ArticleClinical and experimental pediatrics2021
Can central venous access device care bundles and regular feedback reduce central line-associated complications in pediatric patients?
Article in Clinical and experimental pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 19 citations in OpenAlex.
- Improving peripheral arterial catheter placement in critically ill children: a pre-post quality improvement study.Frontiers in pediatrics · 2026Article
- Implementation frameworks, strategies and outcomes in optimizing central venous access device practice in paediatrics: A scoping review.Journal of advanced nursing · 2025Article
- Peripherally Inserted Central Venous Catheter-Related Complications in Adult Patients with Haematological Malignancy.The Malaysian journal of medical sciences : MJMS · 2024Article
- Compliance with central venous catheter infection prevention practices after intervention with simulation.Revista brasileira de enfermagem · 2023Article
- Complications and its risk factors of percutaneous subclavian vein catheters in pediatric patients: enhancing the outcomes of a university hospital in a low-income and middle-income country.World journal of pediatric surgery · 2023Article
- Catheter care bundle and feedback to prevent central line-associated bloodstream infections in pediatric patients.Clinical and experimental pediatrics · 2021Article
- Formative Evaluation of CLABSI Adoption and Sustainment Interventions in a Pediatric Intensive Care Unit.Pediatric quality & safetyArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of indwelling central venous access devices (CVADs) in children can result in complications such as infection, occlusion, and dislodgement. PURPOSE: To evaluate whether reinforcing CVAD care bundles by using a regular direct feedback system could reduce such complications in children.
methodsThe intervention in this retrospective interrupted time-series study was initiated in January 2019. The study was divided into the preintervention (October-December 2018), 3-month postintervention (January-March 2019), and 6-month postintervention (April-June 2019) phases. Risk difference and Poisson regression analyses were used to illustrate the effectiveness of the intervention.
resultsThe hospital-wide central line-related bloodstream infection rate decreased from 10.0/1,000 catheter-days to 4.5/1,000 catheter-days at 3-month postintervention (P=0.39) and to 1.4/1,000 catheter-days at 6-month postintervention (P=0.047). The central line occlusion rate significantly decreased from 30% to 12.8% (P=0.04) and 8.3% (P=0.002) at 3 and 6 months, respectively. Approximately 7% of CVADs became dislodged during the preintervention phase versus 8.5% (P=0.364) and 3.3% (P=0.378) at 3 and 6 months, respectively.
conclusionReinforcing CVAD care bundles with direct feedback could significantly decrease CVAD-associated complications in terms of infection at 6-month postintervention, and occlusion at 3- and 6-month postintervention. Thus, reinforcement and regular direct feedback might improve care quality in children with CVADs.
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