Evidence map›Paper›PMID 32682063›Full record

ArticleJournal of vascular surgery2020

Managing central venous access during a health care crisis.

Tristen T Chun, Dejah R Judelson, David Rigberg, Peter F Lawrence, Robert Cuff, Sherene Shalhub, Max Wohlauer, Christopher J Abularrage, Papapetrou Anastasios, Shipra Arya and 87 more

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of vascular surgery, 2020. 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
4.0field-weighted citation impact, top 5% 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, 24 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. New York City Vascular Surgeons during the COVID-19 Pandemic.Vascular specialist international · 2020
    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

97 authors at 20 institutions in 13 countries.

Tristen T ChunDivision of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Dejah R JudelsonDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Massachusetts Medical School, Worcester, Mass.
David RigbergDivision of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Peter F LawrenceDivision of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Robert CuffDivision of Vascular Surgery, Department of Surgery, Spectrum Health/Michigan State University, Grand Rapids, Mich.
Sherene ShalhubDivision of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash.
Max WohlauerDivision of Vascular Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colo.
Christopher J AbularrageDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Md.
Papapetrou AnastasiosDepartment of Vascular Surgery, General Hospital of Athens KAT, Athens, Greece.
Shipra AryaDepartment of Surgery Stanford University School of Medicine, Palo Alto, Calif.
Bernadette AulivolaDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, Maywood, Ill.
Melissa BaldwinDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Donald BarilDivision of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Carlos F BecharaDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, Maywood, Ill.
William E BeckermanDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Rutgers Robert Wood Johnson, New Brunswick, NJ.
Christian-Alexander BehrendtDepartment of Vascular Medicine, Research Group GermanVasc, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Filippo BenedettoDivision of Vascular Surgery, University of Messina, Messina, Italy.
Lisa F BennettRose Medical Center, HealthOne, Denver, Colo.
Kristofer M Charlton-OuwDepartment of Cardiothoracic and Vascular Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Tex.
Amit ChawlaDivision of Vascular Surgery, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, La.
Matthew C ChiaDivision of Vascular Surgery, Department of Surgery, Northwestern University, Chicago, Ill.
Sungsin ChoDivision of Vascular Surgery, Department of Surgery, Kyung Hee University School of Medicine, Seoul, South Korea.
Andrew M T L ChoongDivision of Vascular and Endovascular Surgery, National University Heart Centre, Singapore.
Elizabeth L ChouDivision of Vascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Mass.
Anastasiadou ChristianaDepartment of Vascular Surgery, General Hospital of Athens KAT, Athens, Greece.
Raphael CoscasVascular Surgery Department, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt, Paris, France.
Giovanni De CaridiDivision of Vascular Surgery, University of Messina, Messina, Italy.
Sharif EllozyDivision of Vascular and Endovascular Surgery, Department of Surgery, Weill Cornell Medicine, New York, NY.
Yana EtkinDivision of Vascular and Endovascular Surgery, Department of Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
Peter FariesDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Adrian T FungDivision of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Andrew GonzalezDivision of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind.
Claire L GriffinVascular Division, Department of Surgery, University of Utah, Salt Lake City, Utah.
London GuidryDivision of Vascular Surgery, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, La.
Nalaka GunawansaDepartment of Vascular and Transplant Surgery, National Institute of Nephrology Dialysis and Transplantation, Colombo, Sri Lanka.
Gary GwertzmanDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Daniel K HanDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Caitlin W HicksDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Md.
Carlos A HinojosaDivision of Vascular and Endovascular Surgery, Department of Surgery, Universidad Nacional Autónoma de México, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
York HsiangDivision of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Nicole IlonzoDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Lalithapriya JayakumarVascular and Endovascular Division, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Tex.
Jin Hyun JohDivision of Vascular Surgery, Department of Surgery, Kyung Hee University School of Medicine, Seoul, South Korea.
Adam P JohnsonDepartment of Vascular Surgery, Columbia University Valegos College of Physicians and Surgeons, New York, NY.
Loay S KabbaniVascular Division, Department of Surgery, Wayne State University, Detroit, Mich.
Melissa R KellerDepartment of Surgery, Michigan State University, East Lansing, Mich.
Manar KhashramDepartment of Surgery, University of Auckland, Auckland, New Zealand.
Issam KoleilatDepartment of Cardiothoracic and Vascular Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.
Bernard KruegerInstitute of Anesthesiology, Intensive Care Unit for Cardiovascular Surgery and Department of Vascular Surgery, University Hospital Zurich, Faculty of Medicine, University of Zurich, Zurich, Switzerland.
Akshay KumarDepartment of Cardiovascular and Thoracic Surgery, Medanta Hospital, Gurgaon, India.
