{"id":"https://openalex.org/W7204843530","doi":"https://doi.org/10.4266/acc.002964","title":"Bedside peripherally inserted central catheter placement in trauma intensive care unit in South Korea: a comparative analysis of safety and tip positioning accuracy","display_name":"Bedside peripherally inserted central catheter placement in trauma intensive care unit in South Korea: a comparative analysis of safety and tip positioning accuracy","publication_year":2026,"publication_date":"2026-08-31","ids":{"openalex":"https://openalex.org/W7204843530","doi":"https://doi.org/10.4266/acc.002964","pmid":"https://pubmed.ncbi.nlm.nih.gov/42723455","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13575395"},"language":"en","primary_location":{"id":"doi:10.4266/acc.002964","doi":"https://doi.org/10.4266/acc.002964","is_oa":true,"landing_page_url":"https://doi.org/10.4266/acc.002964","pdf_url":null,"source":{"id":"https://openalex.org/S4210184436","display_name":"Acute and Critical Care","issn_l":"2586-6052","issn":["2586-6052","2586-6060"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","kci-registered","ki-jl-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319443","host_organization_name":"Korean Society of Critical Care Medicine","host_organization_lineage":["https://openalex.org/P4310319443"],"host_organization_lineage_names":["Korean Society of Critical Care Medicine"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute and Critical Care","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7204843530"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.4266/acc.002964","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013369311","display_name":"Jung Rae Cho","orcid":"https://orcid.org/0000-0003-4569-9479","observed_orcids":["https://orcid.org/0000-0003-4569-9479"]},"institutions":[{"id":"https://openalex.org/I4210166688","display_name":"Dankook University Hospital","ror":"https://ror.org/05v0qpv28","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210166688","https://openalex.org/I89015989"]},{"id":"https://openalex.org/I89015989","display_name":"Dankook University","ror":"https://ror.org/058pdbn81","country_code":"KR","type":"education","lineage":["https://openalex.org/I89015989"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Jung Rae Cho","raw_affiliation_strings":["Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea","Division of Trauma Surgery, Department of Surgery, Dankook University College of Medicine, Cheonan, Korea"],"raw_orcid":"https://orcid.org/0000-0003-4569-9479","affiliations":[{"raw_affiliation_string":"Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea","institution_ids":["https://openalex.org/I4210166688"]},{"raw_affiliation_string":"Division of Trauma Surgery, Department of Surgery, Dankook University College of Medicine, Cheonan, Korea","institution_ids":["https://openalex.org/I4210166688","https://openalex.org/I89015989"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102886102","display_name":"Hancheol Jo","orcid":"https://orcid.org/0000-0002-5774-8402","observed_orcids":["https://orcid.org/0000-0002-5774-8402"]},"institutions":[{"id":"https://openalex.org/I4210166688","display_name":"Dankook University Hospital","ror":"https://ror.org/05v0qpv28","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210166688","https://openalex.org/I89015989"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Hancheol Jo","raw_affiliation_strings":["Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea"],"raw_orcid":"https://orcid.org/0000-0002-5774-8402","affiliations":[{"raw_affiliation_string":"Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea","institution_ids":["https://openalex.org/I4210166688"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047492582","display_name":"Dae Sung Ma","orcid":"https://orcid.org/0000-0001-7521-3949","observed_orcids":["https://orcid.org/0000-0001-7521-3949"]},"institutions":[{"id":"https://openalex.org/I4210166688","display_name":"Dankook University Hospital","ror":"https://ror.org/05v0qpv28","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210166688","https://openalex.org/I89015989"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Dae Sung Ma","raw_affiliation_strings":["Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea"],"raw_orcid":"https://orcid.org/0000-0001-7521-3949","affiliations":[{"raw_affiliation_string":"Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea","institution_ids":["https://openalex.org/I4210166688"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100749386","display_name":"Dong Hun Kim","orcid":"https://orcid.org/0000-0001-6613-6902","observed_orcids":["https://orcid.org/0000-0001-6613-6902","https://orcid.org/0000-0002-4843-1550"]},"institutions":[{"id":"https://openalex.org/I4210166688","display_name":"Dankook University Hospital","ror":"https://ror.org/05v0qpv28","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210166688","https://openalex.org/I89015989"]},{"id":"https://openalex.org/I89015989","display_name":"Dankook