The Risk Assessment Scale for Peripherally Inserted Central Venous Catheter (PICC) Related Thrombosis in Cancer Patients :A Prospective Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Thrombosis
- Sponsor
- Sun Yat-sen University
- Enrollment
- 281
- Locations
- 1
- Primary Endpoint
- The Michigan Risk Score
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this study is to compare the accuracy and clinical predictive value of the Michigan Risk Score, Caprini Risk Assessment Model , and Maneval Scale (Chinese version)in predicting PICC-related thrombosis.
Detailed Description
The aim of this study is to compare the accuracy and clinical predictive value of the Michigan Risk Score, Caprini Risk Assessment Model , and Maneval Scale(Chinese version) in predicting PICC-related thrombosis. Patients who will receive PICC placement will be evaluated by using the Michigan Risk Score, Caprini Risk Assessment Model , and Maneval Scale the day during PICC placement, 24-48h after PICC placement and every time patients receive PICC maintenance.
Investigators
Zeyin Hu
Infusion Therapy Specialist Nurse
Sun Yat-sen University
Eligibility Criteria
Inclusion Criteria
- •Cancer patients
- •Older than 18 years
- •Being able to complete the questionnaire independently
- •Patients who need PICC for treatment
- •Being able to perform catheter maintenance in the hospital of admission until catheter removal
- •Patients who agree to participate and sign the consent form
Exclusion Criteria
- •Patients who were or suspected to be allergic to the ingredients contained in PICC
- •PICC placed in the lower extremity
Outcomes
Primary Outcomes
The Michigan Risk Score
Time Frame: From date of PICC catheterization until the date of PICC removal or date of occurrence of PICC related thrombosis, whichever came first, assessed up to 12 months.
The risk score will be assessed. In this scale,risk factors associated with PICC-DVT included: history of DVT; multi-lumen PICC; active cancer; presence of another CVC when the PICC was placed; and white blood cell count greater than 12 000. The total score on the scale are 0 to 14 points, with a higher score indicates higher risk of thrombosis.
Maneval Scale
Time Frame: From date of PICC catheterization until the date of PICC removal or date of occurrence of PICC related thrombosis, whichever came first, assessed up to 12 months.
The risk score will be assessed. This scale includes 45 risk factors associated with PICC thrombosis. The total score on the scale are 0 to 45 points, with a higher score indicates higher risk of thrombosis.
PICC thrombosis
Time Frame: through study completion,up to 1 year
symptomatic thrombosis,diagnosed by symptoms such as pain, tenderness and swelling of the affected part and the verification of color doppler ultrasound of venous vessels
Caprini Risk Assessment Model
Time Frame: From date of PICC catheterization until the date of PICC removal or date of occurrence of PICC related thrombosis, whichever came first, assessed up to 12 months.
The risk score will be assessed. This scale includes more than 40 risk factors associated with PICC thrombosis. In this scale,a higher score indicates higher risk of thrombosis.