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- Title
Dwell times and risk of non-elective removal of 1-French peripherally inserted central catheters according to catheter tip position in very preterm infants.
- Authors
Erhard, Daniela; Nguyen, Sarah; Guy, Katelyn; Casalaz, Dan; König, Kai; Erhard, Daniela M; Guy, Katelyn J; Casalaz, Dan M
- Abstract
We investigated dwell times and risk of non-elective removal of 975 single-lumen 1-French peripherally inserted central catheters (1FR-PICC) according to tip position in a cohort of very preterm infants with a mean (SD) gestational age of 27+6 (2+1) weeks and a mean (SD) birth weight of 988 (294) g over an eight-year period. Infants with a 1FR-PICC inserted for continuous infusion of intravenous fluids within the first 30 days of life were eligible. Dwell times of PICC with elective versus non-elective removal, risk of non-elective removal of PICC according to tip position, and differences between upper versus lower limb catheter insertion were analysed. 33.8% PICC were removed non-electively. Median (IQR) dwell time was 193 (142-287) versus 154 (102-260) h for elective versus non-elective removal (p < 0.001). Non-elective removal was more common for lower limb insertion sites: 41 versus 31% (p = 0.002). PICC were significantly more likely to be removed non-electively when located in the axillary (odds ratio (OR) 2.08), cephalic (OR 8.93), external iliac (OR 4.99), and femoral (OR 10.31) vein.<bold>Conclusion: </bold>In this cohort, dwell times of 1FR-PICC lines removed non-electively were similar to 1.9- or 2.0FR-PICC. PICC tips positioned in the axillary, cephalic, external iliac, and femoral veins had a higher risk of non-elective removal. What is Known: •Peripherally inserted central catheters (PICC) are widely used in neonatal intensive care. •Previous studies focused on 2-French PICC and newborns of all gestational ages. What is New: •Dwell times of 1-French PICC removed non-electively were similar to 2-French PICC. •1-French PICC tips positioned more peripherally had a higher risk of non-elective removal.
- Subjects
PREMATURE infants; PERIPHERALLY inserted central catheters; NEONATAL intensive care; ELECTIVE surgery; VENA cava inferior; VENA cava superior; LOW birth weight; CATHETERS; GESTATIONAL age; TIME; RELATIVE medical risk; RETROSPECTIVE studies; CENTRAL venous catheterization; MEDICAL device removal; CENTRAL venous catheters; ODDS ratio
- Publication
European Journal of Pediatrics, 2017, Vol 176, Issue 3, p407
- ISSN
0340-6199
- Publication type
journal article
- DOI
10.1007/s00431-017-2854-7