Am J Perinatol 2016; 33(10): 945-950
DOI: 10.1055/s-0036-1582127
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Association between Peripherally Inserted Central Venous Catheter Insertion Site and Complication Rates in Preterm Infants

Rani A. Bashir
1   Section of Neonatology, Department of Pediatrics, Cumming School of Medicine, Calgary, Alberta, Canada
,
Kamala Swarnam
1   Section of Neonatology, Department of Pediatrics, Cumming School of Medicine, Calgary, Alberta, Canada
,
Sakeer Vayalthrikkovil
1   Section of Neonatology, Department of Pediatrics, Cumming School of Medicine, Calgary, Alberta, Canada
,
Wendy Yee
1   Section of Neonatology, Department of Pediatrics, Cumming School of Medicine, Calgary, Alberta, Canada
,
Amuchou S. Soraisham
1   Section of Neonatology, Department of Pediatrics, Cumming School of Medicine, Calgary, Alberta, Canada
2   Alberta Children's Hospital Research Institute, University of Calgary, Alberta, Canada
› Institutsangaben
Weitere Informationen

Publikationsverlauf

01. Januar 2016

19. Februar 2016

Publikationsdatum:
08. April 2016 (online)

Abstract

Objective To examine whether there is an association between peripherally inserted central venous catheter (PICC) insertion site and complication rates among preterm infants.

Design We performed a retrospective analysis of the first PICCs placed in preterm infants in a tertiary neonatal intensive care unit between January 2006 and December 2010. The PICC-related complications resulting in catheter removal were compared based on site of insertion.

Results Of the 827 PICCs, 593 (72%) were inserted in upper extremity. Lower extremity PICC group infants had higher illness severity (SNAP-II) score and more likely to be inserted later as compared with the upper extremity group. There was no significant difference in the total PICC-related complications between upper and lower extremity PICCs (31.3 vs. 26%; p > 0.05). Logistic regression analysis after adjusting for gestational age, day of line insertion, and SNAP-II score revealed that upper extremity PICCs were associated with increased risk of line infiltration (adjusted odds ratio [aOR], 2.41; 95% confidence interval [CI], 1.36–4.29) but not the total PICC complication (aOR, 1.29; 95% CI, 0.91–1.83).

Conclusion There is no difference in total PICC-related complication between upper and lower extremity PICCs; however, the PICC-related mechanical complications vary depending on the site of insertion in preterm infants.

 
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