文献类型：期刊文献

英文题名：Risk factors for peripherally inserted central catheter tip migration in patients undergoing thoracoscopic thoracic surgery: a retrospective cohort study

作者：Jin, Kangqi[1,2];Luo, Na[1,2];Zhang, Yimei[1,2];Ma, Xiaoli[1];Ma, Minjie[1];Jin, Hongying[1,2];Han, Xiaoyan[1,2]

第一作者：Jin, Kangqi

通信作者：Ma, XL[1]

机构：[1]Lanzhou Univ, Hosp 1, Dept Thorac Surg, Lanzhou, Peoples R China;[2]Gansu Univ Chinese Med, Coll Nursing, Lanzhou, Peoples R China

第一机构：Lanzhou Univ, Hosp 1, Dept Thorac Surg, Lanzhou, Peoples R China

通信机构：[1]corresponding author), Lanzhou Univ, Hosp 1, Dept Thorac Surg, 11 Donggang West Rd, Lanzhou 730000, Peoples R China.

年份：2026

卷号：18

期号：8

外文期刊名：JOURNAL OF THORACIC DISEASE

收录：;Scopus(收录号：2-s2.0-105048816489);WOS:【SCI-EXPANDED(收录号:WOS:001871838500010)】；

基金：Funding: This research was supported by the Gansu Provincial Key Research and Development Program (No. 26YFFA004); the Hospital Fund of The First Hospital of Lanzhou University (No. ldyyyn2023-22); and the Gansu Provincial Health Industry Scientific Research Program (No. GSWSHL2023-40).

语种：英文

外文关键词：Peripherally inserted central catheter (PICC); catheter migration; risk factors; retrospective cohort study

摘要：Background: Peripherally inserted central catheter (PICC) is widely used for perioperative intravenous therapy in thoracic surgery. Tip migration can lead to reduced drug infusion efficiency, thrombosis, and other complications. Thoracic surgery, particularly lung resection, may increase the risk of migration by altering intrathoracic pressure and mediastinal position; however, systematic studies are lacking. This study aimed to identify the incidence and independent risk factors for PICC tip migration after thoracoscopic thoracic surgery. Methods: A total of 222 patients who underwent thoracoscopic surgery and received PICC at the Department of Thoracic Surgery of The First Hospital of Lanzhou University between January 2025 and January 2026 were retrospectively included. PICC tip migration was defined as a deviation of the catheter tip from its initial position of >2 cm on postoperative chest X-ray, with persistence on subsequent examination and no spontaneous repositioning. Demographic variables, surgical procedure, side of PICC insertion, and other covariates were collected. Univariate and multivariate logistic regression analyses were performed to identify independent risk factors for PICC tip migration. Results: PICC tip migration occurred in 38 of the 222 patients, yielding an incidence of 17.12%. Multivariate logistic regression analysis showed that lung resection [odds ratio (OR) =8.736, 95% confidence interval (CI): 2.303-33.143, P=0.001] and right-side insertion (OR =3.697, 95% CI: 1.375-9.943, P=0.01) were independent risk factors for PICC tip migration. Consistency of intraoperative lateral decubitus position with the insertion side and severe postoperative cough were not statistically significant in the multivariate analysis (both P>0.05). Conclusions: The incidence of PICC tip migration is relatively high in patients undergoing thoracoscopic thoracic surgery. Lung resection and right-side insertion are independent risk factors. For patients scheduled for lung resection, preferential use of the left arm for PICC insertion may be considered. For those requiring right-side insertion, intensified postoperative chest X-ray monitoring is advised. However, these suggestions require prospective validation with outcome-based endpoints.