A study on influence factors of accurate positioning of venous catheter tip in arm infusion port guided by electrocardiogram based on random forest algorithm

XU Xiangyanyu; JI Xinyu; SONG Yunjie; XU Xiaoshuang; XU Haiping; ZHANG Ruyang

doi:10.7619/jcmp.20213117

Journal of Clinical Medicine in Practice > 2021 > 25(19): 7-11. > DOI: 10.7619/jcmp.20213117

XU Xiangyanyu, JI Xinyu, SONG Yunjie, XU Xiaoshuang, XU Haiping, ZHANG Ruyang. A study on influence factors of accurate positioning of venous catheter tip in arm infusion port guided by electrocardiogram based on random forest algorithm[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 7-11. DOI: 10.7619/jcmp.20213117

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A study on influence factors of accurate positioning of venous catheter tip in arm infusion port guided by electrocardiogram based on random forest algorithm

1.
Department of Biostatistics, School of Public Health of Nanjing Medical University, Nanjing, Jiangsu, 211166
2.
Department of Epidemiology and Biostatistics, School of Public Health of Fudan University, Shanghai, 200032
3.
Department of Breast Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210036

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Received Date: August 02, 2021
Available Online: October 20, 2021
Published Date: October 14, 2021

Graphical Abstract

Abstract

Abstract

Objective To explore influence factors of accurate positioning of venous catheter tip in arm infusion port guided by electrocardiogram based on random forest algorithm.
Methods A total of 338 female breast cancer patients with chemotherapy implanted in transfusion port were selected as research objects. Electrocardiogram was used to guide the positioning of the venous catheter tip, and relevant information of the patients was collected. Random forest method was used to explore the influencing factors of electrocardiogram guided precise positioning of intravenous catheter tip in arm infusion port, and classification tree was used to fit the precise positioning model of catheter tip.
Results Height, weight and age were significantly associated with the accuracy of catheter head positioning. The accuracy (0.84), sensitivity (0.98), positive predictive value (0.85) of the constructed model were acceptable, and the specificity (0.19), negative predictive value (0.54) and area under the Curve (AUC)(0.67) were low.
Conclusion Clinical staffshould pay attention to breast cancer patients with low height (< 155 cm), high body mass (>52 kg) and age of 49 to 63 years, because such patients are prone to occur inaccurate positioning of the head of venous catheter.
- random forest,
- electrocardiogram,
- arm infusion port,
- positioning of venous catheter,
- influencing factors

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A study on influence factors of accurate positioning of venous catheter tip in arm infusion port guided by electrocardiogram based on random forest algorithm

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