Evidence map›Paper›PMID 35592209›Full record

ArticleCureus2022

Bedside Peripheral Ultrasound-Guided Vascular Access in 253 Patients Hospitalized With COVID-19 Pneumonia: A Retrospective Italian Study.

Francesco Oleari, Chiara Citterio, Salvatore Bontini, Oriella Grassi, Corrado Gozzo, Jessica Premoli, Maria Pia Mezzi, Stefano Roscio, Monica Muroni, Gabriele Cremona and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 47% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

13 authors.

Francesco OleariOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Chiara CitterioOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Salvatore BontiniOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Oriella GrassiOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Corrado GozzoOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Jessica PremoliOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Maria Pia MezziOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Stefano RoscioOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Monica MuroniOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Gabriele CremonaOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Claudia BiasiniOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Patrizia MordentiOnco-hematology, Hospital Piacenza, Piacenza, ITA.
Luigi CavannaOnco-hematology, Hospital Piacenza, Piacenza, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Several studies have recommended the use of vascular access in the treatment of COVID-19 patients. However, little is known about the utility and safety of using a peripheral ultrasound-guided vascular access device (UGVAD) at the bedside of hospitalized COVID-19 patients. To examine this, a retrospective monocenter study was carried out at the oncology-hematology department of Azienda Sanitaria di Piacenza, Italy. Methods We retrospectively analyzed data from three general hospitals in a district in North Italy on the positioning of UGVADs used with hospitalized COVID-19 patients. The positioning of the VAD was performed by a dedicated team using ultrasound guidance. The primary endpoint was the duration of VAD until the patient's recovery or death. The secondary endpoints were complications of the use of VADs, which included vein thrombosis, infections, device malfunction, and viral contamination of the operators. Results Between February 21, 2020, and April 30, 2020, 253 consecutive hospitalized patients with COVID-19 pneumonia underwent UGVAD positioning. A midline was inserted in 88.53% of the patients, while peripheral central venous catheters and femoral central catheters were inserted in 9.88% and 1.59% of the patients, respectively. The mean lifespan of the VADs was 10.36±9.96 days (range: 1-73). Primary endpoint: The use of the VAD allowed the planned treatment in 92.88% of the patients; in the remaining 7.12%, the VAD was repositioned. Secondary endpoints: Complications of VAD were registered in 15.02% of the patients (dislocation, 9.49%; infection, 1.98%; thrombosis, 1.58%; occlusion, 1.19%; and malfunction, 0.79%). No contamination of the operators was registered. Discussion and conclusion With the limitation of being a retrospective study, our report suggests that ultrasound-guided positioning of VAD may allow the safe clinical management (drug infusion, hydration, parenteral nutrition, and phlebotomy) of hospitalized COVID-19 patients. The observance of recommended procedures protected all operators from infection.

Indexed as

covid-19hospitalized patientssafetyultrasound-guidedvascular access device

Identifiers

PMID35592209
PMCPMC9110044
OpenAlexW4223972358

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Registered trials

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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.