Table 6A.
Included studies (other than guidelines) extraction table.
| Progressive Nr | Internal code | Title | First author | Journal | Year | Population | Intervention | Comparator | Outcome | Thematic subgroup (topic) | Study design | Chosen quality assessment checklist |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 12 | Nurses' knowledge on routine care and maintenance of adult vascular access devices: a scoping review | Raynak A | Journal of clinical nursing | 2020 | Nurses tested in the routine care and maintenance of Adult vascular access devices (VAD) | Practicing nurse seniority (Y/N); work setting (Medicine Units/Surgical Units); gender (M/F); academic background or advanced certification (Y/N); prior workplace training (Y/N) | Practicing nurse seniority (Y/N); work setting (Medicine Units/Surgical Units); gender (M/F); academic background or advanced certification (Y/N); prior workplace training (Y/N) | VAD management knowledge scores | Topic 4: Educational Intervention Addressed To Nursing And Patients/Patients Involvement | Scoping review | n.a. |
| 2 | 29 | Prolonging the flush-lock interval of totally implantable venous access ports in patients with cancer: A systematic review and meta-analysis | Wu X | Journal of Vascular Access | 2020 | 862 Oncologic Pts with totally implantable venous access ports (TIVAPS) | Flush-lock interval of TIVAPs > 4 weeks | Flush-lock interval of TIVAPs <= 4 weeks | Total Complication rate, Occlusion (Withdrawal and Total occlusion -withdrawal and flushing), Port-related infections and Mechanical complications | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 3 | 54 | Educational practices for families of children and adolescents using a permanent venous catheter | Correa VB | Revista Brasileira de Enfermagem | 2020 | Children and adolescents | Nurses' educational practice provided to families (home visits, printed educational materials, simulation on mannequins educational videos, combined educational practice) | Standard care without educational intervention | Longterm venous catheters care | Topic 4: Educational Intervention Addressed To Nursing And Patients/Patients Involvement | Scoping Review | n.a. |
| 4 | 90 | Comparative efficacy of 13 antimicrobial dressings and different securement devices in reducing catheter-related bloodstream infections: a Bayesian network meta-analysis | Dang FP | Medicine (Baltimore) | 2019 | 8,494 adult Pts | 13 Different kinds of antimicrobial dressing and different securement devices for the prevention of CRBSI | 13 Different kinds of antimicrobial dressing | CRBSI and CRBSI rate per 1,000 Catheter days, catheter failure | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 5 | 100 | 8-week interval in flushing and locking port-a-cath in cancer patients: A single-institution experience and systematic review | Fornaro C | Eur J Cancer Care (Engl) | 2019 | 1,347 Pts with port-a-cath (PAC) | Flushing-lock procedure every 4 weeks | Flushing-lock procedure every 8 week | Complications (OCCLUSION, INFECTIONS, AND MECHANICAL DYSFUNCTIONS) | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 6 | 123 | Chlorhexidine-impregnated dressing for the prophylaxis of central venous catheter-related complications: a systematic review and meta-analysis | Wei L | BMC INFECTIOUS DISEASES | 2019 | 6,028 Pts | Chlorhexidine-impregnated dressing | Other Dressing/No Dressing | Catheter colonization and CRBSI | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 7 | 175 | Review of strategies to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) in adult ICUs | Patel PK | J Hosp Med | 2018 | Non-specified Population—Overall Central-line-associated bloodstream infection—CLABSI-; Catheter-Related Bloodstream Infection - CRBSI- and Central line-associated urinary tract infection CAUTI | Various Interventions on the 4 stages of catheterization (Evaluation−1; Insertion−11, Maintenance-6; Removal-2) OR Interventions to improve Implementation and Sustainability | Various Interventions on the 4 stages of catheterization (Evaluation−1; Insertion−11, Maintenance-6; Removal-2) OR Interventions to improve Implementation and Sustainability | CLABSI per 1,000 catheter days; CRBSIs per 1,000 Catheter Days; Central Line Utilization rates | Topic 3: Infections | Syst Rev | AMSTAR II |
| 8 | 190 | Effectiveness of antimicrobial-coated central venous catheters for preventing catheter-related blood-stream infections with the implementation of bundles: a systematic review and network meta-analysis | Wang HL | ANNALS OF INTENSIVE CARE | 2018 | Non-specified population—overall central-line-associated bloodstream infection—CLABSI-; Catheter-Related Bloodstream Infection—CRBSI- | Antibiotics catheter | Traditional Catheter | CRBSIs per 1,000 Catheter Days; Incidence of catheter colonization | Topic 3: Infections | Syst Rev | AMSTAR II |
