title: Multifactor Analysis of Malposition of Peripherally Inserted Central Catheters in Patients With Cancer.
abstract: BACKGROUND
  Peripherally inserted central catheters (PICCs) are used widely in patients with cancer, but catheter malposition often occurs.
  
  
  OBJECTIVE
  This study aimed to provide a reference for clinically safe catheterization through multifactor analysis of malposition of PICCs in patients with cancer.
  
  
  METHODS
  The occurrence of PICC malposition in patients with cancer was retrospectively reviewed, and a multivariate logistic regression analysis was performed.
  
  
  RESULTS
  Of 2,084 patients with PICCs, 170 cases (8%) of malposition occurred. The multivariate logistic regression analysis revealed that the risk of adverse events from malposition was higher in the right upper limb than in the left upper limb. The highest risk from malposition was cephalic vein puncture, followed by brachial vein puncture. The risk in the lower part of the elbow joint was higher than that in the upper part of the elbow joint. During PICC insertion, the left upper limb and upper part of the elbow joint should be selected for the puncture, and the basilic vein should be selected as the first-choice vein to reduce the incidence of malposition and adverse events.
authors.affiliation: Central South University in Changsha, China.
authors.forename: Xuying
authors.initials: X
authors.lastname: Li
authors.affiliation: Central South University in Changsha, China.
authors.forename: Honghong
authors.initials: H
authors.lastname: Wang
authors.affiliation: Affiliated Cancer Hospital of Xiangya School of Medicine at Central South University/Hunan Cancer Hospital.
authors.forename: Yongyi
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Affiliated Cancer Hospital of Xiangya School of Medicine at Central South University/Hunan Cancer Hospital.
authors.forename: Zhong
authors.initials: Z
authors.lastname: Yuan
mesh_terms: D002406:Catheterization, Peripheral; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000628:therapy*
keywords: catheter malposition; multifactor analysis; peripherally inserted central catheter