Evidence map›Paper›PMID 28079867›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2017

Reducing peripherally inserted central catheters in the neonatal intensive care unit.

A J Vachharajani, N A Vachharajani, H Morris, A Niesen, A Elward, D A Linck, A M Mathur

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Adverse events associated with umbilical catheters: a systematic review and meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Pooled it
  2. Article
  3. Reducing umbilical catheter migration rates by using a novel securement device.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Never judge a book by its cover: how NICU evaluators reach conclusions about quality of care.Journal of perinatology : official journal of the California Perinatal Association · 2018
    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

7 authors at 2 institutions in 1 country.

A J VachharajaniDepartment of Pediatrics, Washington University in St. Louis, St. Louis, MO, USA.
N A VachharajaniDepartment of Surgery, Washington University in St. Louis, St. Louis, MO, USA.
H MorrisSt Louis Children's Hospital, St. Louis, MO, USA.
A NiesenSt Louis Children's Hospital, St. Louis, MO, USA.
A ElwardDepartment of Pediatrics, Washington University in St. Louis, St. Louis, MO, USA.
D A LinckSt Louis Children's Hospital, St. Louis, MO, USA.
A M MathurDepartment of Pediatrics, Washington University in St. Louis, St. Louis, MO, USA.
Washington University in St. Louis · USSt. Louis Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to safely reduce the number of peripherally inserted central catheters (PICCs) inserted in infants with umbilical venous catheter using quality improvement methods. STUDY

designIn a tertiary neonatal intensive care unit, a questionnaire designed to prompt critical thinking around the decision to place a PICC, along with an updated standardized feeding guideline was introduced. PICC insertion in 86 infants with umbilical venous catheter (pre intervention) with birth weight 1000-1500 g were compared with 115 infants (post intervention) using Fisher's exact test.

resultsPICC lines inserted after the intervention decreased by 37.5% (67/86; 77.9% vs 56/115; 48.7%; P<0.001). The proportion of central line-associated blood stream infection were 2.49 vs 2.82/1000 umbilical venous catheter days; P=0.91 in the two epochs, respectively.

conclusionQuality improvement methodology was successful in significantly reducing the number of PICCs inserted without an increase in central line-associated blood stream infection.

Indexed as

Catheterization, PeripheralCatheter-Related InfectionsCentral Venous CathetersFemaleHumansInfantInfant, NewbornIntensive Care Units, NeonatalMaleMissouriQuality ImprovementRetrospective StudiesRisk FactorsUmbilical Veins

Identifiers

PMID28079867
OpenAlexW2573416083

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.