Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study
Objectives The aim of this study was to identify the prevalence of peripherally inserted central catheter (PICC) malposition and the influence of guide wire removal on tip location in PICCs and determine whether related factors, including age, sex, side of insertion and brand of catheter, influence...
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BMJ Publishing Group
2019-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/10/e027278.full |
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| author | Ying Wang Dan Wang Fangfang Niu Huining Gao Mingkai Yu Yuhang Li Liqun Xu Huizhi Cao Jinhua Liu Xue Ding Chen Yu Huiyan Li Kaijiang Yu Changsong Wang |
| author_facet | Ying Wang Dan Wang Fangfang Niu Huining Gao Mingkai Yu Yuhang Li Liqun Xu Huizhi Cao Jinhua Liu Xue Ding Chen Yu Huiyan Li Kaijiang Yu Changsong Wang |
| author_sort | Ying Wang |
| collection | DOAJ |
| description | Objectives The aim of this study was to identify the prevalence of peripherally inserted central catheter (PICC) malposition and the influence of guide wire removal on tip location in PICCs and determine whether related factors, including age, sex, side of insertion and brand of catheter, influence the PICC tip location.Setting Single-centre research institute in China recruiting patients from the hospital.Participants A total of 837 adult patients with inserted PICCs were recruited from October 2016 to May 2017.Interventions This was a cross-sectional study aiming to identify the prevalence of PICC malposition and the influence of guide wire removal on tip location in PICCs. A linear regression model and a variance of factorial design analysis were performed. The PICC tip location was documented on a postinsertion chest X-ray. Multivariable analyses were performed based on the following related factors: age, sex, side of insertion and brand of catheter.Results The tip location moved a mean of 17.4 mm among the 837 included patients. The prevalence of PICC malposition was 83.6% (700/837), while 16.4% (137/837) of PICCs remained in correct location. The mean movement caused by guide wire removal without an adjusted tail end was (−1.95±26.90) mm. The difference between tail end adjustment movement and actual tip position movement in each PICC was (33.0±17.1) mm in type C, which was significantly higher than the findings for type A (12.8±13.3) mm and type B (12.9±12.7) mm.Conclusions PICC malposition is a frequent event. Different catheter brands were associated with different ranges of movement in tip location after guide wire removal. The age and sex of the patients and the insertion side did not influence the extent of movement. |
| format | Article |
| id | doaj-art-bde6e91b2f154f35b350350fe85e78e2 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-bde6e91b2f154f35b350350fe85e78e22025-08-20T02:50:37ZengBMJ Publishing GroupBMJ Open2044-60552019-10-0191010.1136/bmjopen-2018-027278Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional studyYing Wang0Dan Wang1Fangfang Niu2Huining Gao3Mingkai Yu4Yuhang Li5Liqun Xu6Huizhi Cao7Jinhua Liu8Xue Ding9Chen Yu10Huiyan Li11Kaijiang Yu12Changsong Wang13School of Health Sciences, Wuhan University, Wuhan, Hubei, China1 Anesthesiology, First Affiliated Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, ChinaDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China4 Tumor Hospital of Harbin Medical University, Harbin, Heilongjiang, China2 Critical Care Medicine, Tumor Hospital of Harbin Medical University, Harbin, ChinaDepartment of Critical Care Medicine, The First Affifiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaObjectives The aim of this study was to identify the prevalence of peripherally inserted central catheter (PICC) malposition and the influence of guide wire removal on tip location in PICCs and determine whether related factors, including age, sex, side of insertion and brand of catheter, influence the PICC tip location.Setting Single-centre research institute in China recruiting patients from the hospital.Participants A total of 837 adult patients with inserted PICCs were recruited from October 2016 to May 2017.Interventions This was a cross-sectional study aiming to identify the prevalence of PICC malposition and the influence of guide wire removal on tip location in PICCs. A linear regression model and a variance of factorial design analysis were performed. The PICC tip location was documented on a postinsertion chest X-ray. Multivariable analyses were performed based on the following related factors: age, sex, side of insertion and brand of catheter.Results The tip location moved a mean of 17.4 mm among the 837 included patients. The prevalence of PICC malposition was 83.6% (700/837), while 16.4% (137/837) of PICCs remained in correct location. The mean movement caused by guide wire removal without an adjusted tail end was (−1.95±26.90) mm. The difference between tail end adjustment movement and actual tip position movement in each PICC was (33.0±17.1) mm in type C, which was significantly higher than the findings for type A (12.8±13.3) mm and type B (12.9±12.7) mm.Conclusions PICC malposition is a frequent event. Different catheter brands were associated with different ranges of movement in tip location after guide wire removal. The age and sex of the patients and the insertion side did not influence the extent of movement.https://bmjopen.bmj.com/content/9/10/e027278.full |
| spellingShingle | Ying Wang Dan Wang Fangfang Niu Huining Gao Mingkai Yu Yuhang Li Liqun Xu Huizhi Cao Jinhua Liu Xue Ding Chen Yu Huiyan Li Kaijiang Yu Changsong Wang Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study BMJ Open |
| title | Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study |
| title_full | Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study |
| title_fullStr | Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study |
| title_full_unstemmed | Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study |
| title_short | Influence of guide wire removal on tip location in peripherally inserted central catheters (PICCs): a retrospective cross-sectional study |
| title_sort | influence of guide wire removal on tip location in peripherally inserted central catheters piccs a retrospective cross sectional study |
| url | https://bmjopen.bmj.com/content/9/10/e027278.full |
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