Evidence map›Paper›PMID 33209721›Full record

ArticleTranslational pediatrics2020

The correlation between weight gain and PICC tip shift in the very low birth weight infants.

Meng Zhang, Wenyan Yang, Ling Yan, Lizhu Huang, Na Lin, Shiyi Zhang, Lilan He

Open access · diamondAbstract read
In one paragraph

Article in Translational pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Meng ZhangThe School of Nursing of Jinan University, Guangzhou, China.
Wenyan YangThe First Affiliated Hospital of Jinan University, Guangzhou, China.
Ling YanThe First Affiliated Hospital of Jinan University, Guangzhou, China.
Lizhu HuangThe School of Nursing of Jinan University, Guangzhou, China.
Na LinThe First Affiliated Hospital of Jinan University, Guangzhou, China.
Shiyi ZhangThe First Affiliated Hospital of Jinan University, Guangzhou, China.
Lilan HeThe First Affiliated Hospital of Jinan University, Guangzhou, China.
First Affiliated Hospital of Jinan University · CNJinan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeripherally inserted central catheter (PICC) is one of the important ways to maintain nutrition in premature infants, especially for very low birth weight infants. There are studies have shown that as premature babies grow up after birth, the tip of the PICC will shift away from the heart. When the catheter remove from the central vein, the risk of complications is suddenly increased. Therefore, it is important to predict the position of catheter tip.

methodsSelect the very low birth weight infant (VLBW) infants who used PICC in our hospital from April 2017 to August 2018. And we recorded the birth weight, the weight and the position of the catheter tip of the each filming day, and calculated the rate and speed of weight gain during this period. The correlation was analyzed by the Spearman method.

resultsA total of 49 patients and 151 X-rays were enrolled in the study. Of the 49 remaining infants, 40 were in appropriate for gestational age group and 9 were in small for gestational age group. The correlation between weight gain and PICC tip shift in appropriate for gestational ages (AGAs) is statistically significant (P<0.05). But for SGAs group, the correlation between the rate of weight gain and PICC tip shift was -0.588 (P<0.05), but there was no correlation between the speed of weight gain and PICC tip shift.

conclusionsThere is a close correction between catheter tip shift and weight gain for those babies. The PICC should be repositioned by X-ray when the rate of weight gain of AGA infants increased to 25%, 50%, 70% [10%, 35%, 55% for small for gestational age (SGA) infants]. For AGAs, when the baby's weight gain speed reaches 1% and 3.5%, the catheter tip had 2 and 3vertebral changes, so if the speed of weight gain is excessive faster, we need to increase the frequency of the positioning.

Indexed as

appropriate for gestational age (AGA)extremely low birth weightperipherally inserted central catheter (PICC)small for gestational age (SGA)Very low birth weightweight gain

Identifiers

PMID33209721
PMCPMC7658776
OpenAlexW3089144779

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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.