ReviewSingapore medical journal2021
A review of umbilical venous catheter-related complications at a tertiary neonatal unit in Singapore.
Review in Singapore medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Incidence of neonatal venous thromboembolism: a systematic review and meta-analysis of the literature.Research and practice in thrombosis and haemostasis · 2026Pooled it
- Is longer indwelling duration an independent risk factor for UVC-related thrombosis? Insights from a matched case-control analysis.BMC pediatrics · 2026Article
- Not all that drains is gut - umbilical venous catheter extravasation masquerading as intestinal perforation: A case report.World journal of clinical pediatrics · 2026Article
- Article
- The role of partial splenic artery embolization in the management of refractory esophageal variceal bleeding due to portal vein thrombosis.BMC pediatrics · 2025Article
- Can a Shorter Dwell Time Reduce Infective Complications Associated with the Use of Umbilical Catheters?Antibiotics (Basel, Switzerland) · 2024Article
- Determinants of Neonatal and Postneonatal Mortality in Northeastern Brazil: A Cohort Study of Newborns Admitted to the Neonatal Intensive Care Unit.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Development and validation of a novel risk classification tool for predicting long length of stay in NICU blood transfusion infants.Scientific reports · 2024Article
- Quality improvement in neonatal care through enhanced patient safety and clinical risk management: a before-and-after study about neonatal sepsis.Frontiers in medicine · 2024Article
- Vascular perforation of umbilical venous catheter and awaiting it to be shallow.Nagoya journal of medical science · 2023Article
- Infectious Risks Related to Umbilical Venous Catheter Dwell Time and Its Replacement in Newborns: A Narrative Review of Current Evidence.Life (Basel, Switzerland) · 2022Review
- Neonatal resuscitation: A cross-sectional study measuring the readiness of healthcare personnel.F1000Research · 2022Observational
- Incidence of umbilical vein catheter-associated thrombosis of the portal system: A systematic review and meta-analysis.World journal of hepatology · 2021Article
- Portal venous gas resulting from umbilical vein catheterization in a very-low-birth-weight infant with no interruption in early feeding.Pediatric investigation · 2021Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUmbilical venous catheters (UVCs), commonly inserted in neonates for vascular access, are not without complications.
methodsA single-centre retrospective cohort study that reviewed complications related to UVC insertion in neonates was conducted in a tertiary neonatal unit in Singapore from January 2016 to July 2017. Ideal UVC position was defined as catheter tip within 0.5 cm above or below the diaphragm. Catheter-related sepsis was defined as clinical or biochemical abnormalities suggesting any new-onset or worsening sepsis 72 hours before or after removal of UVCs, with or without positive culture. Catheter-associated bloodstream infection (CABSI) was defined as positive microbiological growth in one or more blood cultures obtained from a symptomatic infant up to two days after UVC placement or within 48 hours of catheter removal.
results108 patients had UVC insertions. Mean gestational age and birth weight were 30.4 ± 4.0 weeks and 1,536.2 g ± 788.9 g, respectively. Mean UVC duration was 6.6 days. The UVC was in an ideal position in 27 (25.0%), deep in 13 (12.0%) and short in 35 (32.4%) neonates. One-third of the UVCs (n = 33) were malpositioned. Catheter-related sepsis was observed in 16 (14.8%) neonates, with 5 (4.6%) having CABSI. The most common organism was coagulase-negative Staphylococcus. Other complications include peritoneal extravasation in 3 (2.8%) patients, with two requiring surgical intervention. Venous thrombosis occurred in 2 (1.9%) neonates and was managed conservatively.
conclusionAlthough complication rates were in line with international norms, UVCs were associated with serious complications and should be judiciously used.
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