%0 Journal Article
%T VTE Risk in Patients with PICCs
%A Anne B. Reaves
%A Pharm.D
%A Bob L. Lobo
%A Pharm.D.
%A Georgeta Vaidean
%A MD
%A MPH
%A PhD
%A Joyce Broyles
%A Pharm.D.
%A Ronald I. Shorr
%A MD
%A MS
%J Journal of Hospital Medicine
%D 2009
%R 10.1002/jhm.442
%X AbstractBACKGROUND:Peripherally inserted central catheters (PICC) are increasingly used in hospitalized patients. The benefit can be offset by complications such as upper extremity deep vein thrombosis (UEDVT).METHODS:Retrospective study of patients who received a PICC while hospitalized at the Methodist University Hospital (MUH) in Memphis, TN. All adult consecutive patients who had PICCs inserted during the study period and who did not have a UEDVT at the time of PICC insertion were included in the study. A UEDVT was defined as a symptomatic event in the ipsilateral extremity, leading to the performance of duplex ultrasonography, which confirmed the diagnosis of UEDVT. Pulmonary embolism (PE) was defined as a symptomatic event prompting the performance of ventilation©\perfusion lung scan or spiral computed tomography (CT).RESULTS:Among 777 patients, 38 patients experienced 1 or more venous thromboembolisms (VTEs), yielding an incidence of 4.89%. A total of 7444 PICC©\days were recorded for 777 patients. This yields a rate of 5.10 VTEs/1000 PICC©\days. Compared to patients whose PICC was inserted in the SVC, patients whose PICC was in another location had an increased risk (odds ratio = 2.61 [95% CI = 1.28©\5.35]) of VTE. PICC related VTE was significantly more common among patients with a past history of VTE (odds ratio = 10.83 [95% CI = 4.89©\23.95]).CONCLUSIONS:About 5% of patients undergoing PICC placement in acute care hospitals will develop thromboembolic complications. Thromboembolic complications were especially common among persons with a past history of VTE. Catheter tip location at the time of insertion may be an important modifiable risk factor. Journal of Hospital Medicine 2009;4:417¨C422. £¿ 2009 Society of Hospital Medicine
%U https://www.journalofhospitalmedicine.com/jhospmed/article/128110/vte-risk-patients-piccs