Abstract
Background: Peripherally inserted central catheters (PICCs) related complications are common in catheterization patients. Many patients with PICC catheterization have diabetes mellitus. The data of incidence and risk factors in diabetic patients are scarce. Methods: A retrospective, multicenter study was performed on diabetic patients with PICC insertion from May 2017 to June 2018. A mobile App was used to collect patients and insertion information. We used univariable and multivariable analysis to examine the risk factors of PICC-related complications. Results: A total of 103 diabetic patients were included with 13 (12.6%) patients developed complications. In univariable analysis, marriage (P=0.002), prior surgery (P<0.001) were associated with complications. Following logistic regression analysis, marriage (OR 0.13, 95 CI% 0.03-0.58, P=0.007) and prior surgery (OR 2.30, 95% CI 2.33-42.68, P=0.002) remained to be independent risk factors of complications. Conclusion: For diabetic patients, paying more attention to these who unmarried and have surgery history may reduce the risk of adverse outcome.
Highlights
At present, about 422 million people worldwide have diabetes [1]
103 diabetic patients were enrolled in the study of whom 13 (10.3%) occurred Peripherally inserted central catheters (PICCs)-related complications
Based on retrospective study which collected data on 103 diabetic patients in 126 multicenters conducted between May 2017 and June 2018, we found that the total incidence of PICC-related complications was 10.3%, married status could reduce the incidence of complications while prior surgery increase the risk of complications
Summary
About 422 million people worldwide have diabetes [1]. In the past three decades, the prevalence of diabetes has risen dramatically all over the world. Related complications is high and previous study reported the incidence up to 24.7% [4]. Few studies concerned about the incidence of catheterization in diabetic patients. Our study was performed to estimate incidence and identify risk factors of PICC-related complications in diabetic patients. Inserted central catheters (PICCs) related complications are common in catheterization patients. The data of incidence and risk factors in diabetic patients are scarce. Methods: A retrospective, multicenter study was performed on diabetic patients with PICC insertion from May 2017 to June 2018. We used univariable and multivariable analysis to examine the risk factors of PICC-related complications. Marriage (OR 0.13, 95 CI% 0.03-0.58, P=0.007) and prior surgery (OR 2.30, 95% CI 2.33-42.68, P=0.002) remained to be independent risk factors of complications. Conclusion: For diabetic patients, paying more attention to these who unmarried and have surgery history may reduce the risk of adverse outcome
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