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MI-CC Score of Govindan et al for a Peripherally Inserted Central Catheter (PICC)

Description

Govindan et al reported the MI-PICC score for patients with a peripherally inserted central catheter (PICC). This can help to identify a patient at increased risk for complications in the ICU. The authors are from the University of Kansas, University of Michigan, the University of Colorado and the VA.


Patient selection: PICC line in place <= 21 days

 

Outcome: catheter-associated bloodstream infection, venous thromboembolism

 

Parameter:

(1) history of deep vein thrombosis (DVT)

(2) active cancer

(3) another central venous catheter present

(4) blood transfusion

(5) number of days with PICC in place

 

Parameter

Finding

Points

history of DVT

no

0

 

yes

2

active cancer

no

0

 

yes

2

another central catheter

no

0

 

yes

1

blood transfusion

no

0

 

yes

2

number of days with PICC

<= 7

4

 

8 to 14

1

 

15 to 21

2

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 11

• The odds ratio for complications increases 1.45 for each point increase.

 

Performance:

• The area under the ROC curve is 0.72 to 074.


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