{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:58:24Z","timestamp":1790913504732,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":149,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007786","name":"National Center for Child Health and Development","doi-asserted-by":"publisher","award":["2023C\u20108"],"award-info":[{"award-number":["2023C\u20108"]}],"id":[{"id":"10.13039\/100007786","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n Placing the tip of the peripherally inserted central catheter (\n PICC<\/jats:styled-content>\n ) in the appropriate range is important, but most difficult without fluoroscopy. The aim of this study was to test the validity of the\n PICC<\/jats:styled-content>\n insertion length prediction formula \u201clength from anterior axillary point to appropriate\n PICC<\/jats:styled-content>\n tip position = height (cm) \u00d7\u20090.1 + 1 (cm)\u201d\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This study retrospectively compared\n PICCs<\/jats:styled-content>\n inserted through the upper arm in a pediatric intensive care unit before (the No\u2010formula group, May 2017\u2013September 2018) and after (the Formula group, May 2021\u2013December 2021). We excluded\n PICCs<\/jats:styled-content>\n inserted in patients older than 15\u2009years of age and those with anatomical abnormalities or diseases, or\n PICCs<\/jats:styled-content>\n inserted without using the formula in the Formula group. The primary outcome was the proportion of\n PICCs<\/jats:styled-content>\n with appropriate tip positions (superior vena cava or subclavian vein) visualized on chest radiographs immediately after insertion.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n There were 148\n PICCs<\/jats:styled-content>\n in the No\u2010formula group and 47\n PICCs<\/jats:styled-content>\n in the Formula group for the primary analysis. Appropriate tip position was observed significantly more often in the Formula group (98%, 46\/47) compared to the No\u2010formula group (65%, 96\/148) (\n p<\/jats:italic>\n \u2009<\u20090.001). Although there were no shallow\n PICCs<\/jats:styled-content>\n ,\n PICC<\/jats:styled-content>\n tips in the subclavian vein were more frequent in the Formula group (26% vs. 9%,\n p<\/jats:italic>\n \u2009=\u20090.012).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The\n PICC<\/jats:styled-content>\n insertion length prediction formula could reduce excessive deep tip positioning, but further measures are required to enhance tip placement in the superior vena cava.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ped.70100","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:12:31Z","timestamp":1748585551000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of the peripherally inserted central venous catheter insertion length prediction formula using height in children"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6151-3016","authenticated-orcid":false,"given":"Hajime","family":"Okuwaki","sequence":"first","affiliation":[{"name":"Critical Care Medicine National Center for Child Health and Development Tokyo Japan"},{"name":"Pediatrics, University of Tsukuba Hospital Ibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3142-0764","authenticated-orcid":false,"given":"Kentaro","family":"Ide","sequence":"additional","affiliation":[{"name":"Critical Care Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidehito","family":"Ota","sequence":"additional","affiliation":[{"name":"Critical Care Medicine National Center for Child Health and Development Tokyo Japan"},{"name":"Department of Pediatrics The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4220-6798","authenticated-orcid":false,"given":"Yusuke","family":"Tokuda","sequence":"additional","affiliation":[{"name":"Critical Care Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Critical Care Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001739"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.1.137"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.2.e28"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2343031823"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-016-4666-y"},{"key":"e_1_2_11_7_1","article-title":"Tip position of peripherally inserted central venous catheters inserted without fluoroscopy","volume":"4","author":"Ide K","year":"2022","journal-title":"Pediatr Int"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.15128"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002470000297"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedneo.2018.07.011"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0277526"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-017-3939-1"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.06.952"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70100","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.70100","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:43:26Z","timestamp":1790912606000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.70100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/ped.70100"],"URL":"https:\/\/doi.org\/10.1111\/ped.70100","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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