{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:11:30Z","timestamp":1786381890306,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:00:00Z","timestamp":1727308800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Peripherally inserted central catheters (PICCs) are safe and useful alternatives to centrally inserted central catheters (CICCs). Several studies have investigated the effectiveness and safety of PICCs; however, few have focused on their use in patients with gastroenterological diseases. In the present study, we evaluated the outcomes of patients with gastroenterological diseases who received PICCs and identified the risk factors associated with central line\u2013associated blood stream infection (CLABSI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively examined hospitalized patients at our institution who received PICCs between 2015 and 2023. We evaluated the data on their clinical characteristics, complications, and outcomes. Furthermore, we investigated the risk factors for CLABSIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 405 patients were included (262 men and 143 women). The median age was 71 (range, 15\u201394) years. The vessels were inserted in the basilic, cephalic, and brachial veins in 366 (90%), 22 (6%), and 17 (4%) patients, respectively. The median procedure time was 32 [6\u2013149]\u2009min. The median dwell time was 16 [0\u2013188]\u2009days. CLABSI, catheter occlusions, phlebitis, and exit-site skin infection occurred in 14 (3.5%; 1.77\/1000\u2009catheter days), 6 (1.5%; 0.76\/1000\u2009catheter days), 3 (0.7%; 0.38\/1000\u2009catheter days), and 1 (0.2%; 0.13\/1000\u2009catheter days) patients, respectively. There was no case of deep vein thrombosis or pulmonary thrombosis due to PICC placement. Multivariate analysis performed using a Cox\u2019s proportional hazard regression model revealed that patients with gastroenterological malignancies had an independently higher risk for CLABSIs (odds ratio [OR]: 3.25, 95% confidence interval [CI]: 1.05\u201310.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041) and that older age (\u2a7e70\u2009years) tended to be associated with CLABSIs (OR: 3.61, 95% CI: 0.98\u201313.32,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.054).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Gastroenterological malignancies and older age were associated with a higher risk of CLABSIs. Rigorous catheter management is crucial for preventing complications, particularly in vulnerable patient subgroups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298241279063","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T01:56:04Z","timestamp":1727402164000},"page":"1482-1488","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical outcomes of peripherally inserted central catheters in patients with gastroenterological diseases: Report of a 9-year experience"],"prefix":"10.1177","volume":"26","author":[{"given":"Takehito","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, Japan"},{"name":"Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiki","family":"Oshimo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Hisano","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenzo","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Kawai","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihisa","family":"Okuchi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0910-4955","authenticated-orcid":false,"given":"Kohta","family":"Iguchi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Kita-ku, Osaka, 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Institute Kitano Hospital, Kita-ku, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2009.03.015"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2011.01.003"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4852-7"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-022-01180-1"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000001028"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0213555"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2023.69"},{"issue":"5","key":"e_1_3_2_9_2","first-page":"783","article-title":"Standardized method for peripherally inserted central catheters (PICCs) for patients with gastroenterological 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Standardized method for peripherally inserted central catheters (PICCs) for patients with gastroenterological diseases. J Jpn Coll Surg 2018; 43(5): 783\u2013788.","journal-title":"J Jpn Coll Surg"},{"key":"e_1_3_2_10_2","unstructured":"Japanese society for Parenteral and Enteral Nutrition Therapy JSPEN guideline for parenteral and enteral nutrition. 3rd ed. Tokyo: Shorinsha 2013."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000002864"},{"key":"e_1_3_2_12_2","unstructured":"Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Chapter 4: Bloodstream infection event (central line- associated bloodstream infection and non-central line associated blood- stream infection) The NHSN Patient Safety Component Manual. 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