A Randomized Controlled Trial To Compare Three Stabilization Systems Of Peripherally Inserted Central Venous Catheter

Objectives:Compare the effect of three methods of securing PICC with suture, tape and Statlock, in order to explore a more effective stabilization system of PICC.Methods:A prospective, randomized trial was conducted in a Three-A hospital in Beijing.279patients requiring PICCs, which were randomized to suture (n=93), tape(n=93) or Statlock (n=93) securement groups. Patients were followed two months after catheter placement, receiving dressing change once a week. Three kinds of index were monitored which include effectiveness index (catheter migration, catheter dislodgment), security index (cellulitis, catheter leakage, phlebitis, thrombosis, CRBSI), patient experience index (pain assessment, patient satisfaction, EQ-5D assessment).Results:256patients completed data collection procedures,86patients in tape group,87patients in suture group,83patients in Statlock group. There were no statistically significant differences among the three groups in terms of catheter migration and catheter dislodgment counts (P>0.05), but the reasons of catheter dislodgment were significantly different among the three groups (P<0.05). There were no statistically significant differences among the three groups in terms of phlebitis, thrombosis, CRBSI, catheter leakage (P>0.05), but the cellulitis counts were significantly different among the three groups (P<0.05). There were statistically significant difference among the three groups in terms of pain assessment, patient satisfaction, second EQ-5D assessment (P<0.05), the first EQ-5D assessment was not significantly different among three groups (P>0.05).Conclusions:In terms of effectiveness index, suture is a better sucrement method. In terms of security index, tape is a better sucrement method. In terms of patient experience index, Statlock s a better sucrement method. Futher investigation with more samples to determine how Statlock to reduce the PICC-related complications such as skin cellulitis, catheter leakage and how to make Statlock less affect the beauty of the patients is necessary. Both of the researchers and producers should consider how to improve the appearance and material of Statlock in order to make it more appropriate for the Asian patients.