OPTIMAL INTERVAL FOR TRIPLE-LUMEN CATHETER CHANGES - A DECISION-ANALYSIS

Title

OPTIMAL INTERVAL FOR TRIPLE-LUMEN CATHETER CHANGES - A DECISION-ANALYSIS

Creator

Ritchey N P; Caccamo L P; Carter K J; Castro F; Erickson B A; Johnson W; Kessler E; Ruiz C A

Publisher

Medical Decision Making

Date

1995
1995-04

Description

A survey of 53 university and community hospitals revealed that 73% of the institutions had no standard policy for the replacement of triple-lumen catheters (TLCs). Since the maintenance of a TLC in place for a prolonged period may lead to infectious complications, it appeared warranted that standards of management be developed. A decision-tree model was constructed for evaluating the optimal time for changing a TLC that would minimize infection. Cost estimates and health effects at three-, five-, and ten-day change intervals were considered for catheter insertion and complications resulting from such insertion. The results suggested that prophylactic catheter changes should occur no later than every five days, provided that there are no signs of infection. However, sensitivity analysis of several variables suggested that individual institutions should establish policy timing changes based upon careful interpretation of their own data. A model was developed to assist in determining the optimal time to change a TLC based upon such data.

Subject

200; analysis; catheter-related infection; central venous catheterization; complications; consecutive patients; decision; Health Care Sciences & Services; hyperalimentation; infectious; intensive-care-unit; maintenance; Medical Informatics; risk-factors; sepsis; single-lumen; total parenteral-nutrition; triple-lumen catheter

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

138-142

Issue

2

Volume

15

Citation

Ritchey N P; Caccamo L P; Carter K J; Castro F; Erickson B A; Johnson W; Kessler E; Ruiz C A, “OPTIMAL INTERVAL FOR TRIPLE-LUMEN CATHETER CHANGES - A DECISION-ANALYSIS,” NEOMED Bibliography Database, accessed September 21, 2021, https://neomed.omeka.net/items/show/6884.

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