Evidence map›Paper›PMID 38985042›Full record

SynthesisRevista latino-americana de enfermagem2024

Prevention of complications related to peripherally inserted central catheter insertion techniques in newborns: systematic review and network meta-analysis.

Ludmylla de Oliveira Beleza, Guilherme da Costa Brasil, Amanda Salles Margatho, Christiane Inocêncio Vasques, Renata Cristina de Campos Pereira Silveira, Priscilla Roberta Silva Rocha, Laiane Medeiros Ribeiro

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Revista latino-americana de enfermagem, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Ludmylla de Oliveira BelezaUniversidade de Brasília, Brasília, DF, Brazil.ORCID 0000-0001-9975-562X
Guilherme da Costa BrasilCentro Universitário do Distrito Federal, Brasília, DF, Brazil.ORCID 0000-0001-6878-7098
Amanda Salles MargathoUniversidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.ORCID 0000-0002-1006-9357
Christiane Inocêncio VasquesUniversidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil.ORCID 0000-0001-9586-9486
Renata Cristina de Campos Pereira SilveiraUniversidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.ORCID 0000-0002-2883-3640
Priscilla Roberta Silva RochaUniversidade de Brasília, Faculdade de Ceilândia, Brasília, DF, Brazil.ORCID 0000-0002-2058-8548
Laiane Medeiros RibeiroUniversidade de Brasília, Faculdade de Ceilândia, Brasília, DF, Brazil.ORCID 0000-0002-5041-8283

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveto analyze the effectiveness of peripherally inserted central catheter insertion techniques in preventing the occurrence of complications related to this device in newborns.

methoda paired and network systematic literature review and meta-analysis, with its search carried out in seven databases and in the Grey Literature, including randomized and non-randomized clinical trials. The risk of bias was assessed using the Cochrane Risk of Bias 2 and Risk of Bias In Non-randomized Studies of Interventions tools. Certainty of the evidence was assessed by means of the Grading of Recommendations Assessment, Development and Evaluation. A meta-analysis was carried out with the aid of the R statistical program.

resultseight studies with 1,126 newborns were included and six insertion techniques were identified: intracavitary electrocardiogram; intracavitary electrocardiogram associated with ultrasound; ultrasound; formula; anatomical landmark; and modified anatomical landmark. Five techniques significantly decreased primary tip malpositioning when compared to the control ( p <0.05). Intracavitary electrocardiogram significantly and more effectively reduced arrhythmias, general complications and phlebitis; the technique that used a formula also reduced general complications. Infection, infiltration, secondary tip malpositioning, catheter rupture, thrombosis, occlusion and catheter-associated skin lesion were not significantly preventable events.

conclusionintracavitary electrocardiogram and use of the formula were the most effective techniques in reducing complications.

Indexed as

Catheterization, Central VenousCatheterization, PeripheralHumansInfant, Newborn

Identifiers

PMID38985042
PMCPMC11251685

What OpenQuestion holds

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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.