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An analysis of 90-day emergency department visits after peripherally inserted central catheter (PICC) placement for prosthetic joint infection.

Publication ,  Journal Article
Charalambous, LT; Hinton, Z; Kim, BI; Case, A; Brown, M; Jiranek, W; Seidelman, J; Bolognesi, MP; Seyler, TM
Published in: Infect Control Hosp Epidemiol
December 2022

OBJECTIVE: Research on complications with peripherally inserted central catheter (PICC) lines that are placed for the treatment of prosthetic joint infection (PJI) after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is scarce. We investigated the timing, frequency, and risk factors for PICC complications during treatment of PJI after THA and TKA. METHODS: We retrospectively queried an institutional database for THA and TKA patients from January 2015 through December 2020 that developed a PJI and required PICC placement at an academic, tertiary-care referral center. RESULTS: The study included 889 patients (48.3% female) with a mean age of 64.6 years (range, 18.7-95.2) who underwent 435 THAs and 454 TKAs that were revised for PJI. The cohort had 275 90-day ED visits (30.9%), and 51 (18.5%) were PICC related. The average time from discharge to PICC ED visit was 26.2 days (range, 0.3-89.4). The most common reasons for a 90-day ED visit were issues related to the joint replacement or wound site (musculoskeletal or MSK; n = 116, 42.2%) and PICC complaints (n = 51, 18.5%). A multivariable logistic regression demonstrated that non-White race (odds ratio [OR], 2.24; 95% confidence interval [CI], 1.24-4.04; P = .007) and younger age (OR, 0.98; 95% CI, 0.95-1.00; P = .035) were associated with PICC-related ED visits. Malposition/readjustment (41.2%) and occlusion (35.3%) were the most common PICC complications leading to ED presentation. CONCLUSIONS: PICC complications are common after PJI treatment, accounting for nearly 20% of 90-day ED visits.

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Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

December 2022

Volume

43

Issue

12

Start / End Page

1853 / 1858

Location

United States

Related Subject Headings

  • Risk Factors
  • Retrospective Studies
  • Prosthesis-Related Infections
  • Middle Aged
  • Male
  • Humans
  • Female
  • Epidemiology
  • Emergency Service, Hospital
  • Catheters
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Charalambous, L. T., Hinton, Z., Kim, B. I., Case, A., Brown, M., Jiranek, W., … Seyler, T. M. (2022). An analysis of 90-day emergency department visits after peripherally inserted central catheter (PICC) placement for prosthetic joint infection. Infect Control Hosp Epidemiol, 43(12), 1853–1858. https://doi.org/10.1017/ice.2022.22
Charalambous, Lefko T., Zoe Hinton, Billy I. Kim, Ayden Case, Meredith Brown, William Jiranek, Jessica Seidelman, Michael P. Bolognesi, and Thorsten M. Seyler. “An analysis of 90-day emergency department visits after peripherally inserted central catheter (PICC) placement for prosthetic joint infection.Infect Control Hosp Epidemiol 43, no. 12 (December 2022): 1853–58. https://doi.org/10.1017/ice.2022.22.
Charalambous LT, Hinton Z, Kim BI, Case A, Brown M, Jiranek W, et al. An analysis of 90-day emergency department visits after peripherally inserted central catheter (PICC) placement for prosthetic joint infection. Infect Control Hosp Epidemiol. 2022 Dec;43(12):1853–8.
Charalambous, Lefko T., et al. “An analysis of 90-day emergency department visits after peripherally inserted central catheter (PICC) placement for prosthetic joint infection.Infect Control Hosp Epidemiol, vol. 43, no. 12, Dec. 2022, pp. 1853–58. Pubmed, doi:10.1017/ice.2022.22.
Charalambous LT, Hinton Z, Kim BI, Case A, Brown M, Jiranek W, Seidelman J, Bolognesi MP, Seyler TM. An analysis of 90-day emergency department visits after peripherally inserted central catheter (PICC) placement for prosthetic joint infection. Infect Control Hosp Epidemiol. 2022 Dec;43(12):1853–1858.
Journal cover image

Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

December 2022

Volume

43

Issue

12

Start / End Page

1853 / 1858

Location

United States

Related Subject Headings

  • Risk Factors
  • Retrospective Studies
  • Prosthesis-Related Infections
  • Middle Aged
  • Male
  • Humans
  • Female
  • Epidemiology
  • Emergency Service, Hospital
  • Catheters