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This study aim to compare the cost-effectiveness and safety between centrally and peripherally inserted central venous catheters in neurosurgical intensive care unit patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PICC(Peripherally inserted central catheter) | Experimental | Patients randomly assigned to receive a peripherally inserted central catheter(PICC). |
|
| CVC(Central venous catheter ) | Active Comparator | Patients randomly assigned to receive a centrally inserted central venous catheter(CVC). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PICC(Peripherally inserted central catheter) | Other | The peripherally inserted central catheter with different sizes (French scale). Trained vascular access nurses will perform the insertion of the PICC, guided by ultrasound at bedside using the Seldinger technique. A suitable sterile field will be established. |
| Measure | Description | Time Frame |
|---|---|---|
| thrombotic complications | radiographically-confirmed upper-extremity deep vein thrombosis | up to 30 days or be discharged from hospital |
| mechanical complications | pneumothorax or hematoma caused by puncture | up to 30 days or be discharged from hospital |
| infectious complications | catheter related bloodstream infection | up to 30 days or be discharged from hospital |
| Measure | Description | Time Frame |
|---|---|---|
| catheter replacement | obstruction or accidental removal | up to 30 days or be discharged from hospital |
| cost effectiveness | The cost of catheter implantation and replacement, as well as the cost of treatment due to catheter-related complications and the resulting financial loss to the patient. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hao Liu, MD | Contact | 0086-029-85324005 | hao_liu@xjtu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Hao Liu, MD | First Affiliated Hospital Xi'an Jiaotong University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Affiliated Hospital of Xian Jiaotong University | Recruiting | Xi'an | Shaanxi | 710061 | China |
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|
| CVC(Central venous catheter ) | Other | The central venous catheter with different sizes (French scale). Trained doctors will perform the insertion of the CVC, using the Seldinger technique. A suitable sterile field will be established. |
|
| up to 30 days or be discharged from hospital |
| ID | Term |
|---|---|
| D020246 | Venous Thrombosis |
| D007239 | Infections |
| ID | Term |
|---|---|
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D002406 | Catheterization, Peripheral |
| ID | Term |
|---|---|
| D002404 | Catheterization |
| D013812 | Therapeutics |
| D057510 | Endovascular Procedures |
| D014656 | Vascular Surgical Procedures |
| D013504 | Cardiovascular Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |
| D008919 | Investigative Techniques |
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