University","ror":"https://ror.org/058pdbn81","country_code":"KR","type":"education","lineage":["https://openalex.org/I89015989"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Dong Hun Kim","raw_affiliation_strings":["Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea","Division of Trauma Surgery, Department of Surgery, Dankook University College of Medicine, Cheonan, Korea"],"raw_orcid":"https://orcid.org/0000-0001-6613-6902","affiliations":[{"raw_affiliation_string":"Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea","institution_ids":["https://openalex.org/I4210166688"]},{"raw_affiliation_string":"Division of Trauma Surgery, Department of Surgery, Dankook University College of Medicine, Cheonan, Korea","institution_ids":["https://openalex.org/I4210166688","https://openalex.org/I89015989"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5100749386"],"corresponding_institution_ids":["https://openalex.org/I4210166688","https://openalex.org/I89015989"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"41","issue":"3","first_page":"631","last_page":"640"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/peripherally-inserted-central-catheter","display_name":"peripherally inserted central catheter","score":0.984000027179718},{"id":"https://openalex.org/keywords/trauma-intensive-care-unit","display_name":"trauma intensive care unit","score":0.8069999814033508},{"id":"https://openalex.org/keywords/fluoroscopy-guided-catheterization","display_name":"fluoroscopy-guided catheterization","score":0.7649999856948853},{"id":"https://openalex.org/keywords/catheter-tip-positioning","display_name":"catheter tip positioning","score":0.8169999718666077},{"id":"https://openalex.org/keywords/catheter-related-complications","display_name":"catheter-related complications","score":0.593999981880188},{"id":"https://openalex.org/keywords/catheter-dwell-time","display_name":"catheter dwell time","score":0.9190000295639038},{"id":"https://openalex.org/keywords/critically-ill-trauma-patients","display_name":"critically ill trauma patients","score":0.7350000143051147}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9284999966621399},{"id":"https://openalex.org/C2777960920","wikidata":"https://www.wikidata.org/wiki/Q7168716","display_name":"Peripherally inserted central catheter","level":3,"score":0.7942000031471252},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.6807000041007996},{"id":"https://openalex.org/C2776805002","wikidata":"https://www.wikidata.org/wiki/Q614984","display_name":"Fluoroscopy","level":2,"score":0.5705999732017517},{"id":"https://openalex.org/C2991859549","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Critically ill","level":2,"score":0.5562999844551086},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.544700026512146},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5180000066757202},{"id":"https://openalex.org/C2781267111","wikidata":"https://www.wikidata.org/wiki/Q652297","display_name":"Catheter","level":2,"score":0.413100004196167},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4092999994754791},{"id":"https://openalex.org/C85004164","wikidata":"https://www.wikidata.org/wiki/Q1089964","display_name":"Injury Severity Score","level":4,"score":0.39910000562667847},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.38190001249313354},{"id":"https://openalex.org/C2780110798","wikidata":"https://www.wikidata.org/wiki/Q2980337","display_name":"Trauma center","level":3,"score":0.37459999322891235},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.36059999465942383},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.34470000863075256},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3321000039577484},{"id":"https://openalex.org/C2777501473","wikidata":"https://www.wikidata.org/wiki/Q1796666","display_name":"Body surface area","level":2,"score":0.30090001225471497},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.26809999346733093}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.4266/acc.002964","doi":"https://doi.org/10.4266/acc.002964","is_oa":true,"landing_page_url":"https://doi.org/10.4266/acc.002964","pdf_url":null,"source":{"id":"https://openalex.org/S4210184436","display_name":"Acute and Critical Care","issn_l":"2586-6052","issn":["2586-6052","2586-6060"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","kci-registered","ki-jl-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319443","host_organization_name":"Korean Society of Critical Care Medicine","host_organization_lineage":["https://openalex.org/P4310319443"],"host_organization_lineage_names":["Korean Society of Critical Care Medicine"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute and Critical Care","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13575395","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13575395/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13575395/pdf/acc-002964.