Document Detail

Peripherally inserted central catheters revisited.
MedLine Citation:
PMID:  9737634     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This study compares central venous catheters (CVC) and peripherally inserted central catheters (PICC) for indications for insertion, complications, and economic impact. METHODS: A retrospective review of 838 (283 CVC, 555 PICC) consecutively placed venous catheters reflected 49,365 CVC and 11,814 PICC days. RESULTS: There were 57 (20%) complications in the CVC group, 197 (35%) complications in the PICC group. PICC were associated with a statistically significant increase in the incidence of catheter malfunction (P = 0.0005), arm vein phlebitis (P = 0.0004), and overall complications (P = 0.00001). A higher complication rate was noted in PICC inserted for chemotherapy (P = 0.00001) and parenteral hyperalimentation administration (P = 0.04). Charges for inpatient insertion of PICC and CVC were $500 and $2,500, respectively. CONCLUSIONS: PICC have a significantly higher complication rate than CVC. PICC provide cost-effective central access of 2 to 3 weeks' duration, reserving operatively placed CVC for longer access requirements.
J R Smith; M L Friedell; M L Cheatham; S P Martin; M J Cohen; J D Horowitz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  176     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-09-28     Completed Date:  1998-09-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  208-11     Citation Subset:  AIM; IM    
Department of Surgery, Orlando Regional Medical Center, Florida 32806, USA.
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MeSH Terms
Catheterization, Central Venous / adverse effects,  economics,  methods*
Costs and Cost Analysis
Data Interpretation, Statistical
Middle Aged
Retrospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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