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Metas de Enfermería

Metas de Enfermería

FEBRERO 2024 N° 1 Volumen 27

Approach to vascular access by infusion therapy team: safety and quality of care

Section: Originals

How to quote

Cabrera-Jaime S, Calderón-Ruiz N, Ponce-Pérez F, Zarza-Arnau N, Cano-Soria R. Abordaje del acceso vascular por equipo de terapia infusional: seguridad y calidad asistencial. Metas Enferm feb 2024; 27(1):61-7. Doi: https://doi.org/10.35667/MetasEnf.2024.27.1003082214

Authors

Sandra Cabrera-Jaime1, Natalia Calderón-Ruiz2, Francisco Ponce-Pérez2, Nuria Zarza- Arnau3, Rosario Cano-Soria4

Position

1Doctora por la Universidad de Barcelona. Investigación en Enfermería. Instituto Catalán de Oncología (ICO). Badalona, Barcelona (España). Grupo de Investigación en Cuidados Enfermeros (NURECARE-IGTP). Grupo GRIN. Instituto de Investigación Biomédica de Bellvitge (IDIBELL). Escuela de Enfermería. Universidad Autónoma de Barcelona. Barcelona (España).2Máster en Enfermería Acceso y Terapia Infusional por la Universidad de Barcelona. Unidad de Acceso Vascular. ICO. Badalona, Barcelona (España). Grupo NURECARE-IGTP.3Máster en Liderazgo y Gestión de los Servicios de Enfermería por la Universidad de Barcelona. Unidad de Acceso Vascular. ICO. Badalona, Barcelona (España).4Máster en Enfermería Oncológica por la Universidad de Barcelona. Unidad de Acceso Vascular. ICO. Badalona, Barcelona (España).

Contact address

Sandra Cabrera-Jaime. Investigación en Enfermería. Instituto Catalán de Oncología. Carretera de Canyet s/n. Badalona 08916. Barcelona (España).

Contact email: scabrera@iconcologia.net

Abstract

Objective: to describe the evolution of the vascular access care model led by a nurse infusion therapy (ETI) team and its safety results associated with peripherally inserted central vascular access (PICC) in oncohematology patients.
Methods: descriptive observational study in a retrospective cohort in 3,423 oncohaematological patients who were indicated for a PICC on an outpatient basis during 2012 to 2021. Variables: Care model, reason for the indication, access placement verification method, vascular access complications. Data collection using primary data from the vascular access registry and clinical registry of the ESPOQ2© computerized history. Descriptive analysis using IBM® SPSS® Statistics V.23.0.
Results: infusional teams' reference increased the capacity to place catheters, going from 98 (2013) to 768 (2021). The indication for the PICC went from 45.80% due to initiation of chemotherapy home infusion (2016) to 93.70% due to an indication for an irritant or vesicant drug (2021) (p< 0.001). The introduction of the ultrasound-guided technique and electro-intracavitary method of tip control decreased complications due to mechanical phlebitis and radiation due to catheter verification (p< 0.001).
Conclusions: care models with consolidated reference infusion therapy teams increase the safety of cancer patients with PICC vascular access.

Keywords:

Vascular catheters; vascular access devices; oncology patients; peripheral inserted central catheter (PICC)

Versión en Español

Título:

Abordaje del acceso vascular por equipo de terapia infusional: seguridad y calidad asistencial

Artículo completo no disponible en este idioma / Full article is not available in this language

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