Evidence map›Paper›PMID 36423472›Full record

ArticleThe Journal of surgical research2023

Factors Affecting Peripheral Intravenous Catheter Placement During Pediatric Trauma Resuscitation.

Emily C Alberto, Angela Mastrianni, Travis M Sullivan, Kathleen H McCarthy, Zachary P Milestone, Lauren Chung, Nicholas Cha, Emily Mapelli, Genevieve J Sippel, Ivan Marsic and 3 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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 at 3 institutions in 1 country.

Emily C AlbertoDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia.
Angela MastrianniCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania.
Travis M SullivanDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia.
Kathleen H McCarthyDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia.
Zachary P MilestoneDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia.
Lauren ChungCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania.
Nicholas ChaCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania.
Emily MapelliCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania.
Genevieve J SippelDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia.
Ivan MarsicDepartment of Electrical and Computer Engineering, Rutgers University, Piscataway, New Jersey.
Karen J O'ConnellDivision of Emergency Medicine, Children's National Hospital, Washington, District of Columbia.
Aleksandra SarcevicCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania.
Randall S BurdDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia. Electronic address: rburd@childrensnational.org.
Children's National · USDrexel University · USRutgers, The State University of New Jersey · US

Funding

Intention-aware Recommender System for Improving Trauma Resuscitation OutcomesR01LM011834 · NLM · CHILDREN'S RESEARCH INSTITUTE · PI BURD, RANDALL S., MARSIC, IVAN · 2014 to 2023
$4.7M
NLM NIH HHS R01 LM011834
6 · The paper itself

Abstract

introductionIntravenous access is required for resuscitation of injured patients but may be delayed in children because of challenges associated with peripheral intravenous (PIV) catheter placement. Early identification of factors predisposing patients to difficult PIV placement can assist in deciding strategies for timely intravenous access.

methodsWe conducted a retrospective, video-based review of injured children and adolescents treated between April 2018 and May 2019. Patient demographic, physiological, injury, and resuscitation characteristics were obtained from the patient record, including age, race, weight, injury type, Injury Severity Score, initial systolic blood pressure, initial Glasgow Coma Score, intubation status, activation level, and presence of prearrival notification. Video review was used to determine the time to PIV placement, the number of attempts required, the purpose for additional access, and the reason for abandonment of PIV placement. Multivariable regressions were used to determine factors associated with successful placement.

resultsDuring the study period, 154 consented patients underwent attempts at PIV placement in the trauma bay. Placement was successful in 139 (90.3%) patients. Older patients (OR [odds ratio]: 0.9, 95% confidence interval [CI]: 0.9, 0.9) and patients who required the highest level activation response (OR: 0.0, 95% CI: 0.0, 0.3) were less likely to have an attempt at PIV placement abandoned. Children with nonblunt injuries (OR: 11.6, 95% CI: 1.3, 119.2) and pre-existing access (OR: 39.6, 95% CI: 7.0, 350.6) were more likely to have an attempt at PIV placement abandoned. Among patients with successful PIV placement, the time required for establishing PIV access was faster as age increased (-0.5 s, 95% CI: -1.1, -0.0).

conclusionsYounger age was associated with abandonment of PIV attempts and, when successful, increased time to placement. Strategies to improve successful PIV placement and alternate routes of access should be considered early to prevent treatment delays in younger children.

Indexed as

Catheterization, PeripheralResuscitationAdministration, IntravenousAdolescentCathetersChildHumansRetrospective StudiesRisk AssessmentCatheterizationPediatricsPeripheralTrauma

Identifiers

PMID36423472
PMCPMC9990681
OpenAlexW4309773567

What OpenQuestion holds

Textmetadata
LicenceTDM
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.