Association Between Number of Lumens and Peripherally Inserted Central Catheter Complications in Patients Admitted to the Intensive Care Unit
Recommended Citation
Hechtman RK, Paje D, Horowitz J, McLaughlin E, Tatarcuk C, Heath M, Kaatz S, Flanders S, Bernstein S, McSparron JI, Prescott HC, and Chopra V. Association Between Number of Lumens and Peripherally Inserted Central Catheter Complications in Patients Admitted to the Intensive Care Unit. Am J Respir Crit Care Med 2024; 209. Full Text
Document Type
Conference Proceeding
Publication Date
5-2024
Publication Title
Am J Respir Crit Care Med
Abstract
Rationale: Among patients with peripherally inserted central catheters (PICCs), greater number of catheter lumens increases the risk of catheter-associated complications. However, multi-lumen central access is commonly used among patients admitted to the intensive care unit (ICU), and less is known about complications of PICCs in this population. We assessed the association between number of lumens and risk of PICC-related complications among patients admitted to the ICU.
Methods: Between 11/2013 and 3/2023, professional abstractors at 69 hospitals in the Michigan Hospital Medicine Safety Consortium retrospectively collected medical record data of adults with PICCs placed in the ICU. Number of lumens, placement indications, and complications including catheter-associated blood stream infection (CLABSI), upper extremity venous thromboembolism (UE-VTE), and catheter occlusion were recorded. Chi-squared tests and Poisson regression were used to evaluate differences in event rates.
Results: Of 18,494 PICCs placed among ICU patients, 7.9% were single lumen, 61.6% double lumen, and 30.5% triple lumen. Patients receiving single, double, and triple lumen PICCs were similar in age (median 64.1, 65.6, 64.2 years), sex (50.1%, 49.5%, 53.2% male), and comorbidity burden (median Charlson Comorbidity Score 3 for each). Single lumen PICCs were most commonly placed for antibiotics (48.3% vs 24.3% and 18.9% for double and triple lumens, respectively, p
Conclusion: Multi-lumen PICCs are associated with increased PICC-related complications among patients admitted to the ICU, although clinical indications varied and may explain some of the difference in complication rates. Nonetheless, selecting PICCs with the fewest lumens needed will likely reduce PICC-related complications.
Volume
209
First Page
A4780
