Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions

Li Qiufeng; Huang Guohua; He Jinai; Liu Yintian

doi:doi:10.11648/j.ejpm.20200801.12

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Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions

Li Qiufeng, Huang Guohua, He Jinai, Liu Yintian

Published in European Journal of Preventive Medicine (Volume 8, Issue 1)

Received: 5 February 2020 Accepted: 17 February 2020 Published: 28 February 2020

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Abstract

Objective We analyze risk factors of ectopy of peripherally inserted central catheter tip in obese patients after weight reduction surgery and explore effective nursing interventions. Methods we conducted a retrospective analysis of the general data, PICC data, and position of catheter tip of 190 obese patients who had PICC for weight reduction surgery in our hospital from May 2018 to June 2019. We used monofactor and multi-factor logistic regression analysis to investigate the risk factors of peripherally inserted central catheter tip misplacement in obese patients who underwent weight reduction surgery. Results We found 29 cases (15.3%) of ectopy of PICC tip among which 13 cases of misplaced tips were found in internal jugular vein, 5 cases in subclavian vein, 4 cases in brachiocephalic veins, 4 cases in right atrium and 3 cases in axillary vein. The monofactor analysis showed that height, weight, BMI of patients, the vein, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the related risk factors of ectopy of PICC tip in obese patients who underwent weight reduction surgery. The multi-factor logistic regression analysis showed that BMI, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the independent risk factors of ectopy of PICC tip. Conclusions Since BMI, arm circumference and the cases of catheters the operators have inserted are the factors that may cause ectopy of PICC tip, we advise the operators should have good experience of inserting catheters and the cases of catheters they have inserted should be≥100; Besides, the location of the vein should be determined by ultrasound B before inserting, the length of catheters should be measured by two nurses, and the ectopy of catheter tip can be prevented and corrected by using ultrasonic probe to press the internal jugular vein.

Published in	European Journal of Preventive Medicine (Volume 8, Issue 1)
DOI	10.11648/j.ejpm.20200801.12
Page(s)	7-11
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Obese Patients, Ectopy of Picc, Related Factors, Nursing Interventions

References

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[3]	Dillon, C, Peddle, J. Twells, L., Lester, K., & Gregory, D. (2015). Rapid reduction in use of antidiabetic medication after laparoscopic sleeve gastrectomy: the new found land and labrador bariatric surgery cohort (basco) study. The Canadian journal of hospital pharmacy, 68 (2), 113-120.
[4]	Sheu, E. G., Channick, R., & Gee, D. W. (2016). Improvement in severe pulmonary hypertension in obese patients after laparoscopic gastric bypass or sleeve gastrectomy. Surgical Endoscopy, 30 (2), 633-637.
[5]	J. J. Menéndez, C. Verdú, B. Calderón, A. Gómez-Zamora, C. Schüffelmann, & Cruz, J. J., et al. (2016). Incidence and risk factors of superficial and deep vein thrombosis associated with peripherally inserted central catheters in children. Journal of Thrombosis and Haemostasis, 14 (11), 2158-2168.
[6]	Patel, S. R., Malhotra, A., White, D. P., Gottlieb, D. J., & Hu, F. B. (2006). Association between reduced sleep and weight gain in women. American Journal of Epidemiology, 164 (10), 947-954.
[7]	Listed, N. A. (2008). Surgery for obesity in adults. Drug & Therapeutics Bulletin, 46 (6), 41-5.
[8]	Zitsman, J. L., Digiorgi, M. F., Marr, J. R., Witt, M. A., & Bessler, M. (2011). Comparative outcomes of laparoscopic adjustable gastric banding in adolescents and adults. Surgery for Obesity and Related Diseases, 7 (6), 720-726.
[9]	Colquitt, J. L., Pickett, K., Loveman, E., & Frampton, G. K. (2014). Surgery for weight loss in adults. Cohrane Database of Systematic Reviews, 8 (Issue 8 Art. No.: CD003641), CD003641.
[10]	Kang, J. R., Long, L. H., Yan, S. W., Wei, W. W., Jun, H. Z., & Chen, W. (2017). Peripherally inserted central catheter-related vein thrombosis in patients with lung cancer. Clin Appl Thromb Hemost, 23 (2), 181-186.
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[13]	Cotogni, P., Pittiruti, M., Barbero, C., Monge, T., Palmo, A., & Boggio Bertinet, D. (2013). Catheter-related complications in cancer patients on home parenteral nutrition: a prospective study of over 51,000 catheter days. Journal of Parenteral and Enteral Nutrition, 37 (3), 375-383.
[14]	Tracey L. Abitz. (2016). Cultural congruence and infusion nursing practice. Journal of Infusion Nursing the Official Publication of the Infusion Nurses Society, 39 (2), 75-79.
[15]	Botella-Carretero, J. I., Carrero, C., Guerra, E., Valbuena, B., Arrieta, F., & Calanas, A., et al. (2013). Role of peripherally inserted central catheters in home parenteral nutrition: a 5-year prospective study. Journal of Parenteral and Enteral Nutrition, 37 (4), 544-549.
[16]	Opilla, & Marianne. (2017). Peripherally inserted central catheter experience in long-term home parenteral nutrition patients. Journal of the Association for Vascular Access, 22 (1), 42-45.
[17]	Line Dahlstrøm Christensen, Henrik Højgaard Rasmussen, & Vinter-Jensen, L. (2013). Peripherally inserted central catheter for use in home parenteral nutrition: a 4-year follow-up study. Journal of Parenteral and Enteral Nutrition, 38 (8), 1003-6.

