A team-based multidisciplinary approach to managing peripherally inserted central catheter complications in high-risk haematological patients: a prospective study

A team-based multidisciplinary approach to managing peripherally inserted central catheter complications in high-risk haematological patients: a prospective study

Purpose Use of peripherally inserted central catheters (PICCs) has markedly increased during the last decade. However, there are few studies on use of PICCs in patients with haematological malignancies (HM) receiving intensive chemotherapy. Preliminary data suggest a higher rate of PICC-related comp...

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Bibliographic Details
Published in:Supportive care in cancer Vol. 24; no. 1; pp. 93 - 101
Main Authors: Curto-García, Natalia, García-Suárez, Julio, Callejas Chavarria, Marta, Gil Fernández, Juan José, Martín Guerrero, Yolanda, Magro Mazo, Elena, Marcellini Antonio, Shelly, Juárez, Luis Miguel, Gutierrez, Isabel, Arranz, Juan José, Montalvo, Irene, Elvira, Carmen, Domínguez, Pilar, Díaz, María Teresa, Burgaleta, Carmen
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-01-2016
Springer Nature B.V
Subjects:
Adolescent
Adult
Aged
Blood diseases
Cancer
Catheter-Related Infections - etiology
Catheterization, Central Venous - adverse effects
Catheterization, Peripheral - adverse effects
Catheters
Chemotherapy
Female
Hematologic Diseases - etiology
Hematology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Nursing
Nursing Research
Oncology
Original Article
Pain Medicine
Prospective Studies
Rehabilitation Medicine
Risk Factors
Thrombosis - etiology
Young Adult
PICC-related thrombosis
PICC-related bloodstream infection
Haematological malignancies
Peripherally inserted central catheters
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Summary:Purpose Use of peripherally inserted central catheters (PICCs) has markedly increased during the last decade. However, there are few studies on use of PICCs in patients with haematological malignancies (HM) receiving intensive chemotherapy. Preliminary data suggest a higher rate of PICC-related complications in these high-risk patients. This prospective observational single-centre study aimed to investigate PICC-related complications after implementation of a multidisciplinary approach to PICC care and compared it with previous literature. Methods A total of 44 PICCs were inserted in 36 patients (27.3 %, thrombocytopenia <50 × 10 9 /L at insertion) over 5045 PICC days (median duration, 114.5 days). Results No major insertion-related complications were observed. Major late complications were obstruction in 13.6 % (1.19/1000 PICC days) of patients, catheter-related bloodstream infection in 6.8 % (0.59/1000 PICC days), and catheter-related thrombosis in 4.5 % (0.39/1000 PICC days). Premature PICC removal occurred in 34 % (2.97/1000 PICC days) of patients. The overall rate of potentially major dangerous complications was particularly low (11.36 %, 0.99/1000 PICC days) compared with previous studies. Conclusions This study highlights the utility of a multidisciplinary approach for PICC care in adults with HM receiving intensive chemotherapy. We provide further data to support use of PICCs in such patient populations.
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ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-015-2754-1