Evidence map›Paper›PMID 35549750›Full record

Trial reportTrials2022

Securing jugular central venous access devices with dressings fixed to a liquid adhesive in an intensive care unit population: a randomised controlled trial.

India Pearse, Amanda Corley, Emily N Larsen, Claire M Rickard, Robert S Ware, Jill Campbell, Fiona Coyer, Evan Alexandrou, Catherine O'Brien, Nicole Marsh

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2022. 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
–field-weighted citation impact
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.

  1. Trial
  2. Article
  3. 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.

India PearseNursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia. india.pearse@health.qld.gov.au.
Amanda CorleyNursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia.
Emily N LarsenNursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia.
Claire M RickardSchool of Nursing and Midwifery, Griffith University, Brisbane, Australia.
Robert S WareMenzies Health Institute Queensland, Griffith University, Brisbane, Australia.
Jill CampbellNational Health and Medical Research Council Centre for Research Excellence, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.
Fiona CoyerNursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia.
Evan AlexandrouAVATAR Group, Griffith University, Brisbane, Australia.
Catherine O'BrienNursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia.
Nicole MarshNursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCentral venous access devices (CVADs) can have high rates of failure due to dressing-related complications. CVADs placed in the internal jugular vein are at particular risk of dressing failure-related complications, including catheter-associated bloodstream infection and medical adhesive-related skin injury. Application of Mastisol liquid adhesive (MLA) may reduce CVAD dressing failure and associated complications, by reducing the frequency of dressing changes. The aim of this study is to investigate whether, in an intensive care unit (ICU) population, standard dressing care with or without the addition of MLA, improves internal jugular CVAD dressing adherence.

methodsThis two-arm, parallel group randomised controlled trial will be conducted in three Australian ICUs. A total of 160 patients (80 per group) will be enrolled in accordance with study inclusion and exclusion criteria. Patients will be randomised to receive either (1) 'standard' (in accordance with local hospital policy) CVAD dressings (control) or (2) 'standard' dressings in addition to MLA (intervention). Patients will be followed from the time of CVAD insertion to 48 h after CVAD removal. The primary outcome is 'dressing failure' defined as requirement for initial CVAD dressing to be replaced prior to seven days (routine replacement). DISCUSSION: This study will be the first randomised controlled trial to evaluate the clinical effectiveness of MLA in the adult intensive care unit population and will also provide crucial data for patient-important outcomes such as infection and skin injury.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12621001012864 . Registered on 2 August 2021.

Indexed as

Central Venous CathetersAdhesivesAdultAustraliaBandagesHumansIntensive Care UnitsJugular VeinsAdhesivesCentral venous access deviceDressing failureIntensive care unit

Identifiers

PMID35549750
PMCPMC9097412

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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.