Cheong Jun LeeDivision of Vascular Surgery, Department of Surgery, NorthShore University Health System, Evanston, Ill.
Alice LeeVascular Division, Department of Surgery, Wayne State University, Detroit, Mich.
Mark M LevyVascular Division, Department of Surgery, Virginia Commonwealth University, Richmond, Va.
C Taylor LewisDivision of Vascular and Endovascular Surgery, Department of Surgery, Weill Cornell Medicine, New York, NY.
Benjamin LindDivision of Vascular Surgery, Department of Surgery, NorthShore University Health System, Evanston, Ill.
Gabriel Lopez-PenaDivision of Vascular and Endovascular Surgery, Department of Surgery, Universidad Nacional Autónoma de México, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Jahan MohebaliDivision of Vascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Mass.
Robert G MolnarDepartment of Surgery, Michigan State University, East Lansing, Mich.
Nicholas J MorrisseyDepartment of Vascular Surgery, Columbia University Valegos College of Physicians and Surgeons, New York, NY.
Raghu L MotaganahalliDivision of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind.
Nicolas J MouawadDepartment of Surgery, Michigan State University, East Lansing, Mich; Vascular and Endovascular Surgery, McLaren Health System, Bay City, Mich.
Daniel H NewtonVascular Division, Department of Surgery, Virginia Commonwealth University, Richmond, Va.
Jun Jie NgDivision of Vascular and Endovascular Surgery, National University Heart Centre, Singapore.
Leigh Ann O'BanionVascular Division, Department of Surgery, University of California San Francisco at Fresno, Fresno, Calif.
John PhairDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Zoran RancicInstitute of Anesthesiology, Intensive Care Unit for Cardiovascular Surgery and Department of Vascular Surgery, University Hospital Zurich, Faculty of Medicine, University of Zurich, Zurich, Switzerland.
Ajit RaoDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Hunter M RayDepartment of Cardiothoracic and Vascular Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Tex.
Aksim G RiveraDepartment of Cardiothoracic and Vascular Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.
Limael RodriguezDivision of Vascular Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colo.
Clifford M SalesThe Cardiovascular Care Group, Westfield, NJ.
Garrett SalzmanDivision of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Mark SarfatiVascular Division, Department of Surgery, University of Utah, Salt Lake City, Utah.
Ajay SavlaniaPostgraduate Institute of Medical Education and Research, Chandigarh, India.
Andres SchanzerDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Massachusetts Medical School, Worcester, Mass.
Mel J SharafuddinDepartment of Vascular Surgery, University of Iowa Healthcare, Iowa City, Iowa.
Malachi SheahanDivision of Vascular Surgery, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, La.
Sammy SiadaDivision of Vascular Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colo.
Jeffrey J SiracuseDepartment of Surgery, Boston University School of Medicine, Boston, Mass.
Brigitte K SmithVascular Division, Department of Surgery, University of Utah, Salt Lake City, Utah.
Matthew SmithDivision of Vascular and Endovascular Surgery, Department of Surgery, Weill Cornell Medicine, New York, NY.
Ina SohDivision of Vascular and Endovascular Surgery, Mayo Clinic, Phoenix, Ariz.
Rebecca SorberDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Md.
Varuna SundaramDivision of Vascular and Endovascular Surgery, Department of Surgery, Weill Cornell Medicine, New York, NY.
Scott SundickThe Cardiovascular Care Group, Westfield, NJ.
Tadaki M TomitaDivision of Vascular Surgery, Department of Surgery, Northwestern University, Chicago, Ill.
Bradley TrinidadVascular Division, Department of Surgery, University of Arizona, Tucson, Ariz.
Shirling TsaiVascular Division, Department of Surgery, VA North Texas Health Care Systems, Dallas, Tex.
Ageliki G VouyoukaDivision of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Gregory G WestinDivision of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind.
Michael S WilliamsVascular and Endovascular Division, Department of Surgery, St. Louis University School of Medicine, St. Louis, Mo.
Sherry M WrenDepartment of Surgery Stanford University School of Medicine, Palo Alto, Calif.
Jane K YangDivision of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Jeniann YiDivision of Vascular Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colo.
Wei ZhouVascular Division, Department of Surgery, University of Arizona, Tucson, Ariz.
Saqib ZiaVascular Division, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.
Karen WooDivision of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif. Electronic address: kwoo@mednet.ucla.edu.
Icahn School of Medicine at Mount Sinai · USUniversity of California, Los Angeles · USUniversity of Colorado Denver · USCornell University · USJohns Hopkins University · USLouisiana State University Health Sciences Center New Orleans · USMichigan State University · USUniversity of Utah · USColumbia University · USIndiana University School of MedicineInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXKAT General Hospital of Attica · GRKyung Hee University · KRLoyola University Medical Center · USMassachusetts General Hospital · USNational University Heart Centre Singapore · SGNorthShore University HealthSystem · USRutgers, The State University of New Jersey · USStanford University · USThe University of Texas Health Science Center at Houston · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
Outcomes of Vascular Dialysis Access in the ElderlyK08DK107934 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WOO, KAREN · 2016 to 2020
$847k
NCATS NIH HHS UL1 TR001881NIDDK NIH HHS K08 DK107934
6 · The paper itself

