Affiliation:
1. Department of Catheterization Center Henan Provincial People's Hospital, Henan Provincial Key Medicine Laboratory of Nursing, People's Hospital of zhengzhou University Zhengzhou China
2. Henan Evidence‐based Nursing Centre: A JBI Affiliated Group The University of Adelaide Zhengzhou China
3. Department of CCU Henan Provincial People's Hospital Zhengzhou China
4. School of Nursing Peking University Beijing China
5. Evidence‐Based Nursing: A Joanna Briggs Institute Affiliated Group, Health Science Centre Peking University Beijing China
Abstract
AbstractStudies showed that integrating coating or valve into Peripherally Inserted Central (PICC) can prevent related complications. However, data regarding efficiency were controversial. Therefore, a systematic review was needed to analyse the effect of PICC materials and designs on reduction of PICC‐related complications. We searched PubMed, Cochrane library, EMbase, grey literature and referent literature from inception to 5 August 2022. Randomized controlled trials (RCTs) and case–control study were included. Two authors extracted data independently, using a predesigned Excel form, and assessed the quality of included RCTs according to the Cochrane Handbook for Systematic Reviews (V5.1.0), case–control study was assessed by the Newcastle‐Ottawa Scale. Data were analysed using Review Manager (v5.3.0). A total of 10 RCTs and one case–control study were included. Meta‐analysis results showed that PICC designs reduce the incidence of obstruction, and at the critical value of PICC‐associated bloodstream infection, but may have no effects on other complications. Based on the literature reviewed, we can only say PICC new materials did not reflect significant reduction on complications, what's more, the result needs more multicentre, large RCTs to support. We suggested clinicians combine descriptive research and cost‐effect analysis to select appropriate PICC materials and designs for patients.