The Incidence and Influencing Factors of Complications in Patients with Ultrasound-guided PICC Catheterization

Zhu-mei CHEN; Yue-ying HUA; Yan-yan WEN; Hui LI

doi:10.12259/j.issn.2095-610X.S20210209

Volume 42 Issue 2

Mar. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(2): 173-178

Zhu-mei CHEN, Yue-ying HUA, Yan-yan WEN, Hui LI. The Incidence and Influencing Factors of Complications in Patients with Ultrasound-guided PICC Catheterization[J]. Journal of Kunming Medical University, 2021, 42(2): 173-178. doi: 10.12259/j.issn.2095-610X.S20210209

Citation:

Zhu-mei CHEN, Yue-ying HUA, Yan-yan WEN, Hui LI. The Incidence and Influencing Factors of Complications in Patients with Ultrasound-guided PICC Catheterization[J]. Journal of Kunming Medical University, 2021, 42(2): 173-178. doi: 10.12259/j.issn.2095-610X.S20210209

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The Incidence and Influencing Factors of Complications in Patients with Ultrasound-guided PICC Catheterization

doi: 10.12259/j.issn.2095-610X.S20210209

1.
Dept. of Outpatient，Xi Jing Hospital，Xi’an Air Force Military Medical University，Xi’an Shaanxi 710032
2.
Dept. of Ultrasound，Chengdu Second People’s Hospital，Chengdu Sichuan 610021，China

Received Date: 2020-11-14
Publish Date: 2021-03-05

Abstract

Abstract

Objective To observe the incidence of complications in patients with ultrasound-guided PICC catheterization and explore the influencing factors. Methods The clinical data of 536 patients with ultrasound-guided PICC catheterization were retrospectively selected. Patients were divided into complication group（52 cases）and control group（484 cases） according to whether catheterization related complications occurred. Patients' baseline data, catheterization method, puncture vein selection, indwelling time and other information were collected, and multiple Logistic regression was used to analyze the risk factors of ultrasound-guided PICC catheterization related complications. Results The incidence of complications in this group was 9.70%（52/536）, the incidence of catheter-related infection was the highest（4.66%）, and the incidence of complications in oncology department was the highest（3.36%）. Univariate analysis of age, BMI, education level, diabetes mellitus, puncture vein selection, catheterization distribution, catheterization method, venous thrombosis history, length of experience of PICC operation nurse, and out-hospital catheterization nursing method were all correlated with the occurrence of ultrasound-guided PICC catheterization complications（P < 0.05）. Logistic regression analysis showed that complications of PICC catheterization were associated with diabetes mellitus, puncture vein selection, catheterization method, PICC operation nurse experience, and out-hospital catheter nursing mode（P < 0.05）. Conclusion Combined diabetes mellitus, cephalic vein catheterization, badseddinger puncture, lack of experience in nurse operation and lack of hospital management may be the risk factors for complications of PICC catheterization.
- Ultrasonic guidance,
- PICC,
- Complications,
- Malignant tumor,
- Modified Seldinger Technique

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References(22)

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