Evidence map›Paper›PMID 33067489›Full record

ArticleScientific reports2020

Reducing central vein catheterization complications with a focused educational program: a retrospective cohort study.

Laryssa P T Hanauer, Pedro H Comerlato, Afonso Papke, Marina Butzke, Andressa Daga, Mariana C Hoffmeister, Marcio M Boniatti, Josiane F John, Beatriz D Schaan, Dimitris V Rados

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Spontaneous Knot Formation in a Central Venous Catheter.The American journal of case reports · 2021
    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

10 authors at 1 institution in 1 country.

Laryssa P T HanauerInternal Medicine Service, Hospital de Clinicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 2350, Sala 700, Porto Alegre, Rio Grande do Sul, CEP 90035-903, Brazil.
Pedro H ComerlatoIntensive Care Service, HCPA, Porto Alegre, RS, Brazil.
Afonso PapkeInternal Medicine Service, Hospital de Clinicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 2350, Sala 700, Porto Alegre, Rio Grande do Sul, CEP 90035-903, Brazil.
Marina ButzkeInternal Medicine Service, Hospital de Clinicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 2350, Sala 700, Porto Alegre, Rio Grande do Sul, CEP 90035-903, Brazil.
Andressa DagaInternal Medicine Service, Hospital de Clinicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 2350, Sala 700, Porto Alegre, Rio Grande do Sul, CEP 90035-903, Brazil.
Mariana C HoffmeisterInternal Medicine Service, Hospital de Clinicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 2350, Sala 700, Porto Alegre, Rio Grande do Sul, CEP 90035-903, Brazil.
Marcio M BoniattiIntensive Care Service, HCPA, Porto Alegre, RS, Brazil.
Josiane F JohnIntensive Care Service, HCPA, Porto Alegre, RS, Brazil.
Beatriz D SchaanUniversidade Federal do Rio Grande do Sul (UFRGS) School of Medicine, Porto Alegre, RS, Brazil.
Dimitris V RadosInternal Medicine Service, Hospital de Clinicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 2350, Sala 700, Porto Alegre, Rio Grande do Sul, CEP 90035-903, Brazil. dvarvaki@gmail.com.
Hospital de Clínicas de Porto Alegre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central venous catheters (CVCs) are frequently used, but the rate of complications is high. This study evaluates the effects of a short training program for CVC insertion in a university-based teaching hospital. A sample of adults with CVCs inserted outside the intensive care unit was selected from two academic years: 2015, year without structured training, and 2016, year with structured training. Clinical and laboratory information, as well as the procedure's characteristics and complications (mechanical and infectious) were collected. The incidence of complications before and after the training was compared. A total of 1502 punctures were evaluated. Comparing the pre- and post-training period, there was an increase in the choice for jugular veins and the use of ultrasound. A numerical reduction in the rate of complications was identified (RR 0.732; 95% CI 0.48-1.12; P = 0.166). This difference was driven by a statistically significant lower rate of catheter-related infections (RR 0.78; 95% CI 0.64-0.95; P = 0.047). In the multivariate analysis, aspects regarding technique (ultrasound use, multiple punctures) and year of training were associated with outcomes. Structured training reduces the rate of complications related to CVC insertion, especially regarding infections.

Indexed as

AdultAgedBrazilCatheterization, Central VenousCatheter-Related InfectionsCentral Venous CathetersCritical CareElectronic Health RecordsFemaleHumansInservice TrainingIntensive Care UnitsInternal MedicineInternship and ResidencyJugular VeinsMale

Identifiers

PMID33067489
PMCPMC7568571
OpenAlexW3093314027

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.