Evidence map›Paper›PMID 41459569›Full record

ArticleJournal of multidisciplinary healthcare2025

Effectiveness of Evidence-Based Continuous Quality Improvement in Reducing Peripherally Inserted Central Catheter Complications Among Premature Infants in China: A Four-Year Retrospective Study.

Panru Zhu, Xingpu Xu, Xiaoman Zhang, Xiangfei He, Jiancheng Jiao

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Panru ZhuNeonatal Department, Hebei Children's Hospital, Hebei Provincial Clinical Research Center for Child Health and Disease, Shijiazhuang, Hebei, 050031, People's Republic of China.
Xingpu XuNeonatal Department, Hebei Children's Hospital, Hebei Provincial Clinical Research Center for Child Health and Disease, Shijiazhuang, Hebei, 050031, People's Republic of China.
Xiaoman ZhangNeonatal Department, Hebei Children's Hospital, Hebei Provincial Clinical Research Center for Child Health and Disease, Shijiazhuang, Hebei, 050031, People's Republic of China.
Xiangfei HeNeonatal Department, Hebei Children's Hospital, Hebei Provincial Clinical Research Center for Child Health and Disease, Shijiazhuang, Hebei, 050031, People's Republic of China.
Jiancheng JiaoNeonatal Department, Hebei Children's Hospital, Hebei Provincial Clinical Research Center for Child Health and Disease, Shijiazhuang, Hebei, 050031, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study evaluated the effectiveness of evidence-based continuous quality improvement strategies in reducing peripherally inserted central catheter complications among premature infants in a tertiary neonatal intensive care unit. Patients and Methods: A retrospective cohort analysis was conducted on 722 premature infants requiring peripherally inserted central catheter placement from January 2020 to December 2023. The control group (n=154, January-December 2020) received routine bundle care, while a multidisciplinary evidence-based nursing team implemented continuous quality improvement protocols across three intervention periods: first-year implementation (n=147, 2021), second-year refinement (n=201, 2022), and third-year optimization (n=220, 2023). Primary outcomes included total complication rates and unplanned catheter removal. Multivariate logistic regression identified independent risk factors for complications. Results: Baseline characteristics showed comparable gestational age (31.32±4.05 to 31.98±4.21 weeks, P=0.419) and insertion timing across groups. Total complication rates demonstrated progressive reduction from 46.10% in controls to 32.65% in year 1, 19.90% in year 2, and 15.45% in year 3 (χ Conclusion: Implementation of evidence-based continuous quality improvement strategies achieved substantial and sustained reductions in peripherally inserted central catheter complications among premature infants, supporting systematic adoption of multidisciplinary approaches to optimize vascular access outcomes in vulnerable neonatal populations.

Indexed as

central venous cathetersevidence-based practiceinfantintensive careneonatalpostoperative complicationsprematurequality improvement

Identifiers

PMID41459569
PMCPMC12739944

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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.