants |
| doi_str_mv | 10.1038/s41372-019-0575-7 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2334696144</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A618522122</galeid><sourcerecordid>A618522122</sourcerecordid><originalsourceid>FETCH-LOGICAL-c498t-fb4a794cb2f53542acc5511327cd03fc1d2e924d1ddbaffd9306068faa0d4703</originalsourceid><addsrcrecordid>eNp9kl1rFTEQhoMo9lj9Ad7IglB6szWfm81lKbYKhaL0PuQkk57U3WRNdi_67816WmtFJRchM887mRlehN4SfEIw6z8UTpikLSaqxUKKVj5DG8Jl1wrB2XO0wZKztme8O0CvSrnFeE3Kl-iAEUVIx9kGffkayrfGGzunXBqfcjNBDtMOshmGuybEAnkG11iIcw011sw7mCE3No3TEOozpFgq10RI0cxQXqMX3gwF3tzfh-j6_OP12af28uri89npZWu56ufWb7mRitst9YIJTo21QhDCqLQOM2-Jo6Aod8S5rfHeKYY73PXeGOy4xOwQHe_LTjl9X6DMegzFwjCY2shSNGV1btURziv6_g_0Ni051uY0XRfCBCXdfynWU6FUx-gjdWMG0CH6VNdi16_1aUd6QSmhK3XyF6oeB2OwKYIPNf5EcPSbYAdmmHclDcvP7T4FyR60OZWSwesph9HkO02wXk2h96bQ1RR6NYWWVfPufrJlO4L7pXhwQQXoHig1FW8gP47-76o_ACP9vuw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2382599632</pqid></control><display><type>article</type><title>Risk factors for peripherally inserted central catheter complications in neonates</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Pet, Gillian C. ; Eickhoff, Jens C. ; McNevin, Kate E. ; Do, Julie ; McAdams, Ryan M.</creator><creatorcontrib>Pet, Gillian C. ; Eickhoff, Jens C. ; McNevin, Kate E. ; Do, Julie ; McAdams, Ryan M.</creatorcontrib><description>Objective
To determine factors associated with nonelective PICC removal and complications.
Study design
Overall, 1234 PICCs were placed in 918 hospitalized infants <45 weeks postmenstrual age. Outcomes studied include nonelective PICC removal (removal prior to completion of therapy) and line complications. Univariate and multivariate mixed-effects logistic regression analyses were conducted to evaluate the associations between potential predictor variables and clinical outcomes
Results
Nonelective PICC removal occurred in 28.4% and complications in 34.4% of infants. Nonelective removal (
p
< 0.001) and complications (
p
= 0.006) occurred more often with upper than lower extremity PICCs. Malposition in the first 72 h (
p
= 0.0009) and over time (
p
= 0.0003) were more common in upper extremity PICCS; however, upper extremity PICCs were associated with a decreased incidence of phlebitis, edema, and perfusion changes (
p
= 0.03).
Conclusions
Approximately one-third of PICCs were associated with complications. When feasible, lower extremity PICCs should be placed as they may be associated with fewer complications.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-019-0575-7</identifier><identifier>PMID: 31911643</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/700/1720 ; Babies ; Catheter-Related Infections - epidemiology ; Catheterization, Central Venous - adverse effects ; Catheterization, Central Venous - instrumentation ; Catheterization, Central Venous - methods ; Catheterization, Peripheral - adverse effects ; Catheterization, Peripheral - methods ; Catheters ; Complications ; Complications and side effects ; Edema ; Electronic health records ; Equipment Failure ; Erythema ; Female ; Gestational Age ; Hospitalization ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - therapy ; Infants ; Intravenous catheterization ; Logistic Models ; Lower Extremity ; Male ; Medical instruments ; Medical records ; Medicine ; Medicine & Public Health ; Methods ; Neonatal intensive care ; Neonates ; Newborn babies ; Pediatric research ; Pediatric Surgery ; Pediatrics ; Perfusion ; Peripherally inserted central catheters ; Phlebitis ; Regression analysis ; Risk analysis ; Risk Factors ; Ultrasonic imaging ; Upper Extremity ; X-rays</subject><ispartof>Journal of perinatology, 2020-04, Vol.40 (4), p.581-588</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2020</rights><rights>COPYRIGHT 2020 Nature Publishing Group</rights><rights>2020© The Author(s), under exclusive licence to Springer Nature America, Inc. 2020</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-fb4a794cb2f53542acc5511327cd03fc1d2e924d1ddbaffd9306068faa0d4703</citedby><cites>FETCH-LOGICAL-c498t-fb4a794cb2f53542acc5511327cd03fc1d2e924d1ddbaffd9306068faa0d4703</cites><orcidid>0000-0002-8673-7112</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-019-0575-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-019-0575-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31911643$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pet, Gillian C.</creatorcontrib><creatorcontrib>Eickhoff, Jens C.</creatorcontrib><creatorcontrib>McNevin, Kate E.</creatorcontrib><creatorcontrib>Do, Julie</creatorcontrib><creatorcontrib>McAdams, Ryan M.</creatorcontrib><title>Risk factors for peripherally inserted central catheter complications in neonates</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
To determine factors associated with nonelective PICC removal and complications.
