Meta analysis on application effect of quality control circle in complications after PICC catheterization
10.3969/j.issn.1671-8348.2018.09.023
- VernacularTitle:品管圈在PICC置管术后并发症应用效果的Meta分析
- Author:
Xiaoli CHEN
1
;
Chunyu LIU
;
Xiao HAN
;
Yimei FENG
;
Xi ZHANG
;
Aihua SUN
;
Xin DU
Author Information
1. 陆军军医大学附属新桥医院血液科
- Keywords:
quality control circle;
peripheral inserted central venous catheter;
complication;
Meta analysis
- From:
Chongqing Medicine
2018;47(9):1221-1224
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the application effect of the quality control circle(QCC)in the complications after PICC catheterization.Methods The randomized controlled trials(RCTs)on the application effect of QCC after PICC catheter-ization were retrieved from the Cochane library,PubMed,EMBASE,Chinese Biomedical literature Database(CBM),China Academic Journal Full-text Database(CNKI),VIP and Wangfang Database by computer.The literatures were selected according to the inclu-sion and exclusion criteria.The two valuators independently retrieved and screened the literatures,extracted the data,evaluated the methodological quality of included literatures and conducted the cross check.Then the meta analysis was performed by using Rev-Man 5.3 software.Results A total of 7 914 articles were retrieved,finally 14 RCTs were included,involving 2 728 patients.The oc-currence rates of phlebitis,catheter obstruction,unplanned extubation and catheter-related blood flow infection in the intervention group were lower than those in the control group,the difference was statistically significant(OR=0.28,95% CI:0.16-0.48,P<0.01;OR=0.27,95% CI:0.17-0.42,P<0.01,OR=0.27,95% CI:0.18 -0.39,P<0.01;OR=0.25,95% CI:0.13 -0.49,P<0.01).Conclusion Using QCC is conducive to reduce the complication incidence rate after PICC catheterization.
