Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/34 |
Resumo: | Introduction: Obtaining venous access in children and adolescents with cancer is a challenge for nurses. Central peripheral insertion catheter (PICC) has been used as an alternative to long-term venous access, reliable and safe in Pediatric Oncology. Objectives: Identify the profile of children and adolescents with indication of PICC use, list the reasons for removal and the length of time the catheter is present during cancer treatment. Method: Quantitative study, descriptive and retrospective, which used documentary analysis as a research technique, through medical and institutional records. The sample consisted of 51 records of PICC-type catheters inserted between 2012 and 2016. Results: Male patients corresponded to 66,6% of PICC insertions and the age group being prevalent between 4 and 9 years (30,7%). The most frequent diagnoses were leukemias (41%) and lymphomas (25.6%), with diagnostic time at the time of insertion of the PICC less than one month (51.9%). The reasons for removal of PICC were termination of treatment (45%), infections (17.6%), traction of the accidental (15.6%), obstruction (11.7%), death of the patient (5.8%), and catheter rupture (3.9%). The mean length of stay was 145 days. Conclusion: The data indicate that most of the removals of the PICC were elective reasons, that is, due to the end of the intravenous therapy, in addition to a high rate of catheter permanence. PICC has been shown to be an important option for intravenous therapy in Pediatric Oncology. |
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Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective StudyCatéter Central de Inserción Periférica en Oncología Pediátrica: un Estudio RetrospectivoCateter Central de Inserção Periférica em Oncologia Pediátrica: um Estudo RetrospectivoCuidados de EnfermagemCateterismo Venoso CentralNeoplasiasCriançaAdolescenteNursing CareCatheterizationCentral VenousNeoplasmsChildAdolescentAtención de EnfermeríaCateterismo Venoso Central;NeoplasiasNiñoAdolescenteIntroduction: Obtaining venous access in children and adolescents with cancer is a challenge for nurses. Central peripheral insertion catheter (PICC) has been used as an alternative to long-term venous access, reliable and safe in Pediatric Oncology. Objectives: Identify the profile of children and adolescents with indication of PICC use, list the reasons for removal and the length of time the catheter is present during cancer treatment. Method: Quantitative study, descriptive and retrospective, which used documentary analysis as a research technique, through medical and institutional records. The sample consisted of 51 records of PICC-type catheters inserted between 2012 and 2016. Results: Male patients corresponded to 66,6% of PICC insertions and the age group being prevalent between 4 and 9 years (30,7%). The most frequent diagnoses were leukemias (41%) and lymphomas (25.6%), with diagnostic time at the time of insertion of the PICC less than one month (51.9%). The reasons for removal of PICC were termination of treatment (45%), infections (17.6%), traction of the accidental (15.6%), obstruction (11.7%), death of the patient (5.8%), and catheter rupture (3.9%). The mean length of stay was 145 days. Conclusion: The data indicate that most of the removals of the PICC were elective reasons, that is, due to the end of the intravenous therapy, in addition to a high rate of catheter permanence. PICC has been shown to be an important option for intravenous therapy in Pediatric Oncology. Introducción: La obtención de un acceso venoso en niños y adolescentes con cáncer es un desafío para los enfermeros. El catéter central de inserción periférica (PICC) ha sido utilizado como una alternativa para obtener un acceso venoso duradero, confiable y seguro en la Oncología Pediátrica. Objetivos: Identificar el perfil de los niños y adolescentes con indicación del uso de PICC, elencar los motivos de remoción y el tiempo de permanencia del catéter durante el tratamiento oncológico. Método: Estudio cuantitativo, descriptivo y retrospectivo, que utilizó como técnica de investigación el análisis documental, através de prontuarios y registros institucionales. La muestra fue constituida por 51 prontuarios en los que constaban registros de catéteres insertados en el período de 2012 a 2016. Resultados: Los pacientes del sexo masculino correspondieron al 66,6% de los registros, siendo el rango de edad prevalente entre 4 y 9 años (30,7%). los diagnósticos más frecuentes fueron de leucemias (41%) y linfomas (25,6%), con tiempo de diagnóstico en el momento de la inserción del PICC menor de un mes (51,9%). los motivos de retiro del PICC fueron el término del tratamiento (45%), infecciones (17,6%), tracción del accidental (15,6%), obstrucción (11,7%) óbito del paciente (5,8%) y la ruptura del catéter (3,9%). El tiempo promedio de permanencia fue de 145 días. Conclusión: Los datos apuntan que la mayor parte de las remociones del PICC fueron motivos electivos, o sea, resultantes de la terminación del tratamiento intravenoso, además de una alta tasa de permanencia del catéter. El PICC mostró ser una importante opción para terapia intravenosa en Oncología Pediátrica.Introdução: A obtenção de um acesso venoso em crianças e adolescentes com câncer é um desafio para os enfermeiros. O cateter central de inserção periférica (PICC) tem sido utilizado como uma alternativa para obtenção de um acesso venoso duradouro, confiável e seguro na Oncologia Pediátrica. Objetivos: Identificar o perfil das crianças e adolescentes com indicação do uso de PICC, elencar os motivos de remoção e o tempo de permanência do cateter durante o tratamento oncológico. Método: Estudo quantitativo, descritivo e retrospectivo, que