PICC相关性血栓风险评估工具的范围综述  

A scoping review of risk assessment tools for peripherally inserted central catheter related venous thrombosis

作　　者：黄培培 钦晓英[1] 朱薇[2] 项小燕[1] 卢琪 陈立姣[1] 张烨[1] 崔智萍 Huang Peipei;Qin Xiaoying;Zhu Wei;Xiang Xiaoyan;Lu Qi;Chen Lijiao;Zhang Ye;Cui Zhiping(Department of Intravenous Therapy,Zhejiang Provincial People′s Hospital/People′s Hospital of Hangzhou Medical College,Hangzhou 310014,China)

机构地区：[1]浙江省人民医院/杭州医学院附属人民医院静脉治疗护理,浙江杭州310014 [2]浙江省人民医院/杭州医学院附属人民医院护理部,浙江杭州310014

出　　处：《护理学杂志》2023年第11期113-116,共4页Journal of Nursing Science

基　　金：2022年浙江省卫生健康科技计划项目(2022KY522)。

摘　　要：目的对国内外PICC相关性血栓风险评估工具研究进行范围审查,为规范此类风险评估提供参考。方法系统检索中、英文数据库和指南网站有关PICC相关性血栓风险评估工具的文献,检索时间为自建库至2022年11月26日。结果最终纳入24篇文献,工具类型分为风险预测模型(14种)、风险评估表(8种)、血栓弹力图(1种)和风险评估体系(1种)。24篇文献包含了疾病因素,19篇文献包含了治疗因素,13篇文献包含导管因素。疾病或治疗因素出现频率超过10次的评估内容为高风险因素、D-二聚体、静脉血栓史、化疗史;导管因素中导管并发症(6次)、导管—血管直径比(6次)、导管异位(5次)提及频次最多。结论疾病因素和治疗因素为PICC-RVT风险评估的重要内容。PICC-RVT风险评估工具的种类多样,但其信效度仍有待进一步检验,需要开展多中心、大范围的临床应用研究。Objective To review domestic and international studies regarding peripherally inserted central catheter related venous thrombosis(PICC-RVT)risk assessment tools through scoping review methodology,and to provide a basis for standardization of PICC-RVT risk assessment.Methods We systematically searched Chinese or foreign databases as well as guideline websites for li-terature on PICC-RVT risk assessment tools from database/website inception to November 26th,2022.Results A total of 24 papers were finally included,and the types of risk assessment tools were divided into risk prediction models(n=14),risk assessment scales(n=8),thromboelastograms(n=1),and risk assessment systems(n=1).All 24 papers included disease factors,19 included treatment factors and 13 included catheter-related factors.Among the diseases or treatment factors,assessment items with a frequency of more than 10 counts included high-risk factors,D-dimer,history of venous thrombosis,and history of chemotherapy;among the catheter-related factors,the catheter-related complications(6 counts),catheter-vessel diameter ratio(6 counts),and catheter malposition(5 counts)were mentioned most frequently.Conclusion Disease factors and treatment factors are important elements of PICC-RVT risk assessments.There are various types of PICC-RVT risk assessment tools,but their reliability and validity remain to be further tested,and multi-center and large scale clinical application studies are needed.

关 键 词：PICC 血栓 风险评估 工具 疾病因素 治疗因素 导管因素 范围综述 

分 类 号：R471[医药卫生—护理学]