Skip to main content

Table 1 Study characteristics

From: Bedside ultrasound to detect central venous catheter misplacement and associated iatrogenic complications: a systematic review and meta-analysis

Author (year)

Study design (period)1

Setting (country)

Patients (CVCs), n

Ultrasoundprotocol

Reference standard

Primary outcome (secondary outcome)

Performing operators (experienced operators), n

Killu et al. (2010) [47]

Prospective pilot study

Surgical ICU (United States)

5 (5)

Supraclavicular ultrasounda

CXR

Malposition (time advancement guidewire)

1 (1)

Kim et al. (2015) [26]

Prospective pilot study (Jul 2012–Oct 2012)

Operating theatres (Germany)

51 (51)

Supraclavicular ultrasoundb

CXR/TEE

Malposition (time until confirmation)

2 (2)

Kim et al. (2016) [25]

Prospective pilot study(Jun 2014–Aug 2014)

Operating theatres (Germany)

20 (20)

Supraclavicular ultrasoundb

CXR

Malposition (time advancement guidewire)

1 (1)

Baviskar et al. (2015) [48]

Prospective study (Apr 2013–Jan 2014)

Surgical ICU (India)

25 (25)

TTE and CEUSa

CXR

Time until confirmation (malposition)

1 + (1+)3 experienced staff

Cortellaro et al. (2014) [49]

Prospective study

Emergency department (Italy)

71 (71)

TTE and CEUSa

CXR

Malposition (time until confirmation)

3 (2)

Duran-Gehring et al. (2015) [50]

Prospective study (Dec 2012–Nov 2013)

Emergency department (United States)

50 (50)

TTE and CEUSa

CXR

Time until confirmation (malposition, pneumothorax)

2 (2)

Gekle et al. (2015) [51]

Prospective study (Dec 2012–Mar 2014)

Emergency department (United States)

81 (81)

TTE and CEUSa

CXR

Malposition, pneumothorax (time until confirmation)

Unclear

Kamalipour et al. (2016) [52]

Prospective study (Aug 2013–Jan 2014)

Operating theatres (Iran)

116 (116)

TTE and CEUSa

CXR

Malposition

1 (1)

Lanza et al. (2006) [53]

Prospective study (Nov 2004–Sep 2005)

Pediatric ICU (Italy)

107 (107)

TTE and CEUSa

CXR

Malposition, pneumothorax

1 (1)

Salimi et al.2 (2015) [17]

Prospective study

Nephrology department (Iran)

82 (82)

TTE and CEUSa

CXR

Malposition, pneumothorax

1 (1)

Santarsia et al. (2000) [54]

Prospective study

Nephrology department (Italy)

158 (158)

TTE and CEUSa

CXR

Malposition

Unclear

Weekes et al. (2014) [55]

Prospective study (Jan 2013–Apr 2013)

Emergency department and ICU

147 (152)

TTE and CEUSa

CXR

Malposition

5 (5)

Weekes et al. (2016) [56]

Prospective study (Nov 2013–Mar 2015)

Emergency department and ICU

156 (156)

TTE and CEUSa

CXR

Malposition, pneumothorax (time until confirmation)

Unclear, by or under supervision of study investigator

Wen et al. (2014) [57]

Retrospective study (Jun 2011–Jul 2012)

Nephrology department (Germany)

202 (219)

TTE and CEUSa

CXR

Malposition (time until confirmation)

2 + (2+)3

Alonso-Quintela et al. (2015) [58]

Prospective study (Jan 2012–Jan 2014)

Pediatric ICU (Spain)

40 (51)

Vascular ultrasound and TTEa

CXR

Malposition (time until confirmation)

1 (1)

Maury et al. (2001) [59]

Prospective study (Mar 1999–Sep 1999)

ICU (France)

81 (85)

Vascular ultrasound and TTEa

CXR

Malposition, pneumothorax (time until confirmation)

3 (0)

Miccini et al. (2016) [46]

Prospective study (Jan 2012–Dec 2014)

Operating theatres (Italy)

302 (302)

Vascular ultrasound and TTEa

IF/CXR

Malposition, pneumothorax

2 (2)

Park et al. (2014) [60]

Prospective study

Pediatric ICU (United States)

108 (108)

Vascular ultrasound and TTEa

CXR

Malposition (insertion depth CVC)

3 (3)

Arellano et al. (2014) [27]

Prospective study

Operating theatres (Canada)

100 (100)

Vascular ultrasound and TTEb

TEE

Malposition

4 (2)

Bedel et al. (2013) [24]

Prospective study (Jan 2010–Nov 2010)

ICU (France)

98 (101)

Vascular ultrasound and TTEb

CXR

Malposition (pneumothorax, time until confirmation)

1 (1)

Blans et al. (2016) [18]

Prospective study (Jan 2015–Sep 2015)

ICU (The Netherlands)

53 (53)

Vascular ultrasound, TTE and CEUSa

CXR

Malposition, pneumothorax (time until confirmation)

2 (2)

Matsushima and Frankel (2010) [19]

Prospective study (Nov 2004–Sep 2005)

Surgical ICU (United States)

69 (83)

Vascular ultrasound, TTE and CEUSa

CXR

Malposition, pneumothorax (time until confirmation)

1 (0)

Meggiolaro et al. (2015) [32]

Prospective study (Jan 2013–Sep 2013)

Operating theatres (Italy)

105 (105)

Vascular ultrasound, TTE and CEUSa

CXR

Malposition, pneumothorax (timing bubble test, time until confirmation)

1 (1)

Vezzani et al. (2010) [31]

Prospective study (Apr 2008–Aug 2008)

ICU (Italy)

111 (111)

Vascular ultrasound, TTE and CEUSa

CXR

Malposition, pneumothorax (time until confirmation, cost analysis)

1 (1)

Zanobetti et al. (2013) [61]

Prospective study (Jan 2009–Dec 2011)

Emergency department (Italy)

210 (210)

Vascular ultrasound, TTE and CEUSa

CXR

Malposition, pneumothorax (time until confirmation)

4 + (4+)3

  1. CEUS contrast enhanced ultrasound, CVC central venous catheter, CXR chest x-ray, ICU intensive care unit, IF intra-fluoroscopy, TEE transesophageal echocardiography, TTE transthoracic echocardiography
  2. aThe CVC is primarily visualized
  3. bThe advancement of the guidewire is primarily visualized
  4. 1All studies were observational in design
  5. 2Accuracy CXR investigated; TTE used as reference standard
  6. 3Possible more than described amount of operators