Evidence map›Paper›PMID 29377971›Full record

ArticleJournal of hospital medicine2018

Patterns and Predictors of Short-Term Peripherally Inserted Central Catheter Use: A Multicenter Prospective Cohort Study.

David Paje, Anna Conlon, Scott Kaatz, Lakshmi Swaminathan, Tanya Boldenow, Steven J Bernstein, Scott A Flanders, Vineet Chopra

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hospital medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

David PajeThe Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA. dpaje@med.umich.edu.
Anna ConlonThe Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Scott KaatzDivision of Hospital Medicine, Henry Ford Hospital, Detroit, Michigan, USA.
Lakshmi SwaminathanBeaumont Health System, Grosse Pointe, Michigan, USA.
Tanya BoldenowSaint Joseph Mercy Health System, Ann Arbor, Michigan, USA.
Steven J BernsteinThe Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Scott A FlandersThe Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Vineet ChopraThe Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
University of Michigan–Ann Arbor · USVA Ann Arbor Healthcare System · USBeaumont Health · USHenry Ford Hospital · USNational Patient Safety Foundation · USOrthopaedic Associates of Michigan · US

Funding

Improving Peripherally Inserted Central Catheter Use in Hospitalized PatientsK08HS022835 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHOPRA, VINEET · 2014 to 2017
$608k
AHRQ HHS K08 HS022835AHRQ HHS R18 HS025891
6 · The paper itself

Abstract

backgroundThe guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated duration of use is =5 days. However, short-term PICC use is common in hospitals. We sought to identify patient, provider, and device characteristics and the clinical outcomes associated with short-term PICCs.

methodsBetween January 2014 and June 2016, trained abstractors at 52 Michigan Hospital Medicine Safety (HMS) Consortium sites collected data from medical records of adults that received PICCs during hospitalization. Patients were prospectively followed until PICC removal, death, or 70 days after insertion. Multivariable logistic regression models were fit to identify factors associated with short-term PICCs, defined as dwell time of =5 days. Complications associated with short-term use, including major (eg, venous thromboembolism [VTE] or central lineassociated bloodstream infection [CLABSI]) or minor (eg, catheter occlusion, tip migration) events were assessed.

resultsOf the 15,397 PICCs placed, 3902 (25.3%) had a dwell time of =5 days. Most (95.5%) short-term PICCs were removed during hospitalization. Compared to PICCs placed for >5 days, variables associated with short-term PICCs included difficult venous access (odds ratio [OR], 1.54; 95% confidence interval [CI], 1.40-1.69), multilumen devices (OR, 1.53; 95% CI, 1.39-1.69), and teaching hospitals (OR, 1.25; 95% CI, 1.04-1.52). Among those with short-term PICCs, 374 (9.6%) experienced a complication, including 99 (2.5%) experiencing VTE and 17 (0.4%) experiencing CLABSI events. The most common minor complications were catheter occlusion (4%) and tip migration (2.2%).

conclusionShort-term use of PICCs is common and associated with patient, provider, and device factors. As PICC placement, even for brief periods, is associated with complications, efforts targeted at factors underlying such use appear necessary.

Indexed as

Catheterization, PeripheralCatheter-Related InfectionsFemaleHospitalizationHospitals, TeachingHumansMaleMichiganMiddle AgedProspective StudiesRisk AssessmentTime FactorsVenous Thromboembolism

Identifiers

PMID29377971
PMCPMC6320698
OpenAlexW2787703872

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.