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Reducing central vein catheterization complications with a focused educational program: a retrospective cohort study
Laryssa P T Hanauer1, Pedro H Comerlato2, Afonso Papke1
1Internal Medicine Service, Hospital de Clinicas de Porto Alegre (HCPA), Rua Ramiro Barcelos 2350, Sala 700, Porto Alegre, Rio Grande do Sul, CEP 90035-903, Brazil.
Scientific Reports
|October 17, 2020
Summary
Structured training for central venous catheter (CVC) insertion significantly reduced catheter-related infections. This training improved CVC procedure safety and patient outcomes.
Area of Science:
- Medical Education
- Infectious Diseases
- Vascular Access
Background:
- Central venous catheters (CVCs) are essential medical devices but are associated with a high rate of complications.
- Complications include mechanical issues and infections, impacting patient safety and healthcare costs.
Purpose of the Study:
- To evaluate the impact of a structured training program on CVC insertion complications.
- To compare complication rates before and after the implementation of CVC insertion training.
Main Methods:
- A comparative study analyzing CVC insertions in adults outside the ICU over two academic years (2015 without training, 2016 with training).
- Data collected included clinical information, procedure characteristics, and mechanical/infectious complications for 1502 punctures.
- Statistical analysis, including multivariate analysis, was used to compare outcomes.
Main Results:
- Post-training, there was increased use of ultrasound guidance and jugular vein access.
- A numerical reduction in overall complications was observed (RR 0.732).
- A statistically significant decrease in catheter-related infections was found (RR 0.78, P=0.047).
Conclusions:
- Structured training for CVC insertion is effective in reducing overall complications.
- The training program demonstrated a significant reduction in catheter-related infections.
- Technique improvements, such as ultrasound use, and structured training are associated with better CVC insertion outcomes.
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