TY - JOUR
T1 - Adverse events associated with umbilical catheters
T2 - a systematic review and meta-analysis
AU - Gibson, Kim
AU - Sharp, Rebecca
AU - Ullman, Amanda
AU - Morris, Scott
AU - Kleidon, Tricia
AU - Esterman, Adrian
PY - 2021/10
Y1 - 2021/10
N2 - 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.
AB - 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.
KW - Epidemiology
KW - Paediatrics
UR - http://www.scopus.com/inward/record.url?scp=85110609686&partnerID=8YFLogxK
U2 - 10.1038/s41372-021-01147-x
DO - 10.1038/s41372-021-01147-x
M3 - Article
C2 - 34272469
AN - SCOPUS:85110609686
SN - 0743-8346
VL - 41
SP - 2505
EP - 2512
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 10
ER -