RANDOMIZED CONTROLLED TRIAL ON CUTTING THE PERIPHERALLY INSERTED CENTRAL CATHETER IN NEONATES

Wosnes, Thaline dos Reis; Giacomozzi, Clélia Mozara; Giacomozzi, Letícia Morgana; Silva, Regina Paula Vieira Cavalcante

doi:10.5380/ce.v27i0.88218

Thaline dos Reis Wosnes Corresponding author: Thaline dos Reis Wosnes, Universidade Federal do Paraná, Curitiba, Paraná, Brasil, Rua Frederico Maurer, 540, Hauer, Curitiba, Paraná, Brasil. CEP.: 81630-020, E-mail: wosnesthaline@gmail.com

Universidade Federal do Paraná, Programa de Residência Multiprofissional em Saúde da Criança e do Adolescente, Curitiba, PR, Brasil

http://orcid.org/0000-0002-9207-8002

Clélia Mozara Giacomozzi

Universidade Federal do Paraná, Curitiba, PR, Brasil

http://orcid.org/0000-0002-5877-299X

Letícia Morgana Giacomozzi

Universidade Federal do Paraná, Programa de Pós Graduação em Saúde da Criança e do Adolescente, Curitiba, PR, Brasil

http://orcid.org/0000-0002-2837-6259

Regina Paula Vieira Cavalcante Silva

Universidade Federal do Paraná, Programa de Pós Graduação em Saúde da Criança e do Adolescente, Curitiba, PR, Brasil

http://orcid.org/0000-0002-2467-1760

Role of Authors:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Wosnes T dos R, Giacomozzi CM; Drafting the work or revising it critically for important intellectual content - Wosnes T dos R, Giacomozzi CM, Giacomozzi LM, Silva RPVC; Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved - Wosnes T dos R, Giacomozzi CM, Giacomozzi LM, Silva RPVC. All authors approved the final version of the text.

Corresponding author: Thaline dos Reis Wosnes, Universidade Federal do Paraná, Curitiba, Paraná, Brasil, Rua Frederico Maurer, 540, Hauer, Curitiba, Paraná, Brasil. CEP.: 81630-020, E-mail: wosnesthaline@gmail.com

Associate editor: Dra. Luciana Kalinke

Variables	CG n=25 (%)	EG n=21 (%)	p-value
Gender
Male	16 (76.2)	9 (36)	0.09
Female	5 (23.8)	16 (64)	0.09
Diagnosis
Prematurity	8 (32)	12 (57.1)	0.42
Asphyxia	2 (8)	1 (4.8)	1.00
Respiratory disorders	3 (12)	0 (0)	0.25
Hypoglycemia	3 (12)	1 (4.8)	0.62
Other	9 (36)	7 (33.4)	0.77
Gestational age
≤ 27+6 weeks	2 (8)	3 (14.3)	0.66
28 to 29+6 weeks	2 (8)	5 (23.8)	0.25
30 to 31+6 weeks	2 (8)	1 (4.8)	1
32 to 33+6 weeks	5 (20)	1 (4.8)	0.22
34 to 35+6 weeks	0 (0)	5 (23.8)	0.05
36 to 37+6 weeks	5 (20)	1 (4.8)	0.22
≥ 38 weeks	9 (36)	5 (23.8)	0.55
Age at insertion date
≤ 7 days old	20 (80)	16 (76.2)	1.00
8 to 14 days old	1 (4)	1 (4.8)	1.00
15 to 21 days old	2 (8)	1 (4.8)	1.00
≥ 28 days	2 (8)	3 (14.3)	0.66
Birth Weight
600 to 1000g	3 (12)	4 (19)	0.69
1001 to 1400g	2 (8)	2 (9.6)	1.00
1401 to 1800g	1 (4)	4 (19)	0.19
1801 to 2200g	6 (24)	4 (19.0)	1.00
2201 to 2600g	4 (16)	3 (14.3)	1.00
2601 to 3000g	3 (12)	1 (4.8)	0.62
3001 to 3400g	4 (16)	2 (9.6)	0.68
≥ 3401g	2 (8)	1 (4.8)	1.00

Variables	CG n=25 (%)	EG n=21 (%)	p-value
Reason for removal
Elective removal	16 (64)	8 (38.1)	0.44
Non-elective removal	6 (24)	11 (52.3)	0.28
Removal due to death	3 (12)	2 (9.6)	1.00
Place of insertion
Upper limbs	19 (76)	10 (47.6)	0.47
Inferior limbs	2 (8)	5 (23.8)	0.25
Cephalic region	2 (8)	6 (23.8)	0.25
Jugulars	2 (8)	1 (4.8)	1.00
Staying Time
1 to 7 days	10 (40)	11 (52.4)	0.79
8 to 14 days	9 (36)	7 (33.3)	1.00
15 to 21 days	4 (16)	2 (9.6)	0.68
over 21 days (21 to 42 days)	2 (8)	1 (4.8)	1.00
Tip Location
Central	21 (84)	17 (81)	1.00
Peripheral	4 (16)	4 (19)	1.00

Complications	CG n=25	EG n=21	value of p
Obstruction	3 (12)	1 (4.8)	0.34
Infiltration	1 (4)	4 (19)	0.26
Accidental traction	1 (4)	2 (9.6)	0.53
Infection	3 (12)	2 (9.6)	1.00

Dressing	CG n=25	EG n=21	value of p
Dressing characteristics
Clean	86.09	94.15
Dirty/loose	13.91	5.85	0.09
Change of dressing
Yes	13.91	17.55
No	86.09	82.45	0.35

[1] Role of Authors:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Wosnes T dos R, Giacomozzi CM; Drafting the work or revising it critically for important intellectual content - Wosnes T dos R, Giacomozzi CM, Giacomozzi LM, Silva RPVC; Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved - Wosnes T dos R, Giacomozzi CM, Giacomozzi LM, Silva RPVC. All authors approved the final version of the text.

Brasil

Brasil

RANDOMIZED CONTROLLED TRIAL ON CUTTING THE PERIPHERALLY INSERTED CENTRAL CATHETER IN NEONATES

ABSTRACT

Objective:

Method:

Results:

Conclusion: