Central Venous Access Device-Associated Skin Complications in Adults with Cancer : A Prospective Observational Study
Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved..
OBJECTIVES: To identify the prevalence and type of central venous access device-associated skin complications for adult cancer patients, describe central venous access device management practices, and identify clinical and demographic characteristics associated with risk of central venous access device-associated skin complications.
METHODS: A prospective cohort study of 369 patients (626 central venous access devices; 7,682 catheter days) was undertaken between March 2017 and March 2018 across two cancer care in-patient units in a large teaching hospital.
RESULTS: Twenty-seven percent (n = 168) of participants had a central venous access device-associated skin complication. In the final multivariable analysis, significant (P < .05) risk factors for skin complications were cutaneous graft versus host disease (2.1 times greater risk) and female sex (1.4 times greater risk), whereas totally implanted vascular access device reduced risk for skin complications by two-thirds (incidence risk ratio 0.37).
CONCLUSION: Central venous access device-associated skin complications are a significant, potentially avoidable injury, requiring cancer nurses to be aware of high-risk groups and use evidence-based preventative and treatment strategies.
IMPLICATIONS FOR PRACTICE: This study has confirmed how common these potentially preventable injuries are. Therefore, the prevalence of these complications could be reduced by focusing on improvements in skin assessment, reductions in central venous access device dressing variation and improving clinician knowledge of this injury.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Seminars in oncology nursing - (2024) vom: 14. Apr., Seite 151618 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Gavin, Nicole C [VerfasserIn] |
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| Links: |
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| Themen: |
Central venous access device |
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| Anmerkungen: |
Date Revised 15.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.soncn.2024.151618 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM371111633 |
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| 500 | |a Date Revised 15.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVES: To identify the prevalence and type of central venous access device-associated skin complications for adult cancer patients, describe central venous access device management practices, and identify clinical and demographic characteristics associated with risk of central venous access device-associated skin complications | ||
| 520 | |a METHODS: A prospective cohort study of 369 patients (626 central venous access devices; 7,682 catheter days) was undertaken between March 2017 and March 2018 across two cancer care in-patient units in a large teaching hospital | ||
| 520 | |a RESULTS: Twenty-seven percent (n = 168) of participants had a central venous access device-associated skin complication. In the final multivariable analysis, significant (P < .05) risk factors for skin complications were cutaneous graft versus host disease (2.1 times greater risk) and female sex (1.4 times greater risk), whereas totally implanted vascular access device reduced risk for skin complications by two-thirds (incidence risk ratio 0.37) | ||
| 520 | |a CONCLUSION: Central venous access device-associated skin complications are a significant, potentially avoidable injury, requiring cancer nurses to be aware of high-risk groups and use evidence-based preventative and treatment strategies | ||
| 520 | |a IMPLICATIONS FOR PRACTICE: This study has confirmed how common these potentially preventable injuries are. Therefore, the prevalence of these complications could be reduced by focusing on improvements in skin assessment, reductions in central venous access device dressing variation and improving clinician knowledge of this injury | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Central venous access device | |
| 650 | 4 | |a Incidence | |
| 650 | 4 | |a Peripherally inserted central catheter | |
| 650 | 4 | |a Prevalence | |
| 650 | 4 | |a Risk | |
| 650 | 4 | |a Skin complications | |
| 700 | 1 | |a Northfield, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Mihala, Gabor |e verfasserin |4 aut | |
| 700 | 1 | |a Somerville, Margarette |e verfasserin |4 aut | |
| 700 | 1 | |a Kleidon, Tricia |e verfasserin |4 aut | |
| 700 | 1 | |a Marsh, Nicole |e verfasserin |4 aut | |
| 700 | 1 | |a Larsen, Emily |e verfasserin |4 aut | |
| 700 | 1 | |a Campbell, Jill |e verfasserin |4 aut | |
| 700 | 1 | |a Rickard, Claire M |e verfasserin |4 aut | |
| 700 | 1 | |a Ullman, Amanda J |e verfasserin |4 aut | |
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