Evidence map›Paper›PMID 25997503›Full record

ArticleClinical nephrology2015

Central venous catheters: incidence and predictive factors of venous thrombosis.

Mary Hammes, Amishi Desai, Shravani Pasupneti, John Kress, Brian Funaki, Sydeaka Watson, Jean Herlitz, Jane Hines

Open access · greenAbstract read
In one paragraph

Article in Clinical nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mary Hammes
Amishi Desai
Shravani Pasupneti
John Kress
Brian Funaki
Sydeaka Watson
Jean Herlitz
Jane Hines
Pulmonary and Critical Care Associates · USUniversity of Chicago · US

Funding

A Clinical and Computational Study to Improve Brachiocephalic Fistula OutcomesR01DK090769 · NIDDK · UNIVERSITY OF CHICAGO · PI HAMMES, MARY SUSAN · 2011 to 2015
$3.0M
NIDDK NIH HHS R01 DK090769NIDDK NIH HHS R01DK090769
6 · The paper itself

Abstract

aimsCentral venous catheter access in an acute setting can be a challenge given underlying disease and risk for venous thrombosis. Peripherally inserted central venous catheters (PICCs) are commonly placed but limit sites for fistula creation in patients with chronic renal failure (CKD). The aim of this study is to determine the incidence of venous thrombosis from small bore internal jugular (SBIJ) and PICC line placement. This investigation identifies populations of patients who may not be ideal candidates for a PICC and highlights the importance of peripheral vein preservation in patients with renal failure. MATERIALS AND

methodsA venous Doppler ultrasound was performed at the time of SBIJ insertion and removal to evaluate for thrombosis in the internal jugular vein. Data was collected pre- and post-intervention to ascertain if increased vein preservation knowledge amongst the healthcare team led to less use of PICCs. Demographic factors were collected in the SBIJ and PICC groups and risk factor analysis was completed.

results1,122 subjects had PICC placement and 23 had SBIJ placement. The incidence of thrombosis in the PICC group was 10%. One patient with an SBIJ had evidence of central vein thrombosis when the catheter was removed. Univariate and multivariate analysis demonstrated a history of transplant, and the indication of total parenteral nutrition was associated with thrombosis (p<0.001). The decrease in PICCs placed in patients with CKD 6 months before and after intervention was significant (p<0.05).

conclusionsThere are subsets of patients ith high risk for thrombosis who may not be ideal candidates for a PICC.

Indexed as

AdultAgedCatheterization, Central VenousCentral Venous CathetersChicagoFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsVenous Thrombosis

Identifiers

PMID25997503
PMCPMC4750112
OpenAlexW2309541260

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.