{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:03:17Z","timestamp":1785434597210,"version":"3.56.0"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"unspecified","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951125109827_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Central venous catheter use is not standardised in paediatric cardiology, yet it is associated with additional morbidity. We aimed to characterise variation in central venous catheter use and complications across paediatric acute care cardiology units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125109827_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective, multi-centre, and registry-based study examined all unique acute care cardiology encounters from February 2019 through September 2021 in the Paediatric Acute Care Cardiology Collaborative registry. Descriptive and comparative statistics were assessed for differences based on central venous catheter use. Multivariate logistic regression identified factors associated with increased line duration and use frequency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125109827_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      About 35,379 encounters from 24 institutions were assessed. About one in five encounters had at least one central venous catheter (\n                      <jats:italic>n<\/jats:italic>\n                      = 7,524, 21.3%). Neonates and post-operative cardiothoracic surgery patients were more likely to have central venous catheters than not (28.9% of neonates with, versus 11.4% without; 58.4% of post-operative patients with, versus 35.7% without;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Most patients after STAT 4 procedures retained central venous access for over half of the acute care cardiology stay. Institutions with overall \u201clow\u201d central venous catheter utilisation rates (&lt;20%) also used central venous access most often on STAT 4 patients (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.0001). Complication rates for venous thrombus and central line-associated bloodstream infection were low (1.9% and 0.2%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125109827_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is variable utilisation of central venous catheters across participating acute care cardiology units, though overall they are common vascular access modalities. Acute care cardiology units use central venous catheters more often in neonates, those after cardiac surgery, and in their higher-risk patients (i.e. after STAT 4 procedures).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951125109827","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T08:54:56Z","timestamp":1760086496000},"page":"2139-2147","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Variation in central venous catheter practice in paediatric acute care cardiology"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3231-0823","authenticated-orcid":false,"given":"Megan","family":"Rodts","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01hcyya48","id-type":"ROR","asserted-by":"publisher"}],"name":"The Heart Institute"},{"id":[{"id":"https:\/\/ror.org\/01e3m7079","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cincinnati College of Medicine, Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8788-8991","authenticated-orcid":false,"given":"Colleen","family":"Pater","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01hcyya48","id-type":"ROR","asserted-by":"publisher"}],"name":"The Heart Institute"},{"id":[{"id":"https:\/\/ror.org\/01e3m7079","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cincinnati College of Medicine, Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonali S.","family":"Patel","sequence":"additional","affiliation":[{"name":"UT Southwestern"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Schiller","sequence":"additional","affiliation":[{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Graupe","sequence":"additional","affiliation":[{"name":"UT Southwestern"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3990-5734","authenticated-orcid":false,"given":"Adam L.","family":"Ware","sequence":"additional","affiliation":[{"name":"University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Madsen","sequence":"additional","affiliation":[{"name":"UT Southwestern"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"S1047951125109827_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12525"},{"key":"S1047951125109827_ref26","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000161074.94315.0A"},{"key":"S1047951125109827_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00409-0"},{"key":"S1047951125109827_ref9","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1386"},{"key":"S1047951125109827_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951121000962"},{"key":"S1047951125109827_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951121005047"},{"key":"S1047951125109827_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001634"},{"key":"S1047951125109827_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12779"},{"key":"S1047951125109827_ref28","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2021013453"},{"key":"S1047951125109827_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.3223"},{"key":"S1047951125109827_ref13","first-page":"1","article-title":"Safety checklist implementation did not reduce central venous catheter duration in pediatric cardiac ICU patients","volume":"5","author":"Sahulee","year":"2020","journal-title":"Pediatr Qual Saf"},{"key":"S1047951125109827_ref23","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001117"},{"key":"S1047951125109827_ref25","doi-asserted-by":"publisher","DOI":"10.1177\/2150135115594854"},{"key":"S1047951125109827_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/21501351221088832"},{"key":"S1047951125109827_ref29","first-page":"CD005982","article-title":"Low molecular weight heparin for prevention of central venous catheter-related thrombosis in children","volume":"6","author":"Pelland-Marcotte","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"S1047951125109827_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001743"},{"key":"S1047951125109827_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117001755"},{"key":"S1047951125109827_ref27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04564.x"},{"key":"S1047951125109827_ref17","unstructured":"17. National Healthcare Safety Network. Bloodstream infection event (central line-associated bloodstream infection and non-central line associated bloodstream infection). Updated 1\/2025. pp 3\u201310. https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/4psc_clabscurrent.pdf. Accessed 2022."},{"key":"S1047951125109827_ref4","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.08110910"},{"key":"S1047951125109827_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951118000811"},{"key":"S1047951125109827_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2015.01.006"},{"key":"S1047951125109827_ref19","doi-asserted-by":"publisher","DOI":"10.1086\/680215"},{"key":"S1047951125109827_ref5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3795"},{"key":"S1047951125109827_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2020.08.019"},{"key":"S1047951125109827_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs026"},{"key":"S1047951125109827_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002306"},{"key":"S1047951125109827_ref18","unstructured":"18. Pediatric Acute Care Cardiology Collaborative. Data Definitions Manual v1.0. 2019: 291\u2013301."},{"key":"S1047951125109827_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.06.077"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951125109827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T04:56:05Z","timestamp":1779425765000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951125109827\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":29,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["S1047951125109827"],"URL":"https:\/\/doi.org\/10.1017\/s1047951125109827","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}