Innovative dressing and securement of tunneled central venous access devices in pediatrics: a pilot randomized controlled trial

Table 3 Securement device outcomes (n=48)

	Standard Care	ISD	TA	SSD
Group size	11 (23%)	12 (25%)	12 (25%)	13 (27%)
Product purchase costs ^a	$5.12–$6.02	$9.27	$17.57–$18.47	$8.60–$12.32
Patients with dressing changes	10 (91%)	8 (67%)	7 (58%)	13 (100%)
Time to first change (hours) ^{b, c}	79.6 (60.8–104)	95.1 (56.1–146)	37.0 (11.2–177)	61.1 (35.4–111)
Reasons for first change:^d
routine	1 (10%)	2 (25%)	3 (42%)	3 (8%)
lifting	7 (70%)	2 (25%)	2 (29%)	2 (15%)
sweating	1 (10%)	0	0	0
leakage	2 (20%)	0	0	1 (8%)
skin reaction	1 (10%)	0	0	0
bleeding	6 (60%)	4 (50%)	3 (43%)	8 (61%)
other	1 (10%)	2 (25%)	1 (14%)	0
Non-routine changes	17	10	4	25
Reasons for non-routine changes: ^d
lifting	10 (59%)	2 (20%)	2 (50%)	8 (32%)
sweating	1 (6%)	0	0	0
leakage	3 (18%)	0	0	1(4%)
skin reaction	1 (6%)	0	0	0
bleeding	8 (47%)	6 (60%)	3 (74%)	15 (60%)
other	6 (35%)	4 (40%)	1 (25%)	4 (16%)

n (%) shown unless otherwise noted
ISD Integrated securement dressing, TA tissue adhesive, SSD Suture-less securement device, BPU bordered polyurethane dressing
^a in Australian dollars according to local hospital prices 2016
^b median, 25th and 75th percentiles shown
^c excluding when initial securing device did not get replaced
^d Participants could have more than one reason

ISSN: 1471-2407