Study design
Overall, 1234 PICCs were placed in 918 hospitalized infants <45 weeks postmenstrual age. Outcomes studied include nonelective PICC removal (removal prior to completion of therapy) and line complications. Univariate and multivariate mixed-effects logistic regression analyses were conducted to evaluate the associations between potential predictor variables and clinical outcomes
Results
Nonelective PICC removal occurred in 28.4% and complications in 34.4% of infants. Nonelective removal (
p
< 0.001) and complications (
p
= 0.006) occurred more often with upper than lower extremity PICCs. Malposition in the first 72 h (
p
= 0.0009) and over time (
p
= 0.0003) were more common in upper extremity PICCS; however, upper extremity PICCs were associated with a decreased incidence of phlebitis, edema, and perfusion changes (
p
= 0.03).
Conclusions
Approximately one-third of PICCs were associated with complications. When feasible, lower extremity PICCs should be placed as they may be associated with fewer complications.</description><subject>692/308/409</subject><subject>692/700/1720</subject><subject>Babies</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheterization, Central Venous - methods</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>Catheterization, Peripheral - methods</subject><subject>Catheters</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Edema</subject><subject>Electronic health records</subject><subject>Equipment Failure</subject><subject>Erythema</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - therapy</subject><subject>Infants</subject><subject>Intravenous catheterization</subject><subject>Logistic Models</subject><subject>Lower Extremity</subject><subject>Male</subject><subject>Medical instruments</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Neonatal intensive care</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Pediatric research</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Perfusion</subject><subject>Peripherally inserted central catheters</subject><subject>Phlebitis</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Ultrasonic imaging</subject><subject>Upper Extremity</subject><subject>X-rays</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kl1rFTEQhoMo9lj9Ad7IglB6szWfm81lKbYKhaL0PuQkk57U3WRNdi_67816WmtFJRchM887mRlehN4SfEIw6z8UTpikLSaqxUKKVj5DG8Jl1wrB2XO0wZKztme8O0CvSrnFeE3Kl-iAEUVIx9kGffkayrfGGzunXBqfcjNBDtMOshmGuybEAnkG11iIcw011sw7mCE3No3TEOozpFgq10RI0cxQXqMX3gwF3tzfh-j6_OP12af28uri89npZWu56ufWb7mRitst9YIJTo21QhDCqLQOM2-Jo6Aod8S5rfHeKYY73PXeGOy4xOwQHe_LTjl9X6DMegzFwjCY2shSNGV1btURziv6_g_0Ni051uY0XRfCBCXdfynWU6FUx-gjdWMG0CH6VNdi16_1aUd6QSmhK3XyF6oeB2OwKYIPNf5EcPSbYAdmmHclDcvP7T4FyR60OZWSwesph9HkO02wXk2h96bQ1RR6NYWWVfPufrJlO4L7pXhwQQXoHig1FW8gP47-76o_ACP9vuw</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Pet, Gillian C.</creator><creator>Eickhoff, Jens C.</creator><creator>McNevin, Kate E.</creator><creator>Do, Julie</creator><creator>McAdams, Ryan M.</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8673-7112</orcidid></search><sort><creationdate>20200401</creationdate><title>Risk factors for peripherally inserted central catheter complications in neonates</title><author>Pet, Gillian C. ; Eickhoff, Jens C. ; McNevin, Kate E. ; Do, Julie ; McAdams, Ryan M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-fb4a794cb2f53542acc5511327cd03fc1d2e924d1ddbaffd9306068faa0d4703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>692/308/409</topic><topic>692/700/1720</topic><topic>Babies</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheterization, Central Venous - methods</topic><topic>Catheterization, Peripheral - adverse effects</topic><topic>Catheterization, Peripheral - methods</topic><topic>Catheters</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Edema</topic><topic>Electronic health records</topic><topic>Equipment Failure</topic><topic>Erythema</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - therapy</topic><topic>Infants</topic><topic>Intravenous catheterization</topic><topic>Logistic Models</topic><topic>Lower Extremity</topic><topic>Male</topic><topic>Medical instruments</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Neonatal intensive care</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Pediatric research</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Perfusion</topic><topic>Peripherally inserted central catheters</topic><topic>Phlebitis</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Ultrasonic imaging</topic><topic>Upper Extremity</topic><topic>X-rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pet, Gillian C.