{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:54:18Z","timestamp":1790866458772,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the prevalence of MARSI associated with peripherally inserted central venous catheters (PICCs) in oncology and haematology patients, analyse the type of injury and identify risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      A prospective descriptive study was conducted from 9 June 2021 to 8 February 2022. The study population was oncology and haematology patients with a PICC. The variables to be studied included the presence of MARSI in relation to PICC maintenance, injury type, time to onset, mean healing time, and type of treatment received. A descriptive analysis of the entire sample was performed. Chi\u2010square and Student's\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test or Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      \u2010tests were used to identify risk factors, depending on the nature of the variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample studied was 342 PICCs inserted in 309 patients, 49% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009169) women, and the mean overall age was 62.12\u2009years (SD: 12.33). Seventy\u2010six per cent were oncology and 24% haematology patients. The prevalence of MARSI was 32% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009111). The most common type of injury was erythema in 39% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942). The mean duration of the lesion was 20.90\u2009days (SD: 31.44). Alkylating agents, among others, were identified as a risk factor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results indicate a high prevalence of MARSI. In agreement with the literature, mechanical injuries are the most frequent, and some antineoplastic treatments are a risk factor. This study may help to identify areas for improvement and design strategies for the prevention and treatment of MARSI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This study has implications for clinical practice, as it helps to identify areas for improvement and the most relevant clinical practice guideline recommendations to avoid this adverse event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70035","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T09:39:56Z","timestamp":1752485996000},"page":"839-849","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Medical Adhesive\u2010Related Skin Injuries in Oncology and Haematology Patients With Peripherally Inserted Central Catheters: A Prospective Descriptive Study"],"prefix":"10.1111","volume":"35","author":[{"given":"Maitane","family":"Zaballa Canive","sequence":"first","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Oncology\/Haematology Day Hospital, Vitoria\u2010Gasteiz, Spain  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Gonz\u00e1lez Blas","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selene","family":"Lurue\u00f1a Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oiane","family":"B\u00e1ez Gurruchaga","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Landa Portilla","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edurne","family":"Mart\u00ednez Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arantza","family":"Orive Aizpuru","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itsaso","family":"Palacios Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Vascular Access Team  Vitoria\u2010Gasteiz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arantza","family":"Tom\u00e1s L\u00f3pez","sequence":"additional","affiliation":[{"name":"Bioaraba Research Unit Vascular Access Research Group  Vitoria\u2010Gasteiz Spain"},{"name":"Osakidetza, Araba Integrated Health Organization (IHO) Araba University Hospital, Oncology 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