| 9 | 192 | Bedside ultrasound to detect central venous catheter misplacement and associated iatrogenic complications: a systematic review and meta-analysis | Smit JM | CRITICAL CARE | 2018 | 2,548 pts (2,602 CVC placement) from 25 studies | Bedside Ultrasound | X-ray Chest | Accuracy in detecting CVC misplacement (Specificity and sensitivity of US; the prevalence of malpositioning and pneumothorax, the feasibility of US examination, time to perform and interpret US and X-ray chest) | Topic 1: Placement And Imaging | Syst Rev | AMSTAR II |
| 10 | 199 | Assistive technology for ultrasound-guided central venous catheter placement | Ikhsan M | Journal of Medical Ultrasonics | 2018 | Non-specified Population (any articles on assistive technologies for ultrasound-guided central venous catheterization) | Needle Visualization and guidance (echogenicity); Software enhanced and robot-assisted US-guided CVC placement; ergonomic of US-guided procedures; Alternative and complementary technologies | Commonly used needles; manual ultrasound guided cannulation | Inadvertent penetration of the common carotid artery, repeated penetration of the area, and others | Topic 1: Placement And Imaging | Syst Rev | AMSTAR II |
| 11 | 218 | Prevention of central venous line associated bloodstream infections in adult intensive care units: a systematic review | Velasquez Reyes DC | Intensive Crit Care Nurs | 2017 | Adult patients with CVC in ICU | Chlorhexidine impregnated Dressing, closed infusion systems, Chlorhexidine skin preparation, central venous line bundles (e.g., early removal), quality improvement initiatives, education, extra staff in ICU, participation in the national program for stopping the bloodstream Infections | Other Dressing (honey, standard, sterile gauze, etc.), open infusion systems, H2O2 or silver skin preparation, etc. | CRBSI rate | Topic 3: Infections | Syst Rev | AMSTAR II |
| 12 | 241 | Minimizing central line-associated bloodstream infection rate by inserting central venous catheters in the adult intensive care units | Hina HR | Journal of Clinical Nursing | 2017 | Adult patients with CVC in ICU | Accurate choice Site of CVC insertion (subclavian), decolonizing patients' skin with cutaneous antiseptic agents (alcoholic chlorhexidine gluconate preparation) | Internal jugular or femoral veins CVC insertion | CLABSI rates | Topic 3: Infections | Syst Rev | AMSTAR II |
| 13 | 259 | Knowledge Level on Administration of Chemotherapy through Peripheral and Central Venous Catheter among Oncology Nurses | Kapucu S | Asia-Pacific Journal of Oncology Nursing | 2017 | Nurses of Turkish Oncology Nursing Society | Questionnaire on sociodemographic aspects and knowledge level on CVC management | n.a. | Correct answers to the knowledge questions | Topic 4: Educational Intervention Addressed To Nursing And Patients/ Patients Involvement | Descriptive Study | NICE |
| 14 | 261 | Use of Contrast-Enhanced Ultrasound for Confirmation of Central Venous Catheter Placement: systematic review and meta-analysis: systematic | Bou Chebl R | Journal of Ultrasound in Medicine | 2017 | Adult patients receiving an internal jugular or subclavian central venous catheter in ICU or Emergency department | Tip location checked with the use of the agitated saline-contrast enhanced US technique | Chest Radiography | Sensitivity and specificity; positive/negative predictive value to confirm the placement of central venous catheters | Topic 1: Placement And Imaging | Syst Rev | AMSTAR II |
| 15 | 278 | Diagnostic accuracy of central venous catheter confirmation by bedside ultrasound vs. chest radiography in critically ill patients: a systematic review and meta-analysis | Ablordeppey EA | Critical Care Medicine | 2017 | Non-specified Population (critically ill patients with CVC) | Bedside US for confirmation of central venous catheter position and exclusion of pneumothorax | Chest Radiography | Accuracy of confirming catheter positioning and detecting a pneumothorax; feasibility, inter-rater reliability, efficiency to complete bedside ultrasound confirmation of central venous catheter position | Topic 1: Placement And Imaging | Syst Rev | AMSTAR II |
| 16 | 287 | Environmental exposures and the risk of central venous catheter complications and readmissions in home infusion therapy patients | Keller SC | Infection Control and Hospital Epidemiology | 2017 | 222 Patients discharged with home infusion Therapy | Patients' involvement in self-evaluation (monthly telephone surveys while CVC was in place) | n.a. | 30-day readmissions and CVC complications | Topic 4: Educational Intervention Addressed To Nursing And Patients/ Patients Involvement | Prospective cohort | New Castle-Ottawa |
