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, Etude prospective observationnelle sur les COMPLIcations liées aux PICClines au CHRU de Brest COMPLI-PICC N° Inclusion ?__?__?.?__?__? Nom ?__? Prénom : ?__?

, Soit une clairance Cockroft de ??.. ml/min AUTRES DONNEES

. , Durée d'hospitalisation : 2) Si décès : Date du décès

:. .. Cause-du-décès,

, ANNEXE III Nombre de facteurs de risque d'infection présenté par chaque patient en valeur absolue (n=109)