Complication rates among cancer patients with peripherally inserted central catheters Journal Article
| Authors: | Walshe, L. J.; Malak, S. F.; Eagan, J.; Sepkowitz, K. A. |
| Article Title: | Complication rates among cancer patients with peripherally inserted central catheters |
| Abstract: | Purpose: Peripherally inserted central catheters (PICCs) are frequently used to deliver outpatient courses of intravenous therapy. However, the rates and risks of complication for this device have not been well-studied. Our objective was to determine the incidence and risk factors of PICC-related complications with a 1-year prospective observational study. Patients and Methods: All PICCs inserted in adult and pediatric patients at Memorial Sloan-Kettering Cancer Center (MSKCC) were followed prospectively. The device insertion team, inpatient nurses, and various home-care companies and outside institutions collected longitudinal data. Results: Three hundred fifty-one PICCs were inserted during the study period and followed for a total of 10,562 catheter-days (median placement, 15 days; range, 1 to 487 days). Two hundred five PICCs (58%) were managed by home-care companies and outside institutions, and 146 PICCs (42%) were managed exclusively at MSKCC. For these 205 PICCs, 131 nurses from 74 home-care companies and institutions were contacted for follow-up clinical information. In all, 115 (32.8%) of 351 PICCs were removed as a result of a complication, for a rate of 10.9 per 1,000 catheter-days. Patients with hematologic malignancy or bone marrow transplant were more likely to develop a complication, whereas those with metastatic disease were less likely. Conclusion: Complications occur frequently among cancer patients with PICCs, and long-term follow-up is onerous. Despite a high complication rate, the ease of insertion and removal argues for continued PICC use in the cancer population. © 2002 by American Society of Clinical Oncology. |
| Keywords: | adolescent; adult; child; controlled study; aged; aged, 80 and over; middle aged; major clinical study; cancer patient; prospective study; prospective studies; neoplasms; metastasis; infection; incidence; risk factors; risk factor; long term care; catheterization, peripheral; chi-square distribution; home care; outpatient care; central venous catheter; institutional care; catheterization, central venous; humans; human; male; female; priority journal; article; peripherally inserted central venous catheter |
| Journal Title: | Journal of Clinical Oncology |
| Volume: | 20 |
| Issue: | 15 |
| ISSN: | 0732-183X |
| Publisher: | American Society of Clinical Oncology |
| Date Published: | 2002-08-01 |
| Start Page: | 3276 |
| End Page: | 3281 |
| Language: | English |
| DOI: | 10.1200/jco.2002.11.135 |
| PUBMED: | 12149302 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 14 November 2014 -- Source: Scopus |
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