↓ Skip to main content

Dove Medical Press

Article Metrics

The safety and accuracy of ECG-guided PICC tip position verification applied in patients with atrial fibrillation

Overview of attention for article published in Therapeutics and Clinical Risk Management, June 2018
Altmetric Badge

About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (64th percentile)
  • Good Attention Score compared to outputs of the same age and source (72nd percentile)

Mentioned by

twitter
6 tweeters

Citations

dimensions_citation
23 Dimensions

Readers on

mendeley
34 Mendeley
Title
The safety and accuracy of ECG-guided PICC tip position verification applied in patients with atrial fibrillation
Published in
Therapeutics and Clinical Risk Management, June 2018
DOI 10.2147/tcrm.s156468
Pubmed ID
Authors

Yufang Gao, Yuxiu Liu, Hui Zhang, Fang, Lei Song

Abstract

Tip position verification of peripherally inserted central catheters (PICCs) is essential to the use of the catheter. Postprocedural chest X-ray as the "gold standard" practice for PICC tip confirmation can lead to a significant delay for patient IV therapy, cost more, and lead to radiation exposure for both patients and staffs. Intracavitary electrocardiogram (IC-ECG)-guided PICC placement which provides real-time tip confirmation during the insertion procedure has been widely used. However, safety and accuracy of ECG for abnormal surface ECG patients, such as patients with atrial fibrillation (AF), have not been reported. To determine the safety and accuracy of IC-ECG technique for PICC tip position verification among the patients with AF. A prospective cohort study was conducted in a teaching and tertiary referral hospital with more than 3,600 beds in Qingdao, People's Republic of China. Adult patients with diagnosis of AF who need a PICC for infusion from June 2015 to May 2017 were enrolled in the study. For every included patient with AF, ECG was used to detect the PICC tip position during catheterization and X-ray was done to confirm the tip position as the "gold standard" after PICC insertion. The effectiveness and accuracy of ECG-guided catheter tip positioning and chest X-ray confirmation were compared. Totally, 118 AF patients with 118 PICCs were enrolled (58 male and 60 female, age range 50-89 years old). There was no catheterization-related complication. When the catheter entered the lower 1/3 of superior vena cava, the amplitude of f wave reached the maximum. There was no statistical difference between X-ray PICC tip position verification and IC-ECG PICC tip position verification among patients with AF (χ2=1.31, P=0.232). Utilizing the cutoff point of f wave change ≥0.5 cm, a sensitivity of 0.94, a specificity of 0.71, a positive predictive value of 0.98, and a negative predictive value of 0.42 were observed. The area under the receiver operating characteristic curve was 0.909 (95% CI: 0.810-1.000). The ECG-guided technique represents a safe and accurate technique to verify the position of PICC tip in patients with AF and could potentially remove the requirement for postprocedural chest X-ray among the patients with AF.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 18%
Student > Postgraduate 4 12%
Student > Bachelor 4 12%
Researcher 3 9%
Professor 3 9%
Other 6 18%
Unknown 8 24%
Readers by discipline Count As %
Nursing and Health Professions 15 44%
Medicine and Dentistry 6 18%
Unspecified 1 3%
Economics, Econometrics and Finance 1 3%
Agricultural and Biological Sciences 1 3%
Other 0 0%
Unknown 10 29%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 October 2019.
All research outputs
#4,626,125
of 16,027,585 outputs
Outputs from Therapeutics and Clinical Risk Management
#237
of 1,063 outputs
Outputs of similar age
#97,471
of 278,609 outputs
Outputs of similar age from Therapeutics and Clinical Risk Management
#4
of 18 outputs
Altmetric has tracked 16,027,585 research outputs across all sources so far. This one has received more attention than most of these and is in the 70th percentile.
So far Altmetric has tracked 1,063 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.6. This one has done well, scoring higher than 77% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 278,609 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 64% of its contemporaries.
We're also able to compare this research output to 18 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.