Abstract

objectiveDuring the COVID-19 pandemic, central venous access line teams were implemented at many hospitals throughout the world to provide access for critically ill patients. The objective of this study was to describe the structure, practice patterns, and outcomes of these vascular access teams during the COVID-19 pandemic.

methodsWe conducted a cross-sectional, self-reported study of central venous access line teams in hospitals afflicted with the COVID-19 pandemic. To participate in the study, hospitals were required to meet one of the following criteria: development of a formal plan for a central venous access line team during the pandemic; implementation of a central venous access line team during the pandemic; placement of central venous access by a designated practice group during the pandemic as part of routine clinical practice; or management of an iatrogenic complication related to central venous access in a patient with COVID-19.

resultsParticipants from 60 hospitals in 13 countries contributed data to the study. Central venous line teams were most commonly composed of vascular surgery and general surgery attending physicians and trainees. Twenty sites had 2657 lines placed by their central venous access line team or designated practice group. During that time, there were 11 (0.4%) iatrogenic complications associated with central venous access procedures performed by the line team or group at those 20 sites. Triple lumen catheters, Cordis (Santa Clara, Calif) catheters, and nontunneled hemodialysis catheters were the most common types of central venous lines placed by the teams. Eight (14%) sites reported experience in placing central venous lines in prone, ventilated patients with COVID-19. A dedicated line cart was used by 35 (59%) of the hospitals. Less than 50% (24 [41%]) of the participating sites reported managing thrombosed central lines in COVID-19 patients. Twenty-three of the sites managed 48 iatrogenic complications in patients with COVID-19 (including complications caused by providers outside of the line team or designated practice group).

conclusionsImplementation of a dedicated central venous access line team during a pandemic or other health care crisis is a way by which physicians trained in central venous access can contribute their expertise to a stressed health care system. A line team composed of physicians with vascular skill sets provides relief to resource-constrained intensive care unit, ward, and emergency medicine teams with a low rate of iatrogenic complications relative to historical reports. We recommend that a plan for central venous access line team implementation be in place for future health care crises.

Indexed as

Catheterization, Central VenousBetacoronavirusCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDelivery of Health Care, IntegratedHealth Care SurveysHealth Services Needs and DemandHost-Pathogen InteractionsHumansIatrogenic DiseaseInfection ControlPandemicsPneumonia, ViralRisk AssessmentRisk FactorsCentral line teamsCentral venous accessIatrogenic injuries

Identifiers

PMID32682063
PMCPMC7362805
OpenAlexW3042593131

What OpenQuestion holds

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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.