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Clinical study of complications of a peripherally inserted central catheter in cancer patients

AIM: To evaluate complications after PICC use in cancer patients. DESIGN: This was a clinical and retrospective study in which the risk factors and complications of PICC use were evaluated. METHODS: This study was carried out in the patient, emergency room, and intensive care units through the evalu...

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Detalles Bibliográficos
Autores principales: Bonfim, André Luis Victor, de Brito, Germana Alves, Baptista, Aline Lourenço, Andrade, Luis André Silvestre, Imanishe, Marina Harume, Pereira, Benedito Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277446/
https://www.ncbi.nlm.nih.gov/pubmed/36853924
http://dx.doi.org/10.1002/nop2.1690
Descripción
Sumario:AIM: To evaluate complications after PICC use in cancer patients. DESIGN: This was a clinical and retrospective study in which the risk factors and complications of PICC use were evaluated. METHODS: This study was carried out in the patient, emergency room, and intensive care units through the evaluation of electronic medical records. To assess the association between qualitative variables, the chi‐squared test or Fisher's exact test was used, and to compare the reason for withdrawal, the Kruskal–Wallis test was applied. RESULTS: A total of 359 patients (53.5% men) with 43.1 ± 14 years who had a PICC (88% with solid tumours) were evaluated. The most common complications were mechanical complications (61.2%), infection (38%), and thrombosis (57.1%). Patients with double‐lumen catheters experienced thrombosis (85.7%). This study demonstrated the effectiveness of PICC and that patients with haematological cancer are more prone to multiple PICC passages and more mechanical complications and infections.