Whole-course standardized peripherally inserted central catheter implantation improves the safety of parenteral nutrition infusion: a case-control study
10.3760/cma.j.cn115822-20221121-00241
- VernacularTitle:标准化PICC操作技术提高肠外营养输注安全的对照研究
- Author:
Lei LI
1
;
Peng LIU
;
Xiaoyan YANG
;
Xin LI
;
Hongyuan CUI
;
Jinghai SONG
;
Mingwei ZHU
Author Information
1. 北京医院普外科 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
peripherally inserted central catheter;
Parenteral nutrition;
Complications of catheter related infection
- From:
Chinese Journal of Clinical Nutrition
2023;31(4):204-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effectiveness of the standardized peripherally inserted central catheter (PICC) implantation procedure in the management of parenteral nutrition infusion routes.Methods:Patients were enrolled from January 2018 to January 2020 and were divided into the study and control groups, receiving standard operating procedures of PICC or insertion through below elbow with or without ultrasonic guidance. The differences in the success rate of PICC insertion, catheter indwelling time, incidence rate of complications, and patient satisfaction were compared.Results:A total of 943 subjects were included. The study group and the control group were comparable in terms of baseline characteristics such as disease type, body mass index and prevalence of nutritional risk. The overall success rate was 100% in both groups. The first-attempt success rate in the study group was higher compared with the control group (92.6% vs 72.2%, χ 2 = 66.229, P < 0.001), and the catheter indwelling time was longer ([25.4 ± 2.3] d vs [21.6 ± 3.1] d, t = 21.271, P < 0.001). The incidence rate of short-term complications in the study group was significantly lower than that in the control group (3.50% vs 11.52%, χ 2 = 21.490, P <0.001), while there was no significant difference in the incidence rate of long-term complications between the two groups (6.78% vs 8.85%, χ 2 = 1.388, P = 0.239). Conclusion:Establishing and implementing the standardized operating procedure of PICC is an effective method to improve the management of parenteral nutrition infusion routes.
