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. 2024 Jan;25(1):51-59.
doi: 10.1177/11297298221074448. Epub 2022 Feb 3.

Does letting adolescent and young adult inpatients share decisions in choosing the central-line insertion site reduce central-line-associated bloodstream infections? An empty systematic review

Paola Rosati  1 , Alessandro Crocoli  2 , Rosella Saulle  3 , Laura Amato  3 , Matilde Brancaccio  4   5 , Zuzana Mitrova  3 , Gaetano Ciliento  4 , Marta Ciofi Degli Atti  1 , Massimiliano Raponi  6
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Does letting adolescent and young adult inpatients share decisions in choosing the central-line insertion site reduce central-line-associated bloodstream infections? An empty systematic review

Paola Rosati et al. J Vasc Access. 2024 Jan.

Abstract

To study whether allowing adolescents and young adults (AYA) with chronic or oncologic diseases admitted to tertiary or intensive care units to share decisions in choosing the insertion site for central-venous catheters (CVC) implanted for intravenous therapies or parenteral nutrition reduces central-line-associated and catheter-related bloodstream infections (CLABSI and CRBSI). Following the PRISMA guidelines, we systematically reviewed the literature by searching MEDLINE, Embase, CINAHL, CENTRAL, SCOPUS, Cochrane Library, and Web of Science up to December 2019. According to our aims, the review identified no study that could be included. This empty systematic review on healthcare teams allowing AYA with chronic or oncologic diseases admitted in tertiary or intensive care units to share decisions in choosing the site for implanting CVC prompts further research on clinical pathways on this hot-topic. By considering purportedly risk-taking behaviors in youngsters thus reducing CLABSI and CRBSI, healthcare teams should test specific strategies by engaging AYA empathetically in sharing decisions on the site for implanting CVC to improve quality in health care bundles.

Keywords: adolescent assets and attitudes; care bundles; decision aids; empathic shared decision-making; risk-taking behaviors.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA 2020 flow diagram. PRISMA indicates preferred reported items for systematic reviews and meta-analyses.
See this image and copyright information in PMC

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