Child Health
Conditions
Brief summary
The purpose of this study is to conduct a prospective longitudinal cohort observational study to analyze the catheterization success rate, catheter dwell time, as well as the incidence and risk factors of related complications in pediatric patients of different age groups; to explore the suitability and application efficacy of this type of catheter in different disease types and treatment scenarios; to optimize the venous access selection strategy for hospitalized pediatric patients, formulate targeted catheterization and maintenance standards, provide theoretical evidence for clinical practice, and improve patients' medical experience.
Interventions
DEVICEMini midline catheters
No intervention. This is a cohort study investigating the applicability and safety of mini midline catheters in pediatric populations. All enrolled children receive standard clinical care for mini midline catheters (including placement, daily maintenance, and removal as indicated) consistent with pediatric vascular access guidelines. The study aims to observe the natural clinical performance of the catheters without any intervention beyond routine clinical management.
Sponsors
Children's Hospital of Fudan University
First Affiliated Hospital Xi'an Jiaotong University
Jiangxi Province Children's Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 18 Years
Healthy volunteers
No
Inclusion criteria
1.Inclusion Criteria: 1. Children aged 1 day to 18 years; 2. Indwelling midline catheters; 3. Legally authorized guardians have signed the informed consent form. 2.
Exclusion criteria
Pediatric patients with vascular access other than indwelling midline catheters.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety: Midline catheter-related complications and their severity,including: ① Catheter-related bloodstream infection (CRBSI) ② Venous thrombosis ③ Catheter occlusion ④ Phlebitis ⑤ Extravasation/infiltration | Catheter dwell time (from placement to removal; maximum follow-up: 30 days) |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility: First-attempt puncture success rate (%) ; | Blood return was achieved smoothly upon completion of the first puncture, within one minute of catheter placement. |
| Catheterization duration（minutes） | From initial skin puncture to catheter fixation, assessed intraprocedurally |
| Catheter dwell time（days) | From successful catheter placement to removal, maximum follow-up of 30 days |
| Unplanned extubation rate(%) | Within 30 days post-insertion |
Countries
China
Outcome results
None listed