Catheter Complications, Displacement of Infusion Catheter, Quality of Life, Thrombosis
Conditions
Keywords
Central Venous Catheter, Catheter Bloodstream Related Infection, Economic evaluation
Brief summary
PICC (Peripherally Inserted Central Catheter) are commun used. Just one paper report morbidity with suture as fixation system for PICC (dislodgement, infection) In the guidelines it's recommended to use sutureless device. The devices actually used are unsatisfactory because of the high risk of migration, accidental removal. A new device, called KTFIX PLUS, seem to be more secure for PICC fixation and offer the possibility to simplify the after care. This device may stay on patient for 4 weeks. Others devices may be changed 1/week. The investigators aimed to compare morbidity between this new device and the old one. The investigators also want to perform an economic evaluation of this device and compare patient quality of life.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* patient with indication for PICC according guidelines * hospitalized in a departement of your hospital * with the possibility to use a sutureless device
Exclusion criteria
* infection * thrombosis * pediatric patient * emergency context
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| morbidity assessed as a composite of: | from baseline up to 1 year | * Catheter infection * Symptomatic superficial or deep venous thrombosis * Catheter occlusion * Premature withdrawal * Catheter migration * Hematoma occurred within 24 hours after installation in incidence density |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of life | 1 year | internal satisfaction scale |
| cost | 1 year | direct costs of PICCS fastening systems |
| efficacy of urokinase | 1 year | recanalization rates of PICC after application of urokinase protocol |
Countries
France