Evidence map›Paper›PMID 36639748›Full record

ArticleBMC pediatrics2023

A nurse-inserted peripherally inserted central catheter program in general pediatrics: a single-center experience.

Zhuowen Yu, Xiaojing Hu, Xiaofeng Xu, Lili Lin, Ying Gu, Jianguo Zhou

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

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
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.

Zhuowen YuDepartment of Gastroenterology and Pulmonology, Children's Hospital of Fudan University, Shanghai, China.
Xiaojing HuNursing department office, Children's Hospital of Fudan University, Shanghai, China.
Xiaofeng XuDepartment of Gastroenterology and Pulmonology, Children's Hospital of Fudan University, Shanghai, China.
Lili LinDepartment of Gastroenterology and Pulmonology, Children's Hospital of Fudan University, Shanghai, China.
Ying GuNursing department office, Children's Hospital of Fudan University, Shanghai, China. guying0128@aliyun.com.
Jianguo ZhouDepartment of Neonatology, Children's Hospital of Fudan University, Shanghai, China. joezhou@fudan.edu.cn.
Children's Hospital of Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA peripherally inserted central catheter (PICC) with its tip preferably in the vena cava is essential in caring for patients with chronic conditions in general pediatrics. However, PICC-related complications are concerning and warrant further investigations.

objectivesTo share the experience of a nurse-inserted peripherally inserted central catheters (PICC) program initiated in a general pediatric department.

methodsA retrospective descriptive cohort study based on a prospectively collected database was conducted. All PICCs inserted in the departments of gastroenterology and pulmonology in a tertiary pediatric center from Dec. 2015 to Dec. 2019 were included in the study. Complications and risk factors were analyzed by comparing cases with and without complications. We also reported arm movements in correcting mal-positioned newly-inserted PICCs.

resultsThere were 169 cases with a median (IQR) age of 42(6, 108) months who received PICC insertion during a 4-year period. Inflammatory bowel disease was the leading diagnosis accounting for 25.4% (43/169) of all cases. The overall complication rate was 16.4 per 1000 catheter days with malposition and occlusion as the two most common complications. Multivariate models performed by logistic regression demonstrated that young age [p = 0.004, OR (95%CI) = 0.987(0.978, 0.996)] and small PICC diameter (1.9Fr, p = 0.003, OR (95%CI) = 3.936(1.578, 9.818)] were risk factors for PICC complications. Correction of malpositioned catheters was attempted and all succeeded in 9 eligible cases by using arm movements.

conclusionThe nurse-inserted PICC program in general pediatrics is feasible with a low rate of complications. PICC tip malposition and occlusion were two major PICC-related complications when low age and small catheter lumina were major risk factors. Furtherly, arm manipulation potentially is an easy and effective approach for correcting malpositioned newly-inserted PICC catheters.

Indexed as

Catheterization, Central VenousCatheterization, PeripheralCatheter-Related InfectionsCentral Venous CathetersCathetersChildChild, PreschoolCohort StudiesHumansRetrospective StudiesRisk FactorsComplication, arm movementsMalpositionPediatricsPeripherally inserted central catheter

Identifiers

PMID36639748
PMCPMC9840319
OpenAlexW4316020023

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.