European Journal of Clinical and Biomedical Sciences

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Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study

Received: Sep. 04, 2019    Accepted: Sep. 18, 2019    Published: Oct. 05, 2019
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Abstract

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.

DOI 10.11648/j.ejcbs.20190504.11
Published in European Journal of Clinical and Biomedical Sciences ( Volume 5, Issue 4, August 2019 )
Page(s) 58-61
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Peripherally Inserted Central Catheters, Diabetes, Complications, Risk Factors

References
[1] World Health Organization. Diabetes [M]. Available from: https://www.who.int/health-topics/diabetes.
[2] 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.
[3] 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.
[4] 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.
[5] 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.
[6] 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.
[7] 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.
[8] Dutia M, White R H, Wun T. Risk assessment models for cancer-associated venous thromboembolism [J]. Cancer, 2012, 118 (14): 3468-3476.
[9] 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.
[10] 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.
[11] 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.
[12] 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
[13] 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.
[14] 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.
[15] 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.
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    Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, et al. (2019). 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, 5(4), 58-61. https://doi.org/10.11648/j.ejcbs.20190504.11

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    ACS Style

    Cao Mingkun; Yin Yuxia; Gao Wei; Feng Shengyu; Wang Dengxu, et al. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study. Eur. J. Clin. Biomed. Sci. 2019, 5(4), 58-61. doi: 10.11648/j.ejcbs.20190504.11

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    AMA Style

    Cao Mingkun, Yin Yuxia, Gao Wei, Feng Shengyu, Wang Dengxu, et al. Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study. Eur J Clin Biomed Sci. 2019;5(4):58-61. doi: 10.11648/j.ejcbs.20190504.11

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  • @article{10.11648/j.ejcbs.20190504.11,
      author = {Cao Mingkun and Yin Yuxia and Gao Wei and Feng Shengyu and Wang Dengxu and Wan Min and Liu Chenghu and Wang Luning and Zhang Haijun},
      title = {Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {5},
      number = {4},
      pages = {58-61},
      doi = {10.11648/j.ejcbs.20190504.11},
      url = {https://doi.org/10.11648/j.ejcbs.20190504.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ejcbs.20190504.11},
      abstract = {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 (PP=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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Incidence and Risk Factors of Peripherally Inserted Central Catheter-related Complications in Patients with Diabetes: A Retrospective Study
    AU  - Cao Mingkun
    AU  - Yin Yuxia
    AU  - Gao Wei
    AU  - Feng Shengyu
    AU  - Wang Dengxu
    AU  - Wan Min
    AU  - Liu Chenghu
    AU  - Wang Luning
    AU  - Zhang Haijun
    Y1  - 2019/10/05
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ejcbs.20190504.11
    DO  - 10.11648/j.ejcbs.20190504.11
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 58
    EP  - 61
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20190504.11
    AB  - 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 (PP=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.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; School of Materials Science and Engineering, University of Science and Technology, Beijing, China

  • PICC Clinic, Qilu Hospital of Shandong University, Jinan, China

  • 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

  • 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

  • Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China

  • Shandong Quality Inspection Center for Medical Devices, Jinan, China; Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, China

  • School of Materials Science and Engineering, University of Science and Technology, Beijing, China

  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; Department of Vascular & Intervention, Tenth Peoples' Hospital of Tongji University, Shanghai, China

  • Section