Evidence map›Paper›PMID 36263455›Full record

ArticleInfection control and hospital epidemiology2023

Risk factors for mechanical complications of peripherally inserted central catheters in children.

David J Greencorn, Stefan Kuhle, Lingyun Ye, Kieran J Moore, Ketan P Kulkarni, Joanne M Langley

Open access · hybridAbstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. 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

6 authors at 1 institution in 1 country.

David J GreencornFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0001-8287-6396
Stefan KuhleDepartment of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0001-9417-3727
Lingyun YeCanadian Center for Vaccinology (Dalhousie University, IWK Health and Nova Scotia Health), Halifax, Nova Scotia, Canada.
Kieran J MooreFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0002-0966-4239
Ketan P KulkarniFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Joanne M LangleyFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0003-3270-7345
Dalhousie University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine risk factors for mechanical (noninfectious) complications in peripherally inserted central catheters (PICCs) in children.

designRetrospective cohort study.

settingPediatric tertiary-care center in Nova Scotia, Canada. PATIENTS: Pediatric patients with a first PICC insertion.

methodsAll PICCs inserted between January 2001 until 2016 were included. Age-stratified (neonates vs non-neonates) Fine-Grey competing risk proportional hazard models were used to model the association between each putative risk factor and the time to mechanical complication or removal of the PICC for reasons not related to a mechanical complication. Models were adjusted for confounding variables identified through directed acyclic graphs.

resultsOf 3,205 patients with PICCs, 706 had mechanical complications (22% or 14 events/1000 device days). For both neonates and older children, disease group, lumen count, and prior leak were all associated with mechanical complications in the adjusted proportional hazards model. Access vein and prior infection were also associated with mechanical complications for neonates, and age group was associated with mechanical complications among non-neonates.

conclusionsWe have identified several risk factors for mechanical complications in patients with PICCs that will help improve best practices for PICC insertion and care.

Indexed as

Catheterization, Central VenousCatheterization, PeripheralCatheter-Related InfectionsCentral Venous CathetersAdolescentCathetersCatheters, IndwellingChildHumansNova ScotiaRetrospective StudiesRisk Factors

Identifiers

PMID36263455
PMCPMC10262158
OpenAlexW4306914732

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.