Effects of Peripherally inserted Central Catheter (PICC) materials and designs on reduction of PICC‐related complications: A systematic review and meta‐analysis
Studies showed that integrating coating or valve into Peripherally Inserted Central (PICC) can prevent related complications. However, data regarding efficiency were controversial. Therefore, a systematic review was needed to analyse the effect of PICC materials and designs on reduction of PICC‐rela...
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| Veröffentlicht in: | International wound journal 2024-03, Vol.21 (3), p.e14468-n/a |
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| creator | Ding, Nannan Peng, Huizhen Zhao, Wenli Yi, Yinping Ma, Yufeng Guo, Yaru Li, Haiyun Wu, Xue |
| description | Studies showed that integrating coating or valve into Peripherally Inserted Central (PICC) can prevent related complications. However, data regarding efficiency were controversial. Therefore, a systematic review was needed to analyse the effect of PICC materials and designs on reduction of PICC‐related complications. We searched PubMed, Cochrane library, EMbase, grey literature and referent literature from inception to 5 August 2022. Randomized controlled trials (RCTs) and case–control study were included. Two authors extracted data independently, using a predesigned Excel form, and assessed the quality of included RCTs according to the Cochrane Handbook for Systematic Reviews (V5.1.0), case–control study was assessed by the Newcastle‐Ottawa Scale. Data were analysed using Review Manager (v5.3.0). A total of 10 RCTs and one case–control study were included. Meta‐analysis results showed that PICC designs reduce the incidence of obstruction, and at the critical value of PICC‐associated bloodstream infection, but may have no effects on other complications. Based on the literature reviewed, we can only say PICC new materials did not reflect significant reduction on complications, what's more, the result needs more multicentre, large RCTs to support. We suggested clinicians combine descriptive research and cost‐effect analysis to select appropriate PICC materials and designs for patients. |
| doi_str_mv | 10.1111/iwj.14468 |
| format | Article |
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However, data regarding efficiency were controversial. Therefore, a systematic review was needed to analyse the effect of PICC materials and designs on reduction of PICC‐related complications. We searched PubMed, Cochrane library, EMbase, grey literature and referent literature from inception to 5 August 2022. Randomized controlled trials (RCTs) and case–control study were included. Two authors extracted data independently, using a predesigned Excel form, and assessed the quality of included RCTs according to the Cochrane Handbook for Systematic Reviews (V5.1.0), case–control study was assessed by the Newcastle‐Ottawa Scale. Data were analysed using Review Manager (v5.3.0). A total of 10 RCTs and one case–control study were included. Meta‐analysis results showed that PICC designs reduce the incidence of obstruction, and at the critical value of PICC‐associated bloodstream infection, but may have no effects on other complications. Based on the literature reviewed, we can only say PICC new materials did not reflect significant reduction on complications, what's more, the result needs more multicentre, large RCTs to support. We suggested clinicians combine descriptive research and cost‐effect analysis to select appropriate PICC materials and designs for patients.</description><identifier>ISSN: 1742-4801</identifier><identifier>ISSN: 1742-481X</identifier><identifier>EISSN: 1742-481X</identifier><identifier>DOI: 10.1111/iwj.14468</identifier><identifier>PMID: 38050652</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Antibiotics ; Bias ; Blood clots ; Catheter-Related Infections - prevention & control ; Catheterization, Central Venous - adverse effects ; Catheterization, Central Venous - instrumentation ; Catheterization, Central Venous - methods ; Catheterization, Peripheral - adverse effects ; Catheterization, Peripheral - methods ; Catheters ; Central Venous Catheters - adverse effects ; Clinical trials ; complication ; Equipment Design ; Female ; Handbooks ; Humans ; Infections ; Intervention ; Intubation ; Male ; Middle Aged ; new design ; new material ; Original ; Patient safety ; PICC ; Randomized Controlled Trials as Topic ; Systematic review ; Thrombosis ; valve</subject><ispartof>International wound journal, 2024-03, Vol.21 (3), p.e14468-n/a</ispartof><rights>2023 The Authors. published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.</rights><rights>2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the "License"). 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However, data regarding efficiency were controversial. Therefore, a systematic review was needed to analyse the effect of PICC materials and designs on reduction of PICC‐related complications. We searched PubMed, Cochrane library, EMbase, grey literature and referent literature from inception to 5 August 2022. Randomized controlled trials (RCTs) and case–control study were included. Two authors extracted data independently, using a predesigned Excel form, and assessed the quality of included RCTs according to the Cochrane Handbook for Systematic Reviews (V5.1.0), case–control study was assessed by the Newcastle‐Ottawa Scale. Data were analysed using Review Manager (v5.3.0). A total of 10 RCTs and one case–control study were included. Meta‐analysis results showed that PICC designs reduce the incidence of obstruction, and at the critical value of PICC‐associated bloodstream infection, but may have no effects on other complications. Based on the literature reviewed, we can only say PICC new materials did not reflect significant reduction on complications, what's more, the result needs more multicentre, large RCTs to support. 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However, data regarding efficiency were controversial. Therefore, a systematic review was needed to analyse the effect of PICC materials and designs on reduction of PICC‐related complications. We searched PubMed, Cochrane library, EMbase, grey literature and referent literature from inception to 5 August 2022. Randomized controlled trials (RCTs) and case–control study were included. Two authors extracted data independently, using a predesigned Excel form, and assessed the quality of included RCTs according to the Cochrane Handbook for Systematic Reviews (V5.1.0), case–control study was assessed by the Newcastle‐Ottawa Scale. Data were analysed using Review Manager (v5.3.0). A total of 10 RCTs and one case–control study were included. Meta‐analysis results showed that PICC designs reduce the incidence of obstruction, and at the critical value of PICC‐associated bloodstream infection, but may have no effects on other complications. Based on the literature reviewed, we can only say PICC new materials did not reflect significant reduction on complications, what's more, the result needs more multicentre, large RCTs to support. We suggested clinicians combine descriptive research and cost‐effect analysis to select appropriate PICC materials and designs for patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>38050652</pmid><doi>10.1111/iwj.14468</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-4523-982X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Antibiotics Bias Blood clots Catheter-Related Infections - prevention & control Catheterization, Central Venous - adverse effects Catheterization, Central Venous - instrumentation Catheterization, Central Venous - methods Catheterization, Peripheral - adverse effects Catheterization, Peripheral - methods Catheters Central Venous Catheters - adverse effects Clinical trials complication Equipment Design Female Handbooks Humans Infections Intervention Intubation Male Middle Aged new design new material Original Patient safety PICC Randomized Controlled Trials as Topic Systematic review Thrombosis valve |
| title | Effects of Peripherally inserted Central Catheter (PICC) materials and designs on reduction of PICC‐related complications: A systematic review and meta‐analysis |
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