Risk Factors Related to Peripherally Inserted Central Venous Catheter Nonselective Removal in Neonates

摘要: We aimed to investigate the incidence and risk factors associated with nonselective removal of peripherally inserted central venous catheter (PICC) in neonates. In this prospective cohort study, neonates who underwent PICC placement at neonatal intensive care units (NICUs) China from October 2012 November 2015 were included. The patient demographics, characteristics, duration, insertion site, indication for insertion, infuscate composition, tip location, complications recorded a computerized database. Risk analyzed. A total 497 PICCs placed 496 Nonselective occurred 9.3% during 10,540 catheter-days (4.6 removals per 1,000 catheter-days). These included occlusion (3%), infection (1.4%), leakage (2.0%), phlebitis (0.6%), displacement (1%), pleural effusion(0.6%), breaks (0.6%). Noncentral position was independently an increased (odds ratio 2.621; 95% confidence interval, 1.258-5.461) after adjusting gestational age, sex, birth weight, dwell time. No significant differences rate between silastic polyurethane or different sites. only independent factor PICC.