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Pediatric Radiology
Published in: Pediatric Radiology 12/2022

Open Access 05-05-2022 | Ultrasound | Original Article

Diagnostic accuracy of ultrasound for localising peripherally inserted central catheter tips in infants in the neonatal intensive care unit: a systematic review and meta-analysis

Authors: Shauna C. Doyle, Niamh M. Bergin, Rena Young, Andrew England, Mark F. McEntee

Published in: Pediatric Radiology | Issue 12/2022

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Abstract

Background

Chest radiography after peripherally inserted central catheter insertion in infants is the reference standard method for verifying catheter tip position. The utilisation of ultrasound (US) for catheter placement confirmation in the neonatal and paediatric population has been the focus of many recent studies.

Objective

In this systematic review we investigated the diagnostic accuracy of US for peripherally inserted central catheter tip confirmation in infants in the neonatal intensive care unit (NICU)

Materials and methods

We conducted a systematic literature search of multiple databases. The study selection yielded eight articles, all of which had acceptable quality and homogeneity for inclusion in the meta-analysis. Sensitivity and specificity values were reported together with their respective 95% confidence intervals (CI).

Results

After synthesising the eligible studies, we found that US had a sensitivity of 95.2% (95% CI 91.9–97.4%) and specificity of 71.4% (95% CI 59.4–81.6%) for confirming catheter tip position.

Conclusion

Analyses indicated that US is an excellent imaging test for localising catheter tip position in the NICU when compared to radiography. Ultrasonography is a sensitive, specific and timely imaging modality for confirming PICC tip position. In cases where US is unable to locate malpositioned PICC tips, a chest or combined chest–abdominal radiograph should be performed.
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Metadata
Title
Diagnostic accuracy of ultrasound for localising peripherally inserted central catheter tips in infants in the neonatal intensive care unit: a systematic review and meta-analysis
Authors
Shauna C. Doyle
Niamh M. Bergin
Rena Young
Andrew England
Mark F. McEntee
Publication date
05-05-2022
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 12/2022
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-022-05379-7

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