Analysis of Use and Outcomes of Peripherally Inserted Central Catheter (PICC-Line) in Hemato-Oncological Patients - Journal of Cancer Therapy

JCT > Vol.9 No.1, January 2018

Analysis of Use and Outcomes of Peripherally Inserted Central Catheter (PICC-Line) in Hemato-Oncological Patients ()

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DOI: 10.4236/jct.2018.91005 1,567 Downloads 4,273 Views Citations

Author(s)

Sulav Sapkota^*, Radheshyam Naik

Affiliation(s)

Department of Medical Oncology, HCG PVT LTD, Bangalore, India.

ABSTRACT

Aims: To audit the use and outcomes of using PICC lines in hemato-oncological patients. Objectives: To study the demographics of patients: studying the use of PICC line in hemato-oncological patients; studying the rate of complications in PICC line; studying the cause of early removal of PICC line. Methods: All PICCs inserted in adult hemato-oncological patients in Hematology and Medical Oncology Department of Health Care Global (HCG) Hospital were studied prospectively, as per the proforma, till PICCs were removed or patient expired and the pattern of complications were noted. Results: Eighty-four PICCs were inserted over a period of initial nine months and followed for a total of 1 year with three months post insertion duration for a total of 10,868 catheter-days (mean of 129 days i.e. 4.3 months, range: 1 to 288 days). The most common indication for PICC was chemotherapy (100%). Among them 19 (22%) PICCs had complications and 12 were removed at the rate of 1.1/1000 PICC-days. Complications with haematologic malignancies were more as compared to those with solid tissue malignancies. Conclusions: Despite significant complication rates, PICCs are a relatively safe and cost effective mode of establishing central venous access.

KEYWORDS

Peripherally Inserted Central Catheter (PICC), Vascular Access Device (VAD), Catheter-Related Bloodstream Infection (CR-BSI), Eastern Cooperative Oncology Group Performance Status (ECOG PS), Central Venous Catheter (CVC)

Share and Cite:

Sapkota, S. and Naik, R. (2018) Analysis of Use and Outcomes of Peripherally Inserted Central Catheter (PICC-Line) in Hemato-Oncological Patients. Journal of Cancer Therapy, 9, 35-41. doi: 10.4236/jct.2018.91005.

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