Table 1.

Indication for Central Line Removal and Metric Description for Central-Line–Associated Non-CLABSI Complications (CLANCs) Occurring in Pediatric and Young Adult Oncology Patients

Reason for Removal	Metric Description	No. of Lines (n=82), No. (%)
Breakage-CLANC	Catheter removed due to broken, fractured, or cracked tubing or access port, or leakage. Does not include successfully repaired catheters.	16 (20)
Contamination-CLANC	Catheter removed due to concern for loss of sterility, such as from fecal soilage, injection of foreign material, or failure to use a protective cap or needless access device.	2 (2.4)
Dislodgement-CLANC	Catheter accidentally or intentionally pulled out either fully or partially by the patient or caregiver, accidental catheter removal by staff, or failure of catheter securement resulting in catheter dislodgement.	14 (17)
Exit Site Problem-CLANC	Catheter removed due to irritation, breakdown, inflammation or infection at the exit site.	8 (9.8)
Malfunction-CLANC	Catheter removed due to occlusion, inability to flush, sluggish or no blood return. Does not include catheters successfully treated with medications to clear an occlusion.	22 (27)
Malposition-CLANC	Catheter removed due to migration, coiling or kinking of the proximal tip. Does not include catheters where the tip is in the wrong location due to dislodgement.	16 (20)
Relocation-CLANC	Catheter removed and relocated to a new site due to inappropriate placement location or patient discomfort.	3 (3.6)
Thrombosis-CLANC	Catheter removed due to thrombosis or clot. Does not include late vascular occlusion events recognized after catheter removal.	1 (1.2)

Note. CLABSI, central-line–associated bloodstream infection; CLANC, central-line–associated non-CLABSI complication.