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Evaluating safety, efficacy, and cost-effectiveness of PICC securement by subcutaneously anchored stabilization device

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

DOI:10.5301/jva.5000655

Authors

Pietro Antonio Zerla, Antonio Canelli, Lidia Cerne, Giuseppe Caravella, Alessandra Gilardini, Giuseppe De Luca, Ana Maria Aricisteanu, Raffaele Venezia

Abstract

Purpose

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).

Methods

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.

Results

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.

Conclusions

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.

Article History

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

Affiliations

  •  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

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