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute Crit Care","raw_type":"Text"},{"id":"pmid:42723455","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42723455","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute and critical care","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.4266/acc.002964","doi":"https://doi.org/10.4266/acc.002964","is_oa":true,"landing_page_url":"https://doi.org/10.4266/acc.002964","pdf_url":null,"source":{"id":"https://openalex.org/S4210184436","display_name":"Acute and Critical Care","issn_l":"2586-6052","issn":["2586-6052","2586-6060"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","kci-registered","ki-jl-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319443","host_organization_name":"Korean Society of Critical Care Medicine","host_organization_lineage":["https://openalex.org/P4310319443"],"host_organization_lineage_names":["Korean Society of Critical Care Medicine"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acute and Critical Care","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321209","display_name":"Dankook University","ror":"https://ror.org/058pdbn81"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204843530.pdf","grobid_xml":"https://content.openalex.org/works/W7204843530.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W1144086515","https://openalex.org/W1955359288","https://openalex.org/W1989024941","https://openalex.org/W1989229776","https://openalex.org/W2000610009","https://openalex.org/W2006262504","https://openalex.org/W2017681506","https://openalex.org/W2044687038","https://openalex.org/W2065186413","https://openalex.org/W2094115066","https://openalex.org/W2122981321","https://openalex.org/W2140261815","https://openalex.org/W2187435605","https://openalex.org/W2214877328","https://openalex.org/W2564463962","https://openalex.org/W2895393721","https://openalex.org/W2920876975","https://openalex.org/W2947381307","https://openalex.org/W2978531627","https://openalex.org/W3006405378","https://openalex.org/W3009904705","https://openalex.org/W3132845954","https://openalex.org/W3135953385","https://openalex.org/W3146774601","https://openalex.org/W3169963612","https://openalex.org/W4295806504","https://openalex.org/W4387413464","https://openalex.org/W4387496155","https://openalex.org/W4389396335"],"related_works":["https://openalex.org/W3209350242","https://openalex.org/W2943103376","https://openalex.org/W3006405378","https://openalex.org/W4295806504","https://openalex.org/W3132845954","https://openalex.org/W3146774601","https://openalex.org/W2564463962","https://openalex.org/W4313466600","https://openalex.org/W3187729515","https://openalex.org/W4313800181"],"abstract_inverted_index":{"BACKGROUND:":[0],"Transporting":[1],"critically":[2,210],"ill":[3,211],"trauma":[4,35,46,62,212],"patients":[5,48],"for":[6,208],"fluoroscopy-guided":[7,135,174],"peripherally":[8],"inserted":[9],"central":[10],"catheter":[11,82],"(PICC)":[12],"placement":[13],"poses":[14],"substantial":[15],"risks.":[16],"This":[17,41],"study":[18,44],"evaluated":[19],"the":[20,103,118,140,151,156],"clinical":[21,181],"outcomes":[22],"of":[23,129,133],"bedside":[24,69,104,130,152,168],"PICC":[25,51,92,97,194],"insertion":[26,52,195],"using":[27,139,196],"a":[28,34,60,197,204],"surface":[29,198],"anatomical":[30,199],"landmark-based":[31],"measurement":[32,200],"in":[33,127,150,155,166,172],"intensive":[36],"care":[37],"unit":[38],"(ICU).":[39],"METHODS:":[40],"retrospective":[42],"cohort":[43],"included":[45,73],"ICU":[47,213],"who":[49],"underwent":[50],"between":[53],"September":[54],"2023":[55],"and":[56,81,112,131,171,176],"August":[57],"2024":[58],"at":[59],"regional":[61],"center.":[63],"Insertion":[64],"location":[65],"was":[66,125,148],"categorized":[67],"as":[68],"or":[70],"fluoroscopy-guided.":[71],"Outcomes":[72],"optimal":[74,122],"tip":[75,123],"positioning,":[76],"aberrant-course":[77,163],"malposition,":[78],"complication":[79,184],"rates,":[80],"dwell":[83],"time.":[84],"Multivariable":[85],"linear":[86],"regression":[87],"identified":[88],"factors":[89],"associated":[90],"with":[91],"duration.":[93],"RESULTS:":[94],"Among":[95],"282":[96],"procedures":[98],"(171":[99],"bedside,":[100],"111":[101],"fluoroscopy),":[102],"group":[105,153,158],"had":[106],"significantly":[107],"higher":[108],"injury":[109],"severity":[110],"scores":[111],"more":[113],"frequent":[114],"mechanical":[115],"ventilation.":[116],"Using":[117],"cmbased":[119],"carina-distance":[120],"criterion,":[121,145],"positioning":[124],"achieved":[126],"73.1%":[128],"65.5%":[132],"evaluable":[134],"insertions":[136,169],"(P=0.184).":[137],"However,":[138],"vertebral":[141],"body":[142],"unit-based":[143],"radiologic":[144],"target-zone":[146],"achievement":[147],"lower":[149],"than":[154],"fluoroscopy":[157],"(48.5%":[159],"vs.":[160,189],"64.9%).":[161],"Initial":[162],"malposition":[164],"occurred":[165],"nine":[167],"(5.3%)":[170],"no":[173],"insertions,":[175],"all":[177],"were":[178,186],"corrected":[179],"before":[180],"use.":[182],"Overall":[183],"rates":[185],"comparable":[187],"(17.5%":[188],"18.0%,":[190],"P=0.919).":[191],"CONCLUSIONS:":[192],"Bedside":[193],"method":[201],"may":[202],"be":[203],"feasible":[205],"transport-free":[206],"option":[207],"selected":[209],"patients.":[214]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-09-01T00:00:00"}