Factors Associated with Successful First-attempt Puncture in Pediatric Patients Undergoing Ultrasound-guided Peripherally Inserted Central Catheter

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Zhang Midan; Chen Xiaofei; Zhou Hongqin; Xu Meifang

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

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Journal: Iranian Journal of Pediatrics Year:2023 | Volume:33 | Issue:1 Page(s): 0-0

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Title

Factors Associated with Successful First-attempt Puncture in Pediatric Patients Undergoing Ultrasound-guided Peripherally Inserted Central Catheter

Author(s)

Zhang Midan | Chen Xiaofei | Zhou Hongqin | Xu Meifang | Issue Writer Certificate

Keywords

ChildQ4

InfantQ4

Peripherally Inserted Central Catheter Line InsertionQ4

Abstract

Background: Peripherally inserted central catheter (PICC) is an alternative to central venous cannulation. This study aimed to identify factors associated with first-attempt success rate in Children undergoing PICC insertion. Methods: This retrospective study included pediatric patients who underwent PICC placement at the Children’, s Hospital of Zhejiang (1/2020-12/2020). The successful puncture was defined as smooth blood return and insertion of the guide wire. Clinical data were collected, and factors associated with first-attempt success were identified by logistic regression analyses. Results: The final analysis included 640 Children (360 males, 56. 2%). Successful puncture at the first attempt was achieved in 380 (59. 4%) patients. Multivariate logistic regression revealed that being uncooperative after sedation (OR = 2. 745, 95%CI: 1. 028-7. 331, P = 0. 044), being cooperative after sedation (OR = 0. 318, 95%CI: 0. 128–, 0. 791, P = 0. 014), target vein depth (0. 5-1 vs. ,0. 5: OR = 1. 715, 95%CI: 1. 081–, 2. 720, P = 0. 022,1. 1-1. 5 vs. ,0. 5: OR = 3. 036, 95%CI: 1. 166-7. 903, P = 0. 023,> 1. 5 vs. ,0. 5: OR = 10. 453, 95%CI: 2. 366-46. 139, P = 0. 002), target vein diameter (2. 0-2. 9 vs. ,2: OR = 0. 313, 95%CI: 0. 180-0. 545, P < 0. 001,,3 vs. ,2: OR = 0. 122, 95%CI: 0. 055-0. 272, P < 0. 001), and 3F catheter specification (vs. 1. 9F: OR = 2. 057, 95%CI: 1. 069-3. 958, P = 0. 031) were independently associated with puncture failure at the first attempt. Conclusions: The degree of cooperation, target vein diameter and depth, and catheter specification were independently associated with the first-attempt success rate.

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APA: Copy

Zhang, Midan, Chen, Xiaofei, Zhou, Hongqin, & Xu, Meifang. (2023). Factors Associated with Successful First-attempt Puncture in Pediatric Patients Undergoing Ultrasound-guided Peripherally Inserted Central Catheter. IRANIAN JOURNAL OF PEDIATRICS, 33(1), 00-00. SID. https://sid.ir/paper/1098995/en

Vancouver: Copy

Zhang Midan, Chen Xiaofei, Zhou Hongqin, Xu Meifang. Factors Associated with Successful First-attempt Puncture in Pediatric Patients Undergoing Ultrasound-guided Peripherally Inserted Central Catheter. IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2023;33(1):00-00. Available from: https://sid.ir/paper/1098995/en

IEEE: Copy

Midan Zhang, Xiaofei Chen, Hongqin Zhou, and Meifang Xu, “Factors Associated with Successful First-attempt Puncture in Pediatric Patients Undergoing Ultrasound-guided Peripherally Inserted Central Catheter,” IRANIAN JOURNAL OF PEDIATRICS, vol. 33, no. 1, pp. 00–00, 2023, [Online]. Available: https://sid.ir/paper/1098995/en

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