Patient experience with peripherally inserted central catheters

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We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by patients about having either of these 2 devices” Trautner et al (2019).

Abstract:

BACKGROUND: Little is known about the patient experience with urinary catheters or peripherally inserted central catheters (PICCs). We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by patients about having either of these 2 devices.

METHODS: As part of a larger study, we asked patients about certain catheter-related complications at the time of catheter placement and on days 14, 30, and 70 (PICCs only). In this larger project, we performed a structured assessment that included an open-ended question about other comments (initial interview) or problems (follow-up interview) associated with the device. For the current study, we conducted a descriptive analysis of these open-ended comments, classifying them as positive, negative, or neutral.

RESULTS: Positive comments about urinary catheters accounted for 9 of 147 comments (6%), whereas positive comments about PICCs accounted for 10 of 100 comments (10%). Positive comments for both catheter types were mostly related to convenience. More than 80% of comments about both types of devices were negative and fell into the following areas: catheter malfunction; pain, irritation, or discomfort; interference with activities of daily living; provider error; and other.

CONCLUSIONS: Our findings underscore the need to optimize the patient experience with placement, ongoing use, and removal of urinary catheters and PICCs.

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Reference:

Trautner, B.W., Saint, S., Fowler, K.E., Van, J., Rosen, T., Colozzi, J., Chopra, V., Lescinskas, E. and Krein, S.L. (2019) What do patients say about their experience with urinary catheters and peripherally inserted central catheters? American Journal of Infection Control. July 16th. doi: 10.1016/j.ajic.2019.05.031. .

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