utilizou como técnica de pesquisa a análise documental, por meio de prontuários e registros institucionais. A amostra foi constituída por 51 prontuários nos quais constam registros de cateteres inseridos no período de 2012 a 2016. Resultados: Pacientes do sexo masculino corresponderam a 66,6% dos registros, sendo a faixa etária prevalente entre 4 e 9 anos (30,7%). Os diagnósticos mais frequentes foram de leucemias (41%) e linfomas (25,6%), com tempo de diagnóstico no momento da inserção do PICC menor que um mês (51,9%). Os motivos de remoção do PICC foram o término do tratamento (45%), infecções (17,6%), tração do acidental (15,6%), obstrução (11,7%) óbito do paciente (5,8%) e ruptura do cateter (3,9%). O tempo médio de permanência foi de 145 dias. Conclusão: Os dados apontam que a maior parte das remoções do PICC foi por motivos eletivos; ou seja, decorrentes do término da terapêutica intravenosa, além de uma alta taxa de permanência do cateter. O PICC mostrou ser uma importante opção para terapia intravenosa em Oncologia Pediátrica.INCA2018-09-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/3410.32635/2176-9745.RBC.2018v64n3.34Revista Brasileira de Cancerologia; Vol. 64 No. 3 (2018): July/Aug./Sept.; 341-347Revista Brasileira de Cancerologia; Vol. 64 Núm. 3 (2018): jul./agosto/sept.; 341-347Revista Brasileira de Cancerologia; v. 64 n. 3 (2018): jul./ago./set.; 341-3472176-974510.32635/2176-9745.RBC.2018v64n3reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/34/10https://rbc.inca.gov.br/index.php/revista/article/view/34/193Gonçalves Santana, FabricianaMoreira-Dias, Patrícia Lucianainfo:eu-repo/semantics/openAccess2021-11-29T20:06:11Zoai:rbc.inca.gov.br:article/34Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:06:11Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study Catéter Central de Inserción Periférica en Oncología Pediátrica: un Estudio Retrospectivo Cateter Central de Inserção Periférica em Oncologia Pediátrica: um Estudo Retrospectivo |
title |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study |
spellingShingle |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study Gonçalves Santana, Fabriciana Cuidados de Enfermagem Cateterismo Venoso Central Neoplasias Criança Adolescente Nursing Care Catheterization Central Venous Neoplasms Child Adolescent Atención de Enfermería Cateterismo Venoso Central; Neoplasias Niño Adolescente |
title_short |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study |
title_full |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study |
title_fullStr |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study |
title_full_unstemmed |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study |
title_sort |
Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study |
author |
Gonçalves Santana, Fabriciana |
author_facet |
Gonçalves Santana, Fabriciana Moreira-Dias, Patrícia Luciana |
author_role |
author |
author2 |
Moreira-Dias, Patrícia Luciana |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Gonçalves Santana, Fabriciana Moreira-Dias, Patrícia Luciana |
dc.subject.por.fl_str_mv |
Cuidados de Enfermagem Cateterismo Venoso Central Neoplasias Criança Adolescente Nursing Care Catheterization Central Venous Neoplasms Child Adolescent Atención de Enfermería Cateterismo Venoso Central; Neoplasias Niño Adolescente |
topic |
Cuidados de Enfermagem Cateterismo Venoso Central Neoplasias Criança Adolescente Nursing Care Catheterization Central Venous Neoplasms Child Adolescent Atención de Enfermería Cateterismo Venoso Central; Neoplasias Niño Adolescente |
description |
Introduction: Obtaining venous access in children and adolescents with cancer is a challenge for nurses. Central peripheral insertion catheter (PICC) has been used as an alternative to long-term venous access, reliable and safe in Pediatric Oncology. Objectives: Identify the profile of children and adolescents with indication of PICC use, list the reasons for removal and the length of time the catheter is present during cancer treatment. Method: Quantitative study, descriptive and retrospective, which used documentary analysis as a research technique, through medical and institutional records. The sample consisted of 51 records of PICC-type catheters inserted between 2012 and 2016. Results: Male patients corresponded to 66,6% of PICC insertions and the age group being prevalent between 4 and 9 years (30,7%). The most frequent diagnoses were leukemias (41%) and lymphomas (25.6%), with diagnostic time at the time of insertion of the PICC less than one month (51.9%). The reasons for removal of PICC were termination of treatment (45%), infections (17.6%), traction of the accidental (15.6%), obstruction (11.7%), death of the patient (5.8%), and catheter rupture (3.9%). The mean length of stay was 145 days. Conclusion: The data indicate that most of the removals of the PICC were elective reasons, that is, due to the end of the intravenous therapy, in addition to a high rate of catheter permanence. PICC has been shown to be an important option for intravenous therapy in Pediatric Oncology. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/34 10.32635/2176-9745.RBC.2018v64n3.34 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/34 |
identifier_str_mv |
10.32635/2176-9745.RBC.2018v64n3.34 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/34/10 https://rbc.inca.gov.br/index.php/revista/article/view/34/193 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 64 No. 3 (2018): July/Aug./Sept.; 341-347 Revista Brasileira de Cancerologia; Vol. 64 Núm. 3 (2018): jul./agosto/sept.; 341-347 Revista Brasileira de Cancerologia; v. 64 n. 3 (2018): jul./ago./set.; 341-347 2176-9745 10.32635/2176-9745.RBC.2018v64n3 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042242090696704 |