Evidence map›Paper›PMID 38443083›Full record

Observational studyBMJ open2024

Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China.

Mengying Qi, Yuju Qin, Siya Meng, Nan Feng, Yan Meng

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Mengying QiHuazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, China.ORCID 0000-0001-8315-1848
Yuju Qin *Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, China yujuqin@126.com.
Siya Meng *Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, China.ORCID 0009-0001-4082-910X
Nan FengHuazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, China.
Yan MengHuazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to explore the incidence of, and risk factors for medical adhesive-related skin injury (MARSI) at peripherally inserted central venous catheter (PICC) sites in patients with cancer.

designA prospective observational cohort study was conducted at a tertiary hospital in Shenzhen, China.

settingThis was a single-centre study conducted in a tertiary hospital in Shenzhen, China.

participantsA total of 340 patients with cancer and PICC placement from January 2022 to June 2023 were selected using a convenience sampling method.

methodsFactors potentially associated with PICC-related MARSI (PICC-MARSI) were recorded, including patient demographics, and catheter placement and maintenance. Patients were divided into MARSI and non-MARSI groups. Univariate analysis was performed to screen for associated variables, and logistic regression analysis was used to identify independent risk factors for PICC-MARSI.

resultsOf all 340 patients enrolled, 33 (9.7%) developed PICC-MARSI, including skin tear (8, 24.2%), tension injury (5, 15.2%), irritant contact dermatitis (10, 30.3%), allergic dermatitis (7, 21.2%) and maceration (3, 9.1%). Multivariable analysis showed that age (OR=1.058, p=0.001, 95% CI 1.023-1.094), wet skin (OR=4.873, p=0.003, 95% CI 1.728-13.742), dry skin (OR=6.247, p<0.0001, 95% CI 2.239-17.431), oedema (OR=3.302, p=0.008, 95% CI 1.365-7.985), allergy history (OR=6.044, p=0.001, 95% CI 2.040-17.906), dressing type (OR=3.827, p=0.003, 95% CI 1.595-9.185), body mass index (BMI) <18.5 (OR=4.271, p=0.015, 95% CI 1.327-13.742) and BMI 25-30 (OR=2.946, p=0.027, 95% CI 1.131-7.678) were independent risk factors for PICC-MARSI.

conclusionsProper catheter maintenance and appropriate dressing selection are crucial for the prevention of this condition.

Indexed as

Central Venous CathetersDeafnessLacerationsNeoplasmsChinaHumansProspective StudiesAdult oncologyNursing CareWOUND MANAGEMENT

Identifiers

PMID38443083
PMCPMC11146366

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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.