دورية أكاديمية
أعرض في EDS

Complications in the use of peripherally inserted central catheter associated with peripheral intravenous therapy: retrospective cohort.

التفاصيل البيبلوغرافية
العنوان: Complications in the use of peripherally inserted central catheter associated with peripheral intravenous therapy: retrospective cohort.
المؤلفون: Santos ESD; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brazil., Ferreira EB; Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil., Braga FTMM; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brazil., Margatho AS; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brazil., Sousa P; Universidade Nova de Lisboa, Escola Nacional de Saúde Pública, Lisboa, Estremadura, Portugal., Silveira RCCP; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brazil.
المصدر: Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2024 Sep 23; Vol. 32, pp. e4341. Date of Electronic Publication: 2024 Sep 23 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English; Spanish; Castilian; Portuguese
بيانات الدورية: Publisher: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo Country of Publication: Brazil NLM ID: 9420934 Publication Model: eCollection Cited Medium: Internet ISSN: 1518-8345 (Electronic) Linking ISSN: 01041169 NLM ISO Abbreviation: Rev Lat Am Enfermagem Subsets: MEDLINE
أسماء مطبوعة: Original Publication: São Paulo : Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 1993-
مواضيع طبية MeSH: Catheterization, Peripheral*/adverse effects , Catheterization, Peripheral*/instrumentation, Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Cohort Studies ; Adult ; Aged ; Catheterization, Central Venous/adverse effects ; Catheterization, Central Venous/instrumentation ; Administration, Intravenous/adverse effects
مستخلص: Objective: to analyze the occurrence of difficulty in the peripheral insertion of the central catheter and the presence of complications in the use of this device in hospitalized adults who received peripheral intravenous therapy through a short peripheral intravenous catheter and to identify whether there is an association between peripheral intravenous therapy and the presence of complications in the use of the peripherally inserted central catheter.
Method: retrospective cohort, with patients aged 18 years or over, in a tertiary teaching hospital, with a peripherally inserted central catheter, who had at least one previous short peripheral intravenous catheter. Data were analyzed using descriptive statistics and Poisson regression.
Results: the sample consisted of 76 patients. There was an association between difficulty in the insertion procedure and number of punctures (p<0.01) and insertion in the external jugular vein compared to the upper limbs (p<0.01). The insertion site was also associated with the removal of the peripherally inserted central catheter due to complications in the robust analysis of variance (p=0.02). No associations were identified between: difficulty inserting the device and time on peripheral intravenous therapy (crude model p=0.23; adjusted model p=0.21); difficulty in insertion with administration of irritating and vesicant medication (crude model p=0.69; adjusted model p=0.53); complication in the use of peripherally inserted central catheter and time of peripheral intravenous therapy (crude and adjusted models p=0.08); and secondary migration of the catheter tip with the device insertion site (p=0.24).
Conclusion: it was possible to identify secondary migration as one of the main complications, resulting in premature removal of the device. Furthermore, the greater the number of puncture attempts to insert the PICC, the greater the difficulty in inserting it. Insertion into the external jugular vein was recurrent, with a higher risk of removal due to complications in relation to the upper limbs.
References: Gerontol Geriatr Med. 2020 Feb 18;6:2333721420906922. (PMID: 32128353)
Support Care Cancer. 2020 Oct;28(10):4753-4760. (PMID: 31970514)
J Vasc Access. 2022 Nov;23(6):911-921. (PMID: 33985394)
Rev Bras Enferm. 2022 Sep 23;75(4):e20210967. (PMID: 36169557)
Trials. 2022 May 12;23(1):390. (PMID: 35549750)
Ann Palliat Med. 2021 Nov;10(11):11721-11732. (PMID: 34872297)
Leuk Lymphoma. 2020 Jan;61(1):156-164. (PMID: 31387422)
J Med Life. 2021 May-Jun;14(3):298-309. (PMID: 34377194)
J Vasc Access. 2023 May;24(3):370-378. (PMID: 34289726)
Australas Emerg Care. 2022 Jun;25(2):140-146. (PMID: 34456181)
Rev Bras Enferm. 2023 Dec 04;76(6):e20220578. (PMID: 38055472)
J Emerg Nurs. 2022 May;48(3):303-309. (PMID: 35526875)
Rev Bras Enferm. 2021 Jun 16;74(2):e20190663. (PMID: 34161537)
Eur J Med Res. 2021 Jul 23;26(1):80. (PMID: 34301331)
BMJ Qual Saf. 2022 Sep;31(9):652-661. (PMID: 35086961)
J Infus Nurs. 2024 Jan-Feb 01;47(1S Suppl 1):S1-S285. (PMID: 38211609)
JAMA Netw Open. 2020 Oct 1;3(10):e2017659. (PMID: 33084898)
Support Care Cancer. 2020 Jun;28(6):2789-2795. (PMID: 31724074)
J Vasc Access. 2023 Jan;24(1):14-21. (PMID: 34075824)
Open Forum Infect Dis. 2019 Feb 27;6(4):ofz111. (PMID: 30949543)
J Infect Prev. 2021 Jul;22(4):147-155. (PMID: 34295375)
تواريخ الأحداث: Date Created: 20240925 Date Completed: 20240925 Latest Revision: 20240927
رمز التحديث: 20240927
مُعرف محوري في PubMed: PMC11421515
DOI: 10.1590/1518-8345.7173.4341
PMID: 39319892
قاعدة البيانات: MEDLINE
الوصف
تدمد:1518-8345
DOI:10.1590/1518-8345.7173.4341