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Nursing Care for Patients with Central Venous Catheter: A Systematic Review and Meta-Analysis

Stefhanie Conceição De Jesus, Kátia Cilene Godinho Bertoncello, Graziele Telles Vieira, Aline Diane Colaço, Dulcinéia Ghizoni Schneider, Inácio Alberto Pereira Costa, Juliana Fernandes da Nobrega, Anna Carolina Raduenz Huf Souza, Eneida Patrícia Teixeira, Adalia Edna Fernando Chipindo, Zannis Benevides De Andrade, Débora Batista Rodrigues, Cheila Maria Lins Bentes, Maria De Lourdes De Souza*

Introduction: The central venous catheter use can put risk to patients’ safety in the intensive care unit. Nursing care requires continuous assessment to ensure adverse events reduction.

Objective: To demonstrate the evidence that nursing care in the intensive care unit reduces adverse events related to patients’ safety during insertion, maintenance, and removal of a central venous catheter.

Material and Methods: Systematic review and meta-analysis. Eight databases were searched using key terms. Two researchers independently assessed data. The Kappa coefficient was calculated. The risk of bias and the quality of the evidence were analyzed.

Results: Eight studies were included. The Kappa coefficient was 0.64 and 0.73. Although the quality of the evidence was very low, nursing care for patients’ safety in the maintenance of central venous catheters were identified. There was no significant effect of the nursing care bundles related to central venous catheter maintenance on central line-associated bloodstream infection. The methodological quality of the included studies was moderate to severe in observational studies and a high risk of bias for the randomized design.

Conclusion: Nursing care, when appropriate and clinically evaluated, contributes to critical patients' safety reducing adverse events at all the moments during the use of central venous catheters.