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|Titolo:||Peripherally inserted central catheters in non-hospitalized cancer patients: 5-year results of a prospective study|
|Autori interni:||BARBERO, Cristina |
|Autori:||Paolo, Cotogni; Cristina, Barbero; Cristina, Garrino; Claudia, Degiorgis; Baudolino, Mussa; Antonella, De Francesco; Mauro, Pittiruti|
|Data di pubblicazione:||2015|
|Abstract:||Purpose Few prospective follow-up studies evaluating the use of peripherally inserted central catheters (PICCs) to deliver chemotherapy and/or home parenteral nutrition (HPN) have focused exclusively on oncology outpatients. The aim of this prospective study was to assess the reliability and the safety of PICCs over a 5-year use in non-hospitalized cancer patients requiring long-term intravenous therapies. Methods Since June 2008, all adult oncology outpatient candidates for PICC insertion were consecutively enrolled and the incidence of catheter-related complications was investigated. The follow-up continued until the PICC removal. Results Two hundred sixty-nine PICCs in 250 patients (98 % with solid malignancies) were studied, for a total of 55,293 catheter days (median dwell time 184 days, range 15–1,384). All patients received HPN and 71 % received chemotherapy during the study period. The incidence of catheter-related bloodstream infections (CRBSIs) was low (0.05 per 1,000 catheter days), PICC-related symptomatic thrombosis was rare (1.1 %; 0.05 per 1,000 catheter days), and mechanical complications were uncommon (13.1 %; 0.63 per 1,000 catheter days). The overall complication rate was 17.5 % (0.85 per 1,000 catheter days) and PICCs were removed because of complications only in 7 % of cases. The main findings of this study were that, if accurately managed, PICCs can be safely used in cancer patients receiving chemotherapy and/or HPN, recording a low incidence of CRBSI, thrombosis, and mechanical complications; a long catheter life span; and a low probability of catheter removal because of complications. Conclusions Our study suggests that PICCs can be successfully utilized as safe and long-lasting venous access devices in non-hospitalized cancer patients.|
|Digital Object Identifier (DOI):||10.1007/s00520-014-2387-9|
|Parole Chiave:||Venous access Venous access device Home care Central venous catheter Oncology|
|Rivista:||SUPPORTIVE CARE IN CANCER|
|Appare nelle tipologie:||03A-Articolo su Rivista|
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