Critically Ill Children Benefit from Catheter Securement, Study Indicates.PHILADELPHIA--(BW HealthWire)--June 17, 1999-- New study data indicates that in the treatment of critically ill children, StatLock intravenous catheter securement devices provide a perfect record of protection against catheter dislodgement, infection and accidental needlesticks. In contrast, the standard methods of catheter securement -- tape and suture suture /su·ture/ (soo´cher) 1. sutura. 2. a stitch or series of stitches made to secure apposition of the edges of a surgical or traumatic wound. 3. to apply such stitches. 4. -- resulted in dislodgement, infection and accidental needlesticks. Data from two ongoing studies was presented by Gregory Schears, M.D., of The Children's Hospital of Philadelphia The Children's Hospital of Philadelphia is one of the largest and oldest children's hospitals in the world. "CHOP" has been ranked as the best children's hospital in the United States by U.S. News & World Report and Child Magazine in recent years. , at the 1999 Intravenous Nursing Society convention. -0-
Complications from Tape/Suture vs. StatLock
Complications Tape/Suture StatLock
Catheter Dislodgements - 4 0
PICC Study
Infection - PICC Study 1 0
Infection - CVC Study 3 0
Accidental Needlesticks - 1 0
CVC Study
Total Complications 9 0
Dr. Schears' studies found StatLock much more effective in securing IV catheters than either tape or suture. The failure rate of both tape and suture was over 200 percent more than with StatLock. In the tape group, the frequency of unplanned catheter removals was 30.6 percent, versus 9.1 percent in the StatLock group. Preliminary results from the suture study show the unplanned catheter removal rate with suture securement was 30 percent, versus 8.3 percent with StatLock. "We prefer a single catheter insertion per treatment course. StatLock securement makes that possible," said Dr. Schears, Assistant Professor of Anesthesia and Pediatrics at Children's Hospital A children's hospital is a hospital which offers its services exclusively to children. The number of children's hospitals proliferated in the 20th century, as pediatric medical and surgical specialties separated from internal medicine and adult surgical specialties. . Dr. Schears' presentation related preliminary results from two prospective, randomized ran·dom·ize tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es To make random in arrangement, especially in order to control the variables in an experiment. studies he is conducting at the 345-bed pediatric pediatric /pe·di·at·ric/ (pe?de-at´rik) pertaining to the health of children. pe·di·at·ric adj. Of or relating to pediatrics. hospital, affiliated with the University of Pennsylvania School of Medicine The University of Pennsylvania's School of Medicine, presently located in the University City section of Philadelphia, Pennsylvania, was the United States's first school of medicine, founded at the College of Philadelphia, as the University was then called. . Patients in the studies range in age from less than one month to 18 years. "The differences we have already seen in the two studies are significant," Dr. Schears said. "With fewer IV catheter restarts in both groups, it appears StatLock will offer substantial cost savings when treating critically ill children." One study of 80 patients (to date) compares catheter securement of peripherally inserted central catheter A peripherally inserted central catheter- (PICC or PIC line) is a form of intravenous access that can be used for a prolonged period of time, e.g. for long chemotherapy regimens, extended antibiotic therapy or total parenteral nutrition. lines using StatLock versus tape (adhesive strips and transparent dressings). The second study of 25 patients (to date) compares securement of central venous catheters central venous catheter n. A catheter passed through a peripheral vein and ending in the thoracic vena cava; it is used to measure venous pressure or to infuse concentrated solutions. with StatLock versus suture. The two studies were partially funded by an unrestricted grant from Venetec International, makers of StatLock. Dr. Schears' hospital is affiliated with the Child Health Corporation of America, the nation's only business alliance focusing on the core needs of children's hospital. |
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