Evidence map›Paper›PMID 32737488›Full record

ArticleCritical care nurse2020

Holding and Mobility of Pediatric Patients With Transthoracic Intracardiac Catheters.

Amy Jo Lisanti, Stephanie Helman, Andrea Sorbello, Jamie Fitzgerald, Annemarie D'Amato, Xuemei Zhang, J William Gaynor

Open access · bronzeAbstract read
In one paragraph

Article in Critical care nurse, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Guideline
  2. 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 3 institutions in 2 countries.

Amy Jo LisantiAmy Jo Lisanti is a nurse scientist - clinical nurse specialist, Cardiac Nursing and the Center for Nursing Research and Evidence-Based Practice, Children's Hospital of Philadelphia and Adjunct Assistant Professor of Nursing, University of Pennsylvania, School of Nursing. She was a Ruth L. Kirschstein National Research Service Award Postdoctoral fellow, University of Pennsylvania School of Nursing, while this work was performed.
Stephanie HelmanStephanie Helman was a clinical nurse specialist in the cardiac intensive care unit, Children's Hospital of Philadelphia, while this work was performed. She is currently a doctoral student at the University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
Andrea SorbelloAndrea Sorbello is a nurse practitioner in the cardiac intensive care unit, Jamie Fitzgerald and Annemarie D'Amato are quality improvement advisors, Xuemei Zhang is a biostatistician in the Cardiac Center Research Core, and J. William Gaynor is a professor of surgery in the Division of Pediatric Cardiothoracic Surgery, Children's Hospital of Philadelphia.
Jamie FitzgeraldAndrea Sorbello is a nurse practitioner in the cardiac intensive care unit, Jamie Fitzgerald and Annemarie D'Amato are quality improvement advisors, Xuemei Zhang is a biostatistician in the Cardiac Center Research Core, and J. William Gaynor is a professor of surgery in the Division of Pediatric Cardiothoracic Surgery, Children's Hospital of Philadelphia.
Annemarie D'AmatoAndrea Sorbello is a nurse practitioner in the cardiac intensive care unit, Jamie Fitzgerald and Annemarie D'Amato are quality improvement advisors, Xuemei Zhang is a biostatistician in the Cardiac Center Research Core, and J. William Gaynor is a professor of surgery in the Division of Pediatric Cardiothoracic Surgery, Children's Hospital of Philadelphia.
Xuemei ZhangAndrea Sorbello is a nurse practitioner in the cardiac intensive care unit, Jamie Fitzgerald and Annemarie D'Amato are quality improvement advisors, Xuemei Zhang is a biostatistician in the Cardiac Center Research Core, and J. William Gaynor is a professor of surgery in the Division of Pediatric Cardiothoracic Surgery, Children's Hospital of Philadelphia.
J William GaynorAndrea Sorbello is a nurse practitioner in the cardiac intensive care unit, Jamie Fitzgerald and Annemarie D'Amato are quality improvement advisors, Xuemei Zhang is a biostatistician in the Cardiac Center Research Core, and J. William Gaynor is a professor of surgery in the Division of Pediatric Cardiothoracic Surgery, Children's Hospital of Philadelphia.
Children's Aid Society · USChildren's Hospital of Pittsburgh · USUniversity of Nursing Yangon · MM

Funding

RESEARCH ON VULNERABLE WOMEN CHILDREN AND FAMILIEST32NR007100 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MEDOFF-COOPER, BARBARA S · 1998 to 2018
$7.2M
Technology Research in Chronic & Critical IllnessT32NR008857 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Young Ji Lee · 2005 to 2026
$4.0M
NINR NIH HHS T32 NR007100NINR NIH HHS T32 NR008857
6 · The paper itself

Abstract

backgroundNursing care of pediatric patients after cardiac surgery consists of close hemodynamic monitoring, often through transthoracic intracardiac catheters, requiring patients to remain on bed rest and limiting holding and mobility.

objectivesThe primary aim of this quality improvement project was to determine the feasibility of safely mobilizing pediatric patients with transthoracic intracardiac catheters out of bed. Once feasibility was established, the secondary aim was to increase the number of days such patients were out of bed. METHODS AND

interventionsNew standards and procedures were implemented in July 2015 for pediatric patients with transthoracic intracardiac catheters. After initiation of the new policies, complications were tracked prospectively. Nursing documentation of activity and positioning for all patients with transthoracic intracardiac catheters was extracted from electronic health records for 2 fiscal years before and 3 fiscal years after the new policies were implemented. The Cochran-Armitage test for trend was used to determine whether patterns of out-of-bed documentation changed over time.

resultsA total of 1358 patients (approximately 250 to 300 patients each fiscal year) had activity and positioning documented while transthoracic intracardiac catheters were in place. The Cochran-Armitage test for trend revealed that out-of-bed documentation significantly increased after the new policies and procedures were initiated (P < .001). No major complications were noted resulting from patient mobility with transthoracic intracardiac catheters.

conclusionPediatric patients with transthoracic intracardiac catheters can be safely held and mobilized out of bed.

Indexed as

Mobility LimitationPractice Guidelines as TopicWalkingAdolescentAdultCardiac Surgical ProceduresCatheters, IndwellingChildChild, PreschoolCurriculumEducation, Nursing, ContinuingFemaleHumansInfantMaleMiddle Aged

Identifiers

PMID32737488
PMCPMC8079830
OpenAlexW3046312486

What OpenQuestion holds

Textmetadata
LicenceTDM
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.