Securing Jugular Central Venous Catheters With Dressings Fixed to a Liquid Adhesive to Prevent Dressing Failure in Intensive Care Patients (the STICKY Trial): A Randomized Controlled Trial
Rattachement africain : au. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVES: Central venous catheters (CVCs) are vital for treating ICU patients. However, up to a quarter of CVCs fail from mechanical or infective complications. Poor securement of CVCs to the skin contributes to catheter failure, particularly CVCs placed in the jugular vein, which are highly vulnerable to pullout forces. This study evaluated the effectiveness of medical liquid adhesive (MLA) for improving jugular CVC dressing adhesion. DESIGN: Multisite parallel group, superiority, randomized controlled trial. SETTING: Four metropolitan Australian ICUs. PATIENTS: Eligible patients were 18 years old or older, within 12 hours of jugular CVC insertion, expected to need the CVC for greater than or equal to 72 hours, and remain in ICU for greater than or equal to 24 hours. INTERVENTIONS: Patients were randomly allocated (stratified by hospital and gender) to standard CVC dressings with the application of MLA to skin under the dressing border (intervention) or standard care CVC dressings (control). MEASUREMENTS AND MAIN RESULTS: The primary endpoint was dressing failure within 7 days due to lifting edges. Secondary outcomes included the total number of dressing changes, skin injury, and CVC failure. In total, 160 participants (82 control; 78 intervention) were enrolled. There were 22 (28%) and 41 (50%) cases of premature dressing failure in the intervention and control groups respectively (odds ratio, 0.39; 95% CI, 0.20-0.76; p = 0.005). The intervention group had fewer dressing changes (incidence rate ratio [IRR], 0.74; 95% CI, 0.55-0.99). Time to dressing failure (log-rank test; p = 0.12) and all-cause CVC failure (IRR, 1.44; 95% CI, 0.36-5.79) did not differ between groups. Three skin injuries occurred: one in the intervention (blister) and two in the control (maceration and skin tear) groups. CONCLUSIONS: MLA is associated with significantly decreased jugular CVC dressing failure and longer dressing dwell, with an acceptable safety profile. MLA should be considered to preserve jugular CVC dressings in ICU.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Securing Jugular Central Venous Catheters With Dressings Fixed to a Liquid Adhesive to Prevent Dressing Failure in Intensive Care Patients (the STICKY Trial): A Randomized Controlled Trial
- Date Crossref
- 01/02/2025
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Griffith University Griffith Biostatistics Unit pays non établi dans la noticeUniversité ou école supérieure
-
The University of Queensland pays non établi dans la noticeUniversité ou école supérieure
-
Royal Brisbane and Women's Hospital Department of Intensive Care Services pays non établi dans la noticeÉtablissement de santé
-
University of Wollongong pays non établi dans la noticeUniversité ou école supérieure
-
Liverpool Hospital Intensive Care Unit pays non établi dans la noticeÉtablissement de santé
-
Prince Charles Hospital Critical Care Research Group pays non établi dans la noticeÉtablissement de santé
-
Queensland Health pays non établi dans la noticeOrganisme public
-
Metro South Health pays non établi dans la noticeÉtablissement de santé
-
Metro North Hospital and Health Service pays non établi dans la noticeÉtablissement de santé
-
Logan Hospital Intensive Care Unit pays non établi dans la noticeÉtablissement de santé
-
Queensland University of Technology pays non établi dans la noticeUniversité ou école supérieure
-
Nursing and Midwifery Research Centre pays non établi dans la noticeStructure de recherche
Griffith Biostatistics Unit — Griffith University, The University of Queensland et Department of Intensive Care Services — Royal Brisbane and Women's Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.