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APA Style

Li Qiufeng, Huang Guohua, He Jinai, Liu Yintian. (2020). Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions. European Journal of Preventive Medicine, 8(1), 7-11. https://doi.org/10.11648/j.ejpm.20200801.12

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ACS Style

Li Qiufeng; Huang Guohua; He Jinai; Liu Yintian. Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions. Eur. J. Prev. Med. 2020, 8(1), 7-11. doi: 10.11648/j.ejpm.20200801.12

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AMA Style

Li Qiufeng, Huang Guohua, He Jinai, Liu Yintian. Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions. Eur J Prev Med. 2020;8(1):7-11. doi: 10.11648/j.ejpm.20200801.12

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@article{10.11648/j.ejpm.20200801.12,
  author = {Li Qiufeng and Huang Guohua and He Jinai and Liu Yintian},
  title = {Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions},
  journal = {European Journal of Preventive Medicine},
  volume = {8},
  number = {1},
  pages = {7-11},
  doi = {10.11648/j.ejpm.20200801.12},
  url = {https://doi.org/10.11648/j.ejpm.20200801.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20200801.12},
  abstract = {Objective We analyze risk factors of ectopy of peripherally inserted central catheter tip in obese patients after weight reduction surgery and explore effective nursing interventions. Methods we conducted a retrospective analysis of the general data, PICC data, and position of catheter tip of 190 obese patients who had PICC for weight reduction surgery in our hospital from May 2018 to June 2019. We used monofactor and multi-factor logistic regression analysis to investigate the risk factors of peripherally inserted central catheter tip misplacement in obese patients who underwent weight reduction surgery. Results We found 29 cases (15.3%) of ectopy of PICC tip among which 13 cases of misplaced tips were found in internal jugular vein, 5 cases in subclavian vein, 4 cases in brachiocephalic veins, 4 cases in right atrium and 3 cases in axillary vein. The monofactor analysis showed that height, weight, BMI of patients, the vein, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the related risk factors of ectopy of PICC tip in obese patients who underwent weight reduction surgery. The multi-factor logistic regression analysis showed that BMI, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the independent risk factors of ectopy of PICC tip. Conclusions Since BMI, arm circumference and the cases of catheters the operators have inserted are the factors that may cause ectopy of PICC tip, we advise the operators should have good experience of inserting catheters and the cases of catheters they have inserted should be≥100; Besides, the location of the vein should be determined by ultrasound B before inserting, the length of catheters should be measured by two nurses, and the ectopy of catheter tip can be prevented and corrected by using ultrasonic probe to press the internal jugular vein.},
 year = {2020}
}

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TY  - JOUR
T1  - Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions
AU  - Li Qiufeng
AU  - Huang Guohua
AU  - He Jinai
AU  - Liu Yintian
Y1  - 2020/02/28
PY  - 2020
N1  - https://doi.org/10.11648/j.ejpm.20200801.12
DO  - 10.11648/j.ejpm.20200801.12
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 7
EP  - 11
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20200801.12
AB  - Objective We analyze risk factors of ectopy of peripherally inserted central catheter tip in obese patients after weight reduction surgery and explore effective nursing interventions. Methods we conducted a retrospective analysis of the general data, PICC data, and position of catheter tip of 190 obese patients who had PICC for weight reduction surgery in our hospital from May 2018 to June 2019. We used monofactor and multi-factor logistic regression analysis to investigate the risk factors of peripherally inserted central catheter tip misplacement in obese patients who underwent weight reduction surgery. Results We found 29 cases (15.3%) of ectopy of PICC tip among which 13 cases of misplaced tips were found in internal jugular vein, 5 cases in subclavian vein, 4 cases in brachiocephalic veins, 4 cases in right atrium and 3 cases in axillary vein. The monofactor analysis showed that height, weight, BMI of patients, the vein, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the related risk factors of ectopy of PICC tip in obese patients who underwent weight reduction surgery. The multi-factor logistic regression analysis showed that BMI, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the independent risk factors of ectopy of PICC tip. Conclusions Since BMI, arm circumference and the cases of catheters the operators have inserted are the factors that may cause ectopy of PICC tip, we advise the operators should have good experience of inserting catheters and the cases of catheters they have inserted should be≥100; Besides, the location of the vein should be determined by ultrasound B before inserting, the length of catheters should be measured by two nurses, and the ectopy of catheter tip can be prevented and corrected by using ultrasonic probe to press the internal jugular vein.
VL  - 8
IS  - 1
ER  -

