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Evidence-based summary of preventive care for central venous access device-related thrombosis in hospitalized

Lingyun Tian1,2, Xinyu Feng3, Hui Luo2

  • 1Department of Nursing, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China.

BMC Nursing
|September 18, 2024
PubMed

Insights

This study summarizes best evidence for preventing central venous access device-related thrombosis (CRT) in hospitalized children. Standardizing care improves patient safety and reduces complications associated with these devices.

Area of Science:

  • Pediatric Nursing
  • Evidence-Based Practice
  • Thrombosis Prevention

Background:

  • Central venous access devices (CVADs) are crucial for hospitalized children.
  • Central venous access device-related thrombosis (CRT) is a significant complication.
  • Standardized preventive care for CRT is lacking.

Purpose of the Study:

  • To synthesize the latest evidence on CRT in pediatric patients.
  • To provide a foundation for standardizing CRT preventive care practices.
  • To enhance safety for hospitalized children with CVADs.

Main Methods:

  • Comprehensive literature review of guidelines, systematic reviews, and expert consensuses.
  • Evaluation and extraction of best evidence from qualified studies.
  • Expert consultation and localization of evidence for clinical practice in China.

Main Results:

  • Compilation of 14 topics and 68 best evidence points.
  • Key areas include personnel, patient selection, risk assessment, CVAD management, and prevention strategies.
  • Evidence covers catheter maintenance, drug prevention, imaging, education, and follow-up.

Conclusions:

  • Summarized best evidence, localized through expert consultation.
  • Standardizes clinical practice for pediatric nurses.
  • Ensures effective CRT preventive care and improves safety for hospitalized children with CVADs.
Abstract

Keywords:
Central venous access device-related thrombosisEvidence summaryEvidence-based nursingExpert consultationHospitalized children

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