Peripherally Inserted Versus Centrally Inserted Central Venous Catheters in the Neurosurgical Intensive Care Unit. Comparative of Cost-Effectiveness and Safety
试验速览
- 阶段
- 不适用
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- infectious complications
研究概览
简要总结
This study aim to compare the cost-effectiveness and safety between centrally and peripherally inserted central venous catheters in neurosurgical intensive care unit patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients admitted to the neurosurgical intensive care unit , who require central access for the treatment of their illness.
排除标准
- •Insertion of the central catheter in emergency situations;
- •Anatomical abnormalities of upper extremity affecting PICC placement;
- •Current or recent (within 1 month) diagnosis of bacteremia
- •Current or recent (within 1 year with confirmed resolution by imaging) deep venous thrombosis;
- •Presence of skin changes in the area of the puncture, such as thrombophlebitis, dermatitis, cellulitis, burn among others;
研究组 & 干预措施
PICC(Peripherally inserted central catheter)
Patients randomly assigned to receive a peripherally inserted central catheter(PICC).
干预措施: PICC(Peripherally inserted central catheter) (Other)
CVC(Central venous catheter )
Patients randomly assigned to receive a centrally inserted central venous catheter(CVC).
干预措施: CVC(Central venous catheter ) (Other)
结局指标
主要结局
infectious complications
时间窗: up to 30 days or be discharged from hospital
catheter related bloodstream infection
thrombotic complications
时间窗: up to 30 days or be discharged from hospital
radiographically-confirmed upper-extremity deep vein thrombosis
mechanical complications
时间窗: up to 30 days or be discharged from hospital
pneumothorax or hematoma caused by puncture
次要结局
- catheter replacement(up to 30 days or be discharged from hospital)
- cost effectiveness(up to 30 days or be discharged from hospital)