Does Prophylactic Anticoagulation Prevent PICC-Related Upper Extremity Venous Thrombosis? A Case-Control Study.
J Infus Nurs. 2014 September/October;37(5):381-385
Authors: Wilson JD, Alred SC
The evidence regarding the value of prophylactic anticoagulation to prevent peripherally inserted central catheter-related upper extremity venous thrombosis (PRUEVT) is inconsistent. The authors reviewed 3 years of data, identifying all cases of PRUEVT at a facility in Texas, and individually matched each for risk factors with 2 controls. Not being on any form of anticoagulant or antiplatelet agent was associated with a modestly increased risk of PRUEVT (odds ratio 1.93, P = .036, 95% confidence interval, 1.025-3.602). Each approach to thrombosis prevention showed a trend toward a protective effect, but none reached statistical significance individually.
PMID: 25191821 [PubMed - as supplied by publisher]