title: Sutureless securement device reduces complications of peripherally inserted central venous catheters.
abstract: OBJECTIVE
  This study was conducted to evaluate the performance of a sutureless adhesive-backed device, StatLock, for securement of peripherally inserted central venous catheters (PICCs). Earlier studies have demonstrated that StatLock significantly reduces catheter-related complications when compared to tape. The purpose of this study was to determine whether a sutureless securement device offers an advantage over suture in preventing catheter-related complications.
  
  
  METHODS
  170 patients requiring PICCs, which were randomized to suture (n = 85) or StatLock (n = 85) securement were prospectively studied. Patients were followed throughout their entire catheter course, and PICC-related complications including dislodgment, infection, occlusion, leakage, and central venous thrombosis were documented. Catheter outcome data were compared to determine if statistically significant differences existed between the suture and StatLock groups.
  
  
  RESULTS
  The groups had equivalent demographic characteristics and catheter indications. Average securement time with StatLock was significantly shorter (4.7 minutes vs 2.7 minutes;P <.001). Although StatLock was associated with fewer total complications (42 vs 61), this difference did not achieve significance. However, there were significantly fewer PICC-related bloodstream infections in the StatLock group (2 vs 10; P =.032). One securement-related needle-stick injury was documented during suturing of a PICC.
  
  
  CONCLUSIONS
  The sutureless anchor pad was beneficial for both patients and health care providers. Further investigation to determine how StatLock helps reduce catheter-related blood stream infections is necessary.
authors.affiliation: Division of Interventional Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA.
authors.forename: Alvin J
authors.initials: AJ
authors.lastname: Yamamoto
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Solomon
authors.forename: Michael C
authors.initials: MC
authors.lastname: Soulen
authors.forename: James
authors.initials: J
authors.lastname: Tang
authors.forename: Kim
authors.initials: K
authors.lastname: Parkinson
authors.forename: Richard
authors.initials: R
authors.lastname: Lin
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Schears
mesh_terms: D000328:Adult; D000368:Aged; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013536:Suture Techniques / Q000295:instrumentation*