Evaluating safety, efficacy, and cost-effectiveness of PICC securement by subcutaneously anchored stabilization device
J Vasc Access 2017; 18(3): 238 - 242
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsPietro Antonio Zerla, Antonio Canelli, Lidia Cerne, Giuseppe Caravella, Alessandra Gilardini, Giuseppe De Luca, Ana Maria Aricisteanu, Raffaele Venezia
In recent years, a large variety of medical devices has become available. Every device must be efficient, safe and cost effective, but it is not enough to use it properly without considering the environment in which it will be employed. We applied this kind of analysis to subcutaneously anchored sutureless devices (SAS).
This is a one-center prospective observational study on safety, effectiveness and cost effectiveness of an SAS device (SecurAcath, Interrad) for securement of peripherally inserted central catheter (PICC) in 30 adult cancer patients with treatment expected to be >60 days.
During 4963 catheter days and after 709 dressing changes (documented by 373 pictures), the use of SAS was associated with no episode of PICC dislodgement and a lower incidence of complications if compared to traditional securement devices. Insertion, management and removal of SAS were not associated with an increased pain perception by the patients. Cost effectiveness was particularly evident for long dwelling PICCs.
Our study suggests that SAS is a highly effective and cost-effective method for securement of medium- to long-term PICCs with expected duration longer than 30 days. The introduction of SAS had a positive impact on our healthcare organization.
- • Accepted on 23/11/2016
- • Available online on 15/02/2017
- • Published in print on 15/05/2017
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- Zerla, Pietro Antonio [PubMed] [Google Scholar] 1, * Corresponding Author (email@example.com)
- Canelli, Antonio [PubMed] [Google Scholar] 1
- Cerne, Lidia [PubMed] [Google Scholar] 1
- Caravella, Giuseppe [PubMed] [Google Scholar] 2
- Gilardini, Alessandra [PubMed] [Google Scholar] 2
- De Luca, Giuseppe [PubMed] [Google Scholar] 3
- Aricisteanu, Ana Maria [PubMed] [Google Scholar] 4
- Venezia, Raffaele [PubMed] [Google Scholar] 4
ASST Melegnano e della Martesana, Vizzolo Predabissi, Milan - Italy
Hospital Pharmacy, ASST Melegnano e della Martesana, Milan - Italy
SITRA, ASST Melegnano e della Martesana, Milan - Italy
Oncology, ASST Melegnano e della Martesana, Milan - Italy