Back to Search Start Over

Management of Hospital In The Home (HITH) Peripherally Inserted Central Catheters: A Retrospective Cohort Study.

Authors :
Marsh, Nicole
Larsen, Emily
Tapp, Sam
Sommerville, Margarette
Mihala, Gabor
Rickard, Claire M.
Source :
Home Health Care Management & Practice; Feb2020, Vol. 32 Issue 1, p34-39, 6p
Publication Year :
2020

Abstract

Worldwide, there has been a shift in health care delivery, with an increasing emphasis on avoiding hospital admissions and providing treatment such as intravenous antibiotics for patients at home, using peripherally inserted central catheters (PICCs). However, there is inadequate data to demonstrate if rates of PICC failure are similar for hospital inpatients, currently understood to be between 7% and 36%, than those cared for at home. The objective of this study was to identify prevalence, dwell time, and complications associated with PICCs in the home setting. This single-center, retrospective cohort study of adults treated by the "Hospital in the Home" (HITH) program in Queensland, was conducted between June 1, 2017 and June 15, 2018. Clinical data were collected for patient and PICC characteristics. Variables were described as frequencies and proportions, means and standard deviations, or medians and interquartile ranges. In total, 304 patients treated by HITH during this timeframe, and 164 (54%) patients with 181 PICCs were included in this study. These patients were predominately male (n = 105, 64%), with a mean age of 54 years. The most common reason for admission was a wound infection and/or bone infection (n = 120, 33%). Most PICCs were single lumen (n = 120; 67%), inserted in the basilic vein (n = 137; 80%) by nurses (n = 122; 67%). Peripherally inserted central catheter failure occurred in 10% (n = 19); the most common complications were dislodgement (n = 9; 5%) and thrombosis (n = 4; 2%). There were no confirmed catheter-related blood stream infections. Peripherally inserted central catheter failure rates are similar between hospitalized inpatients and those cared for at home. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10848223
Volume :
32
Issue :
1
Database :
Complementary Index
Journal :
Home Health Care Management & Practice
Publication Type :
Academic Journal
Accession number :
140580417
Full Text :
https://doi.org/10.1177/1084822319873334