ArticleRevista latino-americana de enfermagem
The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns.
Article in Revista latino-americana de enfermagem. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Neonatal Thromboembolic Disease: Clinical Spectrum and Emerging Evidence for Diagnostic and Therapeutic Strategies Addressing Unmet Needs.Journal of clinical medicine · 2026Review
- Primary malposition of peripherally inserted central catheter in the inferior vena cava among neonates: a case series.Frontiers in pediatrics · 2026Article
- The applications, complications, and management of neonatal peripherally inserted central catheters (n-PICCs): a narrative review.Frontiers in pediatrics · 2026Review
- Navigating neonatal thrombosis: contemporary insights into a complex disorder in a unique population.Frontiers in pharmacology · 2026Review
- Analysis of factors related to tip malposition of peripherally inserted central catheter and its spontaneous correction rate in neonates.African health sciences · 2025Article
- A nurse-inserted peripherally inserted central catheter program in general pediatrics: a single-center experience.BMC pediatrics · 2023Article
- The relationship between the PICC tip position and weight gain, length growth of premature infants under ultrasonography: a correlation analysis study.Frontiers in medicine · 2023Article
- A review of neonatal peripherally inserted central venous catheters in extremely or very low birthweight infants based on a 3-year clinical practice: Complication incidences and risk factors.Frontiers in pediatrics · 2022Article
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Authors and funding
5 authors.
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Abstract
objectiveto develop a risk score for unplanned removal of peripherally inserted central catheter in newborns.
methodprospective cohort study conducted in a neonatal intensive care unit with newborn babies who underwent 524 catheter insertions. The clinical characteristics of the newborn, catheter insertion and intravenous therapy were tested as risk factors for the unplanned removal of catheters using bivariate analysis. The risk score was developed using logistic regression. Accuracy was internally validated based on the area under the Receiver Operating Characteristic curve.
resultsthe risk score was made up of the following risk factors: transient metabolic disorders; previous insertion of catheter; use of a polyurethane double-lumen catheter; infusion of multiple intravenous solutions through a single-lumen catheter; and tip in a noncentral position. Newborns were classified into three categories of risk of unplanned removal: low (0 to 3 points), moderate (4 to 8 points), and high (≥ 9 points). Accuracy was 0.76.
conclusionthe adoption of evidence-based preventative strategies based on the classification and risk factors faced by the newborn is recommended to minimize the occurrence of unplanned removals.
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