</creatorcontrib><creatorcontrib>Eickhoff, Jens C.</creatorcontrib><creatorcontrib>McNevin, Kate E.</creatorcontrib><creatorcontrib>Do, Julie</creatorcontrib><creatorcontrib>McAdams, Ryan M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pet, Gillian C.</au><au>Eickhoff, Jens C.</au><au>McNevin, Kate E.</au><au>Do, Julie</au><au>McAdams, Ryan M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for peripherally inserted central catheter complications in neonates</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>40</volume><issue>4</issue><spage>581</spage><epage>588</epage><pages>581-588</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective
To determine factors associated with nonelective PICC removal and complications.
Study design
Overall, 1234 PICCs were placed in 918 hospitalized infants <45 weeks postmenstrual age. Outcomes studied include nonelective PICC removal (removal prior to completion of therapy) and line complications. Univariate and multivariate mixed-effects logistic regression analyses were conducted to evaluate the associations between potential predictor variables and clinical outcomes
Results
Nonelective PICC removal occurred in 28.4% and complications in 34.4% of infants. Nonelective removal (
p
< 0.001) and complications (
p
= 0.006) occurred more often with upper than lower extremity PICCs. Malposition in the first 72 h (
p
= 0.0009) and over time (
p
= 0.0003) were more common in upper extremity PICCS; however, upper extremity PICCs were associated with a decreased incidence of phlebitis, edema, and perfusion changes (
p
= 0.03).
Conclusions
Approximately one-third of PICCs were associated with complications. When feasible, lower extremity PICCs should be placed as they may be associated with fewer complications.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>31911643</pmid><doi>10.1038/s41372-019-0575-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8673-7112</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2020-04, Vol.40 (4), p.581-588 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2334696144 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | 692/308/409 692/700/1720 Babies Catheter-Related Infections - epidemiology Catheterization, Central Venous - adverse effects Catheterization, Central Venous - instrumentation Catheterization, Central Venous - methods Catheterization, Peripheral - adverse effects Catheterization, Peripheral - methods Catheters Complications Complications and side effects Edema Electronic health records Equipment Failure Erythema Female Gestational Age Hospitalization Humans Infant, Newborn Infant, Newborn, Diseases - therapy Infants Intravenous catheterization Logistic Models Lower Extremity Male Medical instruments Medical records Medicine Medicine & Public Health Methods Neonatal intensive care Neonates Newborn babies Pediatric research Pediatric Surgery Pediatrics Perfusion Peripherally inserted central catheters Phlebitis Regression analysis Risk analysis Risk Factors Ultrasonic imaging Upper Extremity X-rays |
| title | Risk factors for peripherally inserted central catheter complications in neonates |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T21%3A25%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risk%20factors%20for%20peripherally%20inserted%20central%20catheter%20complications%20in%20neonates&rft.jtitle=Journal%20of%20perinatology&rft.au=Pet,%20Gillian%20C.&rft.date=2020-04-01&rft.volume=40&rft.issue=4&rft.spage=581&rft.epage=588&rft.pages=581-588&rft.issn=0743-8346&rft.eissn=1476-5543&rft_id=info:doi/10.1038/s41372-019-0575-7&rft_dat=%3Cgale_proqu%3EA618522122%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2382599632&rft_id=info:pmid/31911643&rft_galeid=A618522122&rfr_iscdi=true |