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Gil Whan Kim 1 Article
A Peripherally Inserted Central Catheter is a Safe and Reliable Alternative to Short-Term Central Venous Catheter for the Treatment of Trauma Patients
Dong Yeon Ryu, Sang Bong Lee, Gil Whan Kim, Jae Hun Kim
J Trauma Inj. 2019;32(3):150-156.   Published online September 30, 2019
DOI: https://doi.org/10.20408/jti.2019.015
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  • 3 Citations
AbstractAbstract PDF
Purpose

To determine whether a peripherally inserted central catheter (PICC) meets the goals of a low infection rate and long-term use in trauma patients.

Methods

From January 2016 to June 2018, the medical records of patients who underwent central venous catheterization at a level I trauma center were retrospectively reviewed. Data collected included age, sex, injury severity score, site of catheterization, place of catheterization (intensive care unit [ICU], emergency department, or general ward), type of catheter, length of hospital stay during catheterization, types of cultured bacteria, time to development of central line-associated bloodstream infection (CLABSI), and complications.

Results

During the study period, 333 central vein catheters (CVC) were inserted with a total of 2,626 catheter-days and 97 PICCs were placed with a total of 2,227 catheter-days. The CLABSI rate was significantly lower in the PICC group when the analysis was limited to patients for whom the catheter was changed for the first time in the ICU after CVC insertion in the ER with similar indication and catheter insertion times (18.6 vs. 10.3/1,000 catheter-days, respectively, p<0.05). The median duration of catheter use was significantly longer in the PICC group than in the CVC group (16 vs. 6 days, respectively, p<0.05).

Conclusions

The study results showed that the duration of catheter use was longer and the infection rate were lower in the PICC group than in the CVC group, suggesting that PICC is a safe and reliable alternative to conventional CVC.

Summary

Citations

Citations to this article as recorded by  
  • Anatomical Structures to Be Concerned With During Peripherally Inserted Central Catheter Procedures
    Dasom Kim, Jin Woo Park, Sung Bum Cho, Im Joo Rhyu
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • The incidence and risk of venous thromboembolism associated with peripherally inserted central venous catheters in hospitalized patients: A systematic review and meta-analysis
    Anju Puri, Haiyun Dai, Mohan Giri, Chengfei Wu, Huanhuan Huang, Qinghua Zhao
    Frontiers in Cardiovascular Medicine.2022;[Epub]     CrossRef
  • Peripherally Inserted Central Catheter lines for Intensive Care Unit and onco-hematologic patients: A systematic review and meta-analysis
    Georgios Mavrovounis, Maria Mermiri, Dimitrios G Chatzis, Ioannis Pantazopoulos
    Heart & Lung.2020; 49(6): 922.     CrossRef

J Trauma Inj : Journal of Trauma and Injury