Kim Gibson1, Rebecca Sharp2, Amanda Ullman3,4, Scott Morris5,6, Tricia Kleidon7, Adrian Esterman2. 1. Clinical and Health Sciences, Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA, Australia. Kim.gibson@unisa.edu.au. 2. Clinical and Health Sciences, Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA, Australia. 3. Children's Health Queensland and Health Service, Centre of Children's Health Research, South Brisbane, QLD, Australia. 4. School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, QLD, Australia. 5. Neonatal Unit, Flinders Medical Centre, Bedford Park, SA, Australia. 6. College of Medicine and Public Health, Flinders University, Adelaide, Australia. 7. Queensland Children's Hospital, South Brisbane, QLD, Australia.
Abstract
OBJECTIVE: To determine the incidence of adverse events (AEs) associated with umbilical catheters in the neonatal population. STUDY DESIGN: Systematic review and meta-analysis of observational studies and randomized controlled trials published between 2010 and 2020. RESULTS: In total 14,226 umbilical venous catheters (UVCs) and 4228 umbilical arterial catheters (UACs) were included. Overall, 13.4% of UVCs were associated with an AE (95% CI: 10.1-17.0) or 2.4 per 1000 catheter days (95% CI: 1.8-3.0). UACs had an AE rate of 9% (95% CI: 5.9-12.8) or 0.87 per 1000 catheter days (95% CI: 0.4-1.3). UVC malposition was the most common (41.7% [95% CI: 27.6-56.5]). Local injury from UAC taping was the most common AE in one study. CONCLUSIONS: Umbilical catheters have a high incidence of AEs. Research into accurate methods of tip verification, tip surveillance, and securement is required.
OBJECTIVE: To determine the incidence of adverse events (AEs) associated with umbilical catheters in the neonatal population. STUDY DESIGN: Systematic review and meta-analysis of observational studies and randomized controlled trials published between 2010 and 2020. RESULTS: In total 14,226 umbilical venous catheters (UVCs) and 4228 umbilical arterial catheters (UACs) were included. Overall, 13.4% of UVCs were associated with an AE (95% CI: 10.1-17.0) or 2.4 per 1000 catheter days (95% CI: 1.8-3.0). UACs had an AE rate of 9% (95% CI: 5.9-12.8) or 0.87 per 1000 catheter days (95% CI: 0.4-1.3). UVC malposition was the most common (41.7% [95% CI: 27.6-56.5]). Local injury from UAC taping was the most common AE in one study. CONCLUSIONS: Umbilical catheters have a high incidence of AEs. Research into accurate methods of tip verification, tip surveillance, and securement is required.
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