{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T02:49:30Z","timestamp":1787626170686,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to estimate the proportion and rate of skin complications and mechanical dysfunction associated with indwelling invasive devices in paediatric healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This systematic review is reported in accordance with Cochrane standards for randomized controlled trials and the Meta\u2010analysis of Observation Studies in Epidemiology for cohort studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>MEDLINE, CINAHL, Embase, Web of Science, Scopus, Cochrane CENTRAL, clinical trial registries, and unpublished study databases were searched.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Cohort studies and trials published from January 2011 to June 2022, including (1) indwelling invasive devices, (2) paediatric participants admitted to a hospital, (3) reporting post\u2010insertion device\u2010associated skin complication and\/or mechanical dysfunction, and (4) published in English, were included. Device\u2010associated skin complication and mechanical dysfunction (infiltration, leakage, occlusion\/blockage, dislodgement\/malposition, breakage and others). Pooled proportion and incidence rate per 1000 device days are reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This review synthesized 114 studies (30,782 devices; 1,635,649 device\u2010days). Skin complications were reported in 40 studies, but none exclusively reported individual device\u2010related pressure injuries. Mechanical dysfunctions were well\u2010reported for central venous access devices, peripheral intravenous catheters, nasogastric\/gastric tubes and peritoneal dialysis catheters but less for arterial catheters, extracorporeal membrane oxygenation and ventricular assist devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This systematic review highlights the need for standardized definitions and reporting methods to better surveil and benchmark device\u2010related complications, particularly for understudied device types. Device\u2010related pressure injuries were not reported in any of the included studies, and all devices except for vascular access devices require standardized reporting of complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Despite the widespread use of invasive devices, comprehensive data on their prevalence, utility, and associated paediatric complications is limited. This review identified prevalent skin complications, occlusions and dislodgments in children with devices, underscoring the need for standardized reporting to enhance surveillance and understanding of paediatric device\u2010related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>MOOSE (Meta\u2010analyses Of Observational Studies in Epidemiology) Checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16073","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T22:06:07Z","timestamp":1706047567000},"page":"4034-4049","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Invasive device\u2010associated skin complications and mechanical dysfunctions in paediatric healthcare: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1167-9106","authenticated-orcid":false,"given":"Mari","family":"Takashima","sequence":"first","affiliation":[{"name":"The University of Queensland  Brisbane Queensland Australia"},{"name":"Centre for Children's Health Research, Children's Health Queensland Hospital and Health Service  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areum","family":"Hyun","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Gibson","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane Queensland Australia"},{"name":"Centre for Children's Health Research, Children's Health Queensland Hospital and Health Service  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eloise","family":"Borello","sequence":"additional","affiliation":[{"name":"Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8860-5319","authenticated-orcid":false,"given":"Amanda","family":"Ullman","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane Queensland Australia"},{"name":"Centre for Children's Health Research, Children's Health Queensland Hospital and Health Service  South Brisbane Queensland Australia"},{"name":"NHMRC Centre for Research Excellence in Wiser Wound Care Griffith University  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Pressure ulcer: Prevalence, incidence, risk factors and the predictive validity of the Braden Q and the Glamorgan Risk Assessment Scales in paediatrics","author":"Allah H.","year":"2013"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066617696846"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/jpn.0000000000000513"},{"key":"e_1_2_12_5_1","unstructured":"Australian Commission on Safety and Quality in Health Care (ACSQH). 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