Efficacy and safety of different methods for estimating the depth of umbilical venous catheterization in newborns: a meta-analysis
10.3760/cma.j.issn.2096-2932.2023.12.006
- VernacularTitle:不同方法估算脐静脉置管深度有效性及安全性的Meta分析
- Author:
Jingjie LUO
1
;
Xu ZHENG
;
Yuan ZHANG
;
Zixin YANG
;
Mingyan HEI
Author Information
1. 国家儿童医学中心，首都医科大学附属北京儿童医院新生儿中心，北京 100045
- Keywords:
Infant, newborn;
Umbilical venous catheterization;
Estimation formula;
Correct place rate at the first attempt;
Meta-analysis
- From:Chinese Journal of Neonatology
2023;38(12):734-739
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy and safety of umbilical venous catheterization (UVC) by using different methods to estimate the insertion depth.Methods:PubMed, Embase and The Cochrane Library, CBM (SinoMed), CNKI, VIP Database, Wanfang Database and Chinese Medical Journal Full-text Database were electronically searched for literature on randomized controlled trials (RCTs) comparing different methods for estimating the insertion depth of UVC. The search period was from the establishment date of the above databases to April 15th, 2022. If 2 or more studies were available for each pairwise comparison, a meta-analysis was conducted using the RevMan 5.3 software. However, if only 1 study was included for each pairwise comparison, SPSS 26.0 statistical software is used for statistical analysis using the chi-square test.Results:A total of 9 RCTs were included in the final meta-analysis, with a total of 1 281 infants, using 6 methods for estimating the depth of UVC. Compared with the Shukla formula, the Dunn method showed a statistically significant improvement in the correct place rate at the first UVC attempt ( RR=1.27, 95% CI 1.09-1.47, P=0.002). When comparing the Dunn method with the revised Shukla formula, the difference in the correct place rate at the first UVC attempt was statistically significant (21.4% vs. 33.5%, χ2=7.24, P=0.007). There was no statistically significant difference in the correct place rate at the first UVC attempt between the Dunn method and the formula based on BW, the JSS formula and the revised Shukla formula, and the method based on anatomical marks and the Shukla formula. There was no statistically significant difference in the incidence of UVC complications between the Dunn method and the Shukla formula, and between the method based on anatomical marks and the Shukla formula. Conclusions:Comparing to Shukla formula, Dunn method has a higher correct place rate at the first attempt. The incidence of complications is similar between the different pairwise comparison methods.