| 17 | 288 | Gauze and tape and transparent polyurethane dressings for central venous catheters | Webster J | Cochrane Database Syst Rev | 2016 | Hospitalized adults and children | Transparent polyurethane dressing | Gauze and tape or other polyurethane dressings | CVC-related infection, catheter security, tolerance to dressing material, and dressing condition | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 18 | 292 | Skin antisepsis for reducing central venous catheter-related infections | Lai NM | Cochrane Database Syst Rev | 2016 | 3,446 Pts with CVC (mainly adults admitted to ICU, hematology oncology units, or general wards) | Skin antisepsis as part of CVC care (any agent alone or in combination) | One or more other skin antiseptic agent(s), placebo or no skin antisepsis | Catheter-related BSI or mortality | Topic 3: Infections | Syst Rev | AMSTAR II |
| 19 | 298 | Frequency of dressing changes for central venous access devices on catheter-related infections | Gavin NC | Cochrane Database Syst Rev | 2016 | All patients with CVC in any healthcare setting | Different frequencies of CVAD dressing changes | Different frequencies of CVAD dressing changes | Confirmed catheter-related bloodstream infections (CRDSI), and suspected CRBSI, all-cause mortality, Catheter Site infection, Skin damage, Pain | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 20 | 342 | Contributing factors for a late spontaneous peripherally inserted central catheter migration: a case report and review of literature | Beccaria P | J Vasc Access | 2015 | Adult Patients with peripherally inserted central venous catheters (PICCs) | n.a. (prospective cohort study observing the effectiveness of several images techniques and patients training on PICC management) | n.a. (prospective cohort study observing the effectiveness of several images techniques and patients training on PICC management) | PICC late migration | Topic 1: Placement And Imaging | Syst Rev | AMSTAR II |
| 21 | 344 | Ultrasound guidance vs. anatomical landmarks for subclavian or femoral vein catheterization | Brass P | Cochrane Database Syst Rev | 2015 | 2,030 Participants among Adult Patients and Children (2019 procedures) with femoral or subclavian vein catheterization | The two-dimensional US or Doppler ultrasound (USD) guided catheterization (femoral or subclavian vein) | Anatomical landmark-guided puncture (femoral or subclavian vein) | Inadvertent arterial puncture, hematoma formation, total or other complication rates, overall complications, number of attempts until success or first-time success rates or time taken to insert the catheter. | Topic 1: Placement And Imaging | Syst Rev | AMSTAR II |
| 22 | 345 | Ultrasound guidance vs. anatomical landmarks for internal jugular vein catheterization | Brass P | Cochrane Database Syst Rev | 2015 | 5108 Participants among Adult Patients and Children internal jugular vein catheterization | The two-dimensional US or Doppler ultrasound (USD) guided catheterization (internal jugular vein puncture) | Anatomical landmark-guided puncture (internal jugular vein) | Inadvertent arterial puncture, hematoma formation, total or other complication rates, overall complications, number of attempts until success or first-time success rates or time taken to insert the catheter. | Topic 1: Placement And Imaging | Syst Rev | AMSTAR II |
| 23 | 365 | Dressings and securement devices for central venous catheters (CVC) | Ullman AJ | Cochrane Database of Systematic Reviews | 2015 | Adult Patients (= >18 y) with CVC (of any kind) in hospital and/or clinical setting | Heparin flush (all heparinized solutions described in the literature) | 0,9% Saline flush | Occlusion rates | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 24 | Ref. 13 Art 90 | Using maximal sterile barriers to prevent central venous catheter-related infection: a systematic evidence-based review | Kent KH | AJIC | 2004 | Non-specified Population with CVC | Maximal sterile barriers during central venous catheter insertion | Less stringent sterile barrier techniques during central venous catheter insertion | Infectious complication rates | Topic 2: Dressing | Syst Rev | AMSTAR II |
| 25 | Ref. 17 Art 90 | Controlling catheter-related bloodstream infections through a multi-center educational program for intensive care units | Musu M | Journal of Hospital Infection | 2017 | Non-specified Population with CVC five hospitals in the north and center of Italy—the educational intervention was addressed to the healthcare professionals of the ICUs team | Surveillance and Educational programs aimed at healthcare workers to control infections with Interrupted time-series analysis | n.a. | CRBSI rates | Topic 4: Educational Intervention Addressed To Nursing And Patients/Patients Involvement | Prospective cohort | New Castle-Ottawa |