Author Of 1 Presentation
PERIPHERALLY INSERTED CENTRAL CATHETER RELATED COMPLICATIONS IN THAI PEDIATRIC PATIENTS
Abstract
Background
There are many pediatric patients with chronic and complicated diseases in tertiary care hospital. These patients require long-term vascular access for fluid and medication administration. The use of Peripherally Inserted Central Catheters (PICCs) has been increasing globally since 1976; however, the adoption of PICCs in Thailand has been initiated less than a decade ago. There is no data regarding prevalence and risk factors for Peripherally Inserted Central Catheters (PICCs) complications in pediatric patients in Thailand.
Objectives
To identify prevalence, incidence of complications and risks related to PICCs used in hospital- and ambulatory- based patients.
Methods
We retrospectively reviewed pediatric patients with PICC line insertion by in-training pediatric pulmonology and critical care fellows to assess the prevalence of complications and their risk factors for two years in a tertiary referral center. Moreover, we compared the complications between hospital-based patients and discharge-to-home patients.
Results
A total of 200 PICCs were inserted in 176 children with 7,817 total catheter day. The overall complications were 6.9 per 1000 catheter day. The most common complications were occlusion and CRBSI with 1.6 per 1000 catheter day. The ambulatory-based patients have longer PICC dwell time (61.9 days, p value<0.001) and less complications compared to hospital-based patients (p value=0.008). Smaller catheter and repeated PICC insertion were associated with complications (p-value=0.013 and <0.001, respectively).
Conclusion
The larger sized PICC catheter had less complication than the smaller sized. The Ambulatory-based PICC is possible. A thorough maintenance, care plan and care team of PICC should be initiated for ambulatory options.