Systematic review of thrombosis risk prediction models related to peripherally inserted central catheter in adults
10.3760/cma.j.cn115682-20230812-00491
- VernacularTitle:成人经外周静脉置入中心静脉导管相关性血栓风险预测模型的系统评价
- Author:
Xiaoqi WU
1
;
Lihong YANG
;
Zhijie AN
;
Jing SHI
;
Yuan SHENG
;
Wei GAO
Author Information
1. 山东大学护理与康复学院，济南 250012
- Keywords:
Vein;
Peripherally inserted central catheter;
Catheter-related thrombosis;
Prediction model;
Systematic review
- From:
Chinese Journal of Modern Nursing
2024;30(17):2263-2272
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review thrombosis risk prediction models associated with peripherally inserted central venous catheter (PICC) in adults and provide a basis for the clinical application of these models and the development of subsequent models.Methods:Databases such as CNKI, Wanfang, VIP, PubMed, CINAHL, Web of Science, and Ovid were searched to collect studies on thrombosis risk prediction models related to adult PICC, covering all entries from the inception of the databases until December 31, 2022. Two researchers independently screened the literature, extracted data, and assessed the risk of bias.Results:Nineteen studies were included. D-dimer was the most common predictive factor; only five studies underwent external validation, and six studies evaluated model calibration. All included studies exhibited high risk of bias, primarily due to methodological deficiencies in model development and validation processes; the combined area under the receiver operating characteristic curve for nine models was 0.80 (95% Confidence Interval: 0.75-0.85) .Conclusions:Research on thrombosis risk prediction models related to adult PICC is still in its developmental stage. Most of the known models perform well with comprehensive and easily obtainable predictive factors, yet they exhibit methodological shortcomings. Future research should focus on improving the methodological quality and external validation during model development and validation processes.
