Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China
Objectives This study aims to explore the incidence of, and risk factors for medical adhesive-related skin injury (MARSI) at peripherally inserted central venous catheter (PICC) sites in patients with cancer.Design A prospective observational cohort study was conducted at a tertiary hospital in Shen...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-03-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e080816.full |
| _version_ | 1797277183265210368 |
|---|---|
| author | Nan Feng Mengying Qi Yuju Qin Siya Meng Yan Meng |
| author_facet | Nan Feng Mengying Qi Yuju Qin Siya Meng Yan Meng |
| author_sort | Nan Feng |
| collection | DOAJ |
| description | Objectives This study aims to explore the incidence of, and risk factors for medical adhesive-related skin injury (MARSI) at peripherally inserted central venous catheter (PICC) sites in patients with cancer.Design A prospective observational cohort study was conducted at a tertiary hospital in Shenzhen, China.Setting This was a single-centre study conducted in a tertiary hospital in Shenzhen, China.Participants A total of 340 patients with cancer and PICC placement from January 2022 to June 2023 were selected using a convenience sampling method.Methods Factors potentially associated with PICC-related MARSI (PICC-MARSI) were recorded, including patient demographics, and catheter placement and maintenance. Patients were divided into MARSI and non-MARSI groups. Univariate analysis was performed to screen for associated variables, and logistic regression analysis was used to identify independent risk factors for PICC-MARSI.Results Of all 340 patients enrolled, 33 (9.7%) developed PICC-MARSI, including skin tear (8, 24.2%), tension injury (5, 15.2%), irritant contact dermatitis (10, 30.3%), allergic dermatitis (7, 21.2%) and maceration (3, 9.1%). Multivariable analysis showed that age (OR=1.058, p=0.001, 95% CI 1.023–1.094), wet skin (OR=4.873, p=0.003, 95% CI 1.728–13.742), dry skin (OR=6.247, p<0.0001, 95% CI 2.239–17.431), oedema (OR=3.302, p=0.008, 95% CI 1.365–7.985), allergy history (OR=6.044, p=0.001, 95% CI 2.040–17.906), dressing type (OR=3.827, p=0.003, 95% CI 1.595–9.185), body mass index (BMI) <18.5 (OR=4.271, p=0.015, 95% CI 1.327–13.742) and BMI 25–30 (OR=2.946, p=0.027, 95% CI 1.131–7.678) were independent risk factors for PICC-MARSI.Conclusions Proper catheter maintenance and appropriate dressing selection are crucial for the prevention of this condition. |
| first_indexed | 2024-03-07T15:43:58Z |
| format | Article |
| id | doaj.art-ce63aab658f24bf2ac504a31e0bbedad |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-07T15:43:58Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ce63aab658f24bf2ac504a31e0bbedad2024-03-05T05:50:08ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-080816Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from ChinaNan Feng0Mengying Qi1Yuju Qin2Siya Meng3Yan Meng4Department of Breast and Thyroid Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People`s Republic of ChinaHuazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, ChinaHuazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, ChinaHuazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, ChinaHuazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, ChinaObjectives This study aims to explore the incidence of, and risk factors for medical adhesive-related skin injury (MARSI) at peripherally inserted central venous catheter (PICC) sites in patients with cancer.Design A prospective observational cohort study was conducted at a tertiary hospital in Shenzhen, China.Setting This was a single-centre study conducted in a tertiary hospital in Shenzhen, China.Participants A total of 340 patients with cancer and PICC placement from January 2022 to June 2023 were selected using a convenience sampling method.Methods Factors potentially associated with PICC-related MARSI (PICC-MARSI) were recorded, including patient demographics, and catheter placement and maintenance. Patients were divided into MARSI and non-MARSI groups. Univariate analysis was performed to screen for associated variables, and logistic regression analysis was used to identify independent risk factors for PICC-MARSI.Results Of all 340 patients enrolled, 33 (9.7%) developed PICC-MARSI, including skin tear (8, 24.2%), tension injury (5, 15.2%), irritant contact dermatitis (10, 30.3%), allergic dermatitis (7, 21.2%) and maceration (3, 9.1%). Multivariable analysis showed that age (OR=1.058, p=0.001, 95% CI 1.023–1.094), wet skin (OR=4.873, p=0.003, 95% CI 1.728–13.742), dry skin (OR=6.247, p<0.0001, 95% CI 2.239–17.431), oedema (OR=3.302, p=0.008, 95% CI 1.365–7.985), allergy history (OR=6.044, p=0.001, 95% CI 2.040–17.906), dressing type (OR=3.827, p=0.003, 95% CI 1.595–9.185), body mass index (BMI) <18.5 (OR=4.271, p=0.015, 95% CI 1.327–13.742) and BMI 25–30 (OR=2.946, p=0.027, 95% CI 1.131–7.678) were independent risk factors for PICC-MARSI.Conclusions Proper catheter maintenance and appropriate dressing selection are crucial for the prevention of this condition.https://bmjopen.bmj.com/content/14/3/e080816.full |
| spellingShingle | Nan Feng Mengying Qi Yuju Qin Siya Meng Yan Meng Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China BMJ Open |
| title | Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China |
| title_full | Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China |
| title_fullStr | Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China |
| title_full_unstemmed | Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China |
| title_short | Risk factors for medical adhesive-related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer: a single-centre prospective study from China |
| title_sort | risk factors for medical adhesive related skin injury at the site of peripherally inserted central venous catheter placement in patients with cancer a single centre prospective study from china |
| url | https://bmjopen.bmj.com/content/14/3/e080816.full |
| work_keys_str_mv | AT nanfeng riskfactorsformedicaladhesiverelatedskininjuryatthesiteofperipherallyinsertedcentralvenouscatheterplacementinpatientswithcancerasinglecentreprospectivestudyfromchina AT mengyingqi riskfactorsformedicaladhesiverelatedskininjuryatthesiteofperipherallyinsertedcentralvenouscatheterplacementinpatientswithcancerasinglecentreprospectivestudyfromchina AT yujuqin riskfactorsformedicaladhesiverelatedskininjuryatthesiteofperipherallyinsertedcentralvenouscatheterplacementinpatientswithcancerasinglecentreprospectivestudyfromchina AT siyameng riskfactorsformedicaladhesiverelatedskininjuryatthesiteofperipherallyinsertedcentralvenouscatheterplacementinpatientswithcancerasinglecentreprospectivestudyfromchina AT yanmeng riskfactorsformedicaladhesiverelatedskininjuryatthesiteofperipherallyinsertedcentralvenouscatheterplacementinpatientswithcancerasinglecentreprospectivestudyfromchina |