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Adverse events associated with umbilical catheters: a systematic review and meta-analysis

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dc.contributor.authorGibson, K.
dc.contributor.authorSharp, R.
dc.contributor.authorUllman, A.
dc.contributor.authorMorris, S.
dc.contributor.authorKleidon, T.
dc.contributor.authorEsterman, A.
dc.date.issued2021
dc.description.abstractObjective: 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.
dc.identifier.citationJournal of Perinatology, 2021; 41(10):2505-2512
dc.identifier.doi10.1038/s41372-021-01147-x
dc.identifier.issn0743-8346
dc.identifier.issn1476-5543
dc.identifier.orcidSharp, R. [0000-0003-3334-2990]
dc.identifier.orcidEsterman, A. [0000-0001-7324-9171]
dc.identifier.urihttps://hdl.handle.net/11541.2/148087
dc.language.isoen
dc.publisherNature Publishing Group
dc.rightsCopyright 2021 The Author(s), under exclusive licence to Springer Nature America Access Condition Notes: Accepted manuscript available after 1 April 2022
dc.source.urihttps://doi.org/10.1038/s41372-021-01147-x
dc.subjectadverse events (AEs)
dc.subjectumbilical catheters
dc.subjectumbilical venous catheters (UVCs)
dc.subjectumbilical arterial catheters (UACs)
dc.titleAdverse events associated with umbilical catheters: a systematic review and meta-analysis
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12229810920001831 13229810910001831 9916543116301831_Postprint_FINAL_JP_Gibson.docx-1.doc.pdf
ror.mmsid9916543116301831

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