OBJECTIVE: The objective of this study is to compare complication rates between peripherally inserted central catheters (PICCs) and peripherally inserted non-central catheters (PINCCs) in the neonatal intensive care unit (NICU). STUDY DESIGN: A retrospective, observational study was conducted. The PICCs were catheters whose tip terminated in the vena cavae, and PINCCs were defined as those whose tip fell short of this location. Complication rates were assessed using generalized estimating equations modeling. RESULT: A total of 91 PINCCs and 889 PICCs were placed in 750 neonates. In all, 44.0% of PINCCs had a major complication compared with 25.2% of PICCs (P=0.0001). The unadjusted (unadj.) complication rate among PINCCs was 51.7 per 1000 line days and 15.9 for PICCs (unadj. rate ratio: 3.25; 95% confidence interval (CI): 2.32, 4.55). After adjusting for multiple confounders, the risk remained significantly higher for PINCCs (adjusted odds ratio: 2.41; 95% CI: 1.33, 4.37). CONCLUSION: The rate of associated complications with the use of PINCCs in the NICU population is more than twice that of the PICCs.
OBJECTIVE: The objective of this study is to compare complication rates between peripherally inserted central catheters (PICCs) and peripherally inserted non-central catheters (PINCCs) in the neonatal intensive care unit (NICU). STUDY DESIGN: A retrospective, observational study was conducted. The PICCs were catheters whose tip terminated in the vena cavae, and PINCCs were defined as those whose tip fell short of this location. Complication rates were assessed using generalized estimating equations modeling. RESULT: A total of 91 PINCCs and 889 PICCs were placed in 750 neonates. In all, 44.0% of PINCCs had a major complication compared with 25.2% of PICCs (P=0.0001). The unadjusted (unadj.) complication rate among PINCCs was 51.7 per 1000 line days and 15.9 for PICCs (unadj. rate ratio: 3.25; 95% confidence interval (CI): 2.32, 4.55). After adjusting for multiple confounders, the risk remained significantly higher for PINCCs (adjusted odds ratio: 2.41; 95% CI: 1.33, 4.37). CONCLUSION: The rate of associated complications with the use of PINCCs in the NICU population is more than twice that of the PICCs.
Authors: Matthew W Linakis; Jessica K Roberts; Anita C Lala; Michael G Spigarelli; Natalie J Medlicott; David M Reith; Robert M Ward; Catherine M T Sherwin Journal: Clin Pharmacokinet Date: 2016-02 Impact factor: 6.447
Authors: P Panagiotounakou; G Antonogeorgos; E Gounari; S Papadakis; J Labadaridis; A K Gounaris Journal: J Perinatol Date: 2014-03-13 Impact factor: 2.521
Authors: Rebecca A Hammon; Hannes Seuss; Matthias Hammon; Christian Grillhösl; Rafael Heiss; Martin Zeilinger; Nadine Bayerl; Pieter Vuylsteke; Friedrich Wanninger; Michael Schroth; Michael Uder; Oliver Rompel Journal: BMC Med Imaging Date: 2019-01-07 Impact factor: 1.930