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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Risk factors for peripherally inserted central venous catheter-related complications in children: A retrospective

Fang Wang1, Yu Wang2, Jingzhen Liu1

  • 1Department of Pediatrics, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei, China.

Medicine
|September 29, 2023
PubMed

Insights

Key risk factors for peripherally inserted central venous catheter (PICC)-related complications in children include venipuncture, puncture site bleeding, and catheter dwell time. Understanding these factors is crucial for implementing effective preventive nursing measures.

Area of Science:

  • Pediatric Medicine
  • Vascular Access Devices
  • Patient Safety

Background:

  • Peripherally inserted central venous catheters (PICCs) are widely used in pediatric patients for long-term intravenous therapy.
  • PICC-related complications can lead to increased morbidity, prolonged hospital stays, and additional healthcare costs.
  • Identifying modifiable risk factors is essential for improving patient outcomes and reducing the incidence of these complications.

Purpose of the Study:

  • To investigate the significant risk factors associated with peripherally inserted central venous catheter (PICC)-related complications in a pediatric population.
  • To provide evidence-based insights for the development of targeted preventive strategies.

Main Methods:

  • A retrospective study analyzing electronic medical records of 584 pediatric patients with indwelling PICCs from January 2019 to August 2021.
  • Patients were divided into a control group (no complications) and an observation group (with complications).
  • Univariate and multivariate logistic regression analyses were performed to identify independent risk factors for PICC-related complications.

Main Results:

  • A total of 46 out of 584 patients (7.88%) experienced PICC-related complications.
  • Significant risk factors identified through multivariate analysis included: vein puncture (OR 10.115), puncture site blood oozing (OR 9.217), indwelling time (OR 6.390), intravenous nutrient solution use (OR 2.593), and catheter type (OR 8.588).
  • All identified factors were statistically significant (P < .05).

Conclusions:

  • Venipuncture technique, presence of bleeding at the puncture site, duration of catheterization, use of intravenous nutrient solutions, and the type of catheter are significant risk factors for PICC-related complications in children.
  • Close monitoring of these factors and prompt implementation of preventive nursing interventions are recommended to minimize the risk of PICC-related complications in pediatric patients.

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