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Author Information

Li Qiufeng

Department of Intravenous Catheter Nursing Clinic, The First Affiliated Hospital of Jinan University, Guangzhou, China
Huang Guohua

Department of Intravenous Catheter Nursing Clinic, The First Affiliated Hospital of Jinan University, Guangzhou, China
He Jinai

Department of Nursing, The First Affiliated Hospital of Jinan University, Guangzhou, China
Liu Yintian

Department of Cardiac Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Li Qiufeng, Huang Guohua, He Jinai, Liu Yintian. (2020). Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions. European Journal of Preventive Medicine, 8(1), 7-11. https://doi.org/10.11648/j.ejpm.20200801.12

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ACS Style

Li Qiufeng; Huang Guohua; He Jinai; Liu Yintian. Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions. Eur. J. Prev. Med. 2020, 8(1), 7-11. doi: 10.11648/j.ejpm.20200801.12

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AMA Style

Li Qiufeng, Huang Guohua, He Jinai, Liu Yintian. Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions. Eur J Prev Med. 2020;8(1):7-11. doi: 10.11648/j.ejpm.20200801.12

Copy | Download

@article{10.11648/j.ejpm.20200801.12,
  author = {Li Qiufeng and Huang Guohua and He Jinai and Liu Yintian},
  title = {Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions},
  journal = {European Journal of Preventive Medicine},
  volume = {8},
  number = {1},
  pages = {7-11},
  doi = {10.11648/j.ejpm.20200801.12},
  url = {https://doi.org/10.11648/j.ejpm.20200801.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20200801.12},
  abstract = {Objective We analyze risk factors of ectopy of peripherally inserted central catheter tip in obese patients after weight reduction surgery and explore effective nursing interventions. Methods we conducted a retrospective analysis of the general data, PICC data, and position of catheter tip of 190 obese patients who had PICC for weight reduction surgery in our hospital from May 2018 to June 2019. We used monofactor and multi-factor logistic regression analysis to investigate the risk factors of peripherally inserted central catheter tip misplacement in obese patients who underwent weight reduction surgery. Results We found 29 cases (15.3%) of ectopy of PICC tip among which 13 cases of misplaced tips were found in internal jugular vein, 5 cases in subclavian vein, 4 cases in brachiocephalic veins, 4 cases in right atrium and 3 cases in axillary vein. The monofactor analysis showed that height, weight, BMI of patients, the vein, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the related risk factors of ectopy of PICC tip in obese patients who underwent weight reduction surgery. The multi-factor logistic regression analysis showed that BMI, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the independent risk factors of ectopy of PICC tip. Conclusions Since BMI, arm circumference and the cases of catheters the operators have inserted are the factors that may cause ectopy of PICC tip, we advise the operators should have good experience of inserting catheters and the cases of catheters they have inserted should be≥100; Besides, the location of the vein should be determined by ultrasound B before inserting, the length of catheters should be measured by two nurses, and the ectopy of catheter tip can be prevented and corrected by using ultrasonic probe to press the internal jugular vein.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Risk Factors of Ectopy of Peripherally Inserted Central Catheter in Obese Patients After Weight Reduction Surgery and Related Nursing Interventions
AU  - Li Qiufeng
AU  - Huang Guohua
AU  - He Jinai
AU  - Liu Yintian
Y1  - 2020/02/28
PY  - 2020
N1  - https://doi.org/10.11648/j.ejpm.20200801.12
DO  - 10.11648/j.ejpm.20200801.12
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 7
EP  - 11
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20200801.12
AB  - Objective We analyze risk factors of ectopy of peripherally inserted central catheter tip in obese patients after weight reduction surgery and explore effective nursing interventions. Methods we conducted a retrospective analysis of the general data, PICC data, and position of catheter tip of 190 obese patients who had PICC for weight reduction surgery in our hospital from May 2018 to June 2019. We used monofactor and multi-factor logistic regression analysis to investigate the risk factors of peripherally inserted central catheter tip misplacement in obese patients who underwent weight reduction surgery. Results We found 29 cases (15.3%) of ectopy of PICC tip among which 13 cases of misplaced tips were found in internal jugular vein, 5 cases in subclavian vein, 4 cases in brachiocephalic veins, 4 cases in right atrium and 3 cases in axillary vein. The monofactor analysis showed that height, weight, BMI of patients, the vein, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the related risk factors of ectopy of PICC tip in obese patients who underwent weight reduction surgery. The multi-factor logistic regression analysis showed that BMI, arm circumference and experience of operators (how many cases of catheters the operators have inserted) (P<0.05) were the independent risk factors of ectopy of PICC tip. Conclusions Since BMI, arm circumference and the cases of catheters the operators have inserted are the factors that may cause ectopy of PICC tip, we advise the operators should have good experience of inserting catheters and the cases of catheters they have inserted should be≥100; Besides, the location of the vein should be determined by ultrasound B before inserting, the length of catheters should be measured by two nurses, and the ectopy of catheter tip can be prevented and corrected by using ultrasonic probe to press the internal jugular vein.
VL  - 8
IS  - 1
ER  -

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