Risk factors of PICC related upper extremity venous thrombosis in patients with head and neck neoplasm: a prospective study
10.3760/cma.j.issn.1674-2907.2020.02.005
- VernacularTitle:头颈部肿瘤患者PICC相关性上肢静脉血栓危险因素的前瞻性研究
- Author:
Rongyu HUA
1
;
Hongjuan WU
;
Danfeng BI
;
Feng CHEN
;
Liqin GAO
;
Guanmian LIANG
;
Fangying YANG
Author Information
1. 浙江中医药大学护理学院，杭州 310000
- Keywords:
Head and neck neoplasm;
Venous thrombosis;
PICC;
Risk factors;
Prevention
- From:
Chinese Journal of Modern Nursing
2020;26(2):162-168
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the incidence and risk factors of peripherally inserted central catheter (PICC) related upper extremity venous thrombosis (UEVT) in patients with head and neck neoplasm so as to provide a basis for preventing thrombosis.Methods:This study used the design of prospective cohort study. From January 2016 to March 2018, UEVT follow-up examination by B ultrasound was carried out for 1 137 head and neck neoplasm patients with PICC selected by convenience sampling. Single factor and multivariate Cox regression were used to determine the risk factors of PICC related UEVT.Results:There were 3.6% (41/1 137) of patients with PICC related UEVT. Multivariate Cox regression showed that the independent risk factors of PICC related UEVT included the older patients ( RR=1.04, 95% CI: 1.01-1.07, P=0.013) , being with a history of PICC catheterization ( RR=3.22, 95% CI: 1.53-6.77, P=0.002) and high frequency of catheter delivery ( RR=1.98, 95% CI: 1.30-3.00, P=0.001) . Conclusions:Patients with head and neck neoplasm have the low incidence of PICC related UEVT. The independent risk factors of PICC related UEVT in patients with head and neck neoplasm include the older ages, history of PICC catheterization and high frequency of catheter delivery. Positive intervention should be carried out for those patients which may reduce the incidence of PICC related thrombosis.
