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dc.contributor.authorUllman, AJ
dc.contributor.authorKleidon, T
dc.contributor.authorCooke, M
dc.contributor.authorRickard, CM
dc.date.accessioned2018-01-18T02:16:11Z
dc.date.available2018-01-18T02:16:11Z
dc.date.issued2017
dc.identifier.issn1757-790X
dc.identifier.doi10.1136/bcr-2016-218757
dc.identifier.urihttp://hdl.handle.net/10072/364287
dc.description.abstractCentral venous access devices (CVADs) form an important component of modern paediatric healthcare, especially for children with chronic health conditions such as cancer or gastrointestinal disorders. However device failure and complications rates are high. Over 2½ years, a child requiring parenteral nutrition and associated vascular access dependency due to ‘short gut syndrome’ (intestinal failure secondary to gastroschisis and resultant significant bowel resection) had ten CVADs inserted, with ninesubsequently failing. This resulted in multiple anaesthetics, invasive procedures, injuries, vascular depletion, interrupted nutrition, delayed treatment and substantial healthcare costs. A conservative estimate of the institutional costs for each insertion, or rewiring, of her tunnelled CVAD was $A10 253 (2016 Australian dollars). These complications and device failures had significant negative impact on the child and her family. Considering the commonality of conditions requiring prolonged vascular access, these failures also have a significant impact on international health service costs.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherB M J Group
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto4
dc.relation.ispartofjournalBMJ Case Reports
dc.subject.fieldofresearchClinical Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode110399
dc.subject.fieldofresearchcode1103
dc.titleSubstantial harm associated with failure of chronic paediatric central venous access devices
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© the author(s) 2017. This is the author-manuscript version of this paper. It is posted here with permission of the copyright owner(s) for your personal use only. No further distribution permitted. For information about this journal please refer to the publisher’s website or contact the author(s).
gro.hasfulltextFull Text
gro.griffith.authorCooke, Marie L.
gro.griffith.authorRickard, Claire
gro.griffith.authorUllman, Amanda J.
gro.griffith.authorKleidon, Patricia


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