Incidence of and risk factors for local complications of peripheral venous catheters in patients older than 70 years: Empirical research quantitative

Gras, Emmanuelle; Jean, Alexia; Rocher, Vincent; Tran, Yohann; Katsahian, Sandrine; Jouclas, Diane; Dano, Catherine; Cedile, Johane; Manar, Dalinda; Kassis Chikhani, Najiby; Le Guen, Julien; Patas D’illiers, Clémence; Lebeaux, David

doi:10.1111/jocn.16732

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…Due to its inherently invasive nature, limitations in such skills can facilitate complications associated with using a PIVC, influencing the safety, quality, and efficiency of health care. 1 Despite being one of the most common invasive medical devices, PIVCs fail at unacceptably high rates, with around 50% to 75% failing before treatment is complete due to the incidence of phlebitis, infiltration, occlusion, displacement, and PIVC-associated bloodstream infection. 2,3 The presence of these complications and the early removal of PIVCs cause delays in treatment due to the need for device replacement, pain and anxiety in patients due to multiple insertion attempts, and increased hospital costs.…”

Section: Introductionmentioning

confidence: 99%

Peripheral Intravenous Catheter Insertion

Souza,

Campos,

Machado

et al. 2024

Journal of Infusion Nursing

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This study evaluated peripheral intravenous catheter insertion by licensed practical nurses in a simulated scenario. This cross-sectional and descriptive study was performed in a general hospital's simulation center located in Brazil, from January to October 2020. The authors developed a tool from the leading guidelines to measure peripheral intravenous catheter insertion performance in 60 licensed practical nurses. Data were analyzed using descriptive statistics, with proportions for categorical variables and analytical statistics to denote significance, using SPSS version 22.0. Ethical aspects were respected. Despite the sample comprising professionals who declared an average experience with peripheral intravenous catheter insertion of 6.4 years, at least 50% failed in some tool element. This low score on peripheral intravenous catheter insertion performance is because automation is possible without efforts to improve it. Adding years of practice does not generate better performance. The licensed practical nurses' performance was lower than expected, considering their reported experience, which poses a risk to patient safety. The training of these professionals needs to be discussed in countries where the practice is legal. Skills training should include simulation to approximate clinical practice; nurses must exercise their role in supervising the team.

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Section: Introductionmentioning

confidence: 99%

Peripheral Intravenous Catheter Insertion

Souza,

Campos,

Machado

et al. 2024

Journal of Infusion Nursing

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Impact of an interventional bundle on complications associated with peripheral venous catheters in elderly patients

Pérez-Granda,

Irigoyen-von-Sierakowski,

Toledo

et al. 2024

Eur J Clin Microbiol Infect Dis

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Association between peripheral venous catheter failure and care complexity factors in emergency department: a cross-sectional study

Urbina,

Juvé-Udina,

Adamuz

et al. 2024

BMJ Open

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ObjectiveThe objective was to determine the prevalence of peripheral venous catheter (PVC) failure and its association with care complexity individual factors (CCIFs) in emergency department (ED) patients.DesignA cross-sectional, descriptive-correlational study was performed.MethodsAll patients with a PVC inserted in the ED of a tertiary hospital were included. The period of study was from June 2021 to June 2022. The main outcomes were PVC failure (phlebitis, extravasation/infiltration, dysfunction/occlusion and dislodgement/involuntary withdrawal) and 26 CCIFs categorised into 5 domains (psycho-emotional, mental-cognitive, sociocultural, developmental and comorbidity/complications). Other secondary variables were also collected, such as level of triage or nursing care plan. All data were collected retrospectively from the electronic health records. A descriptive and inferential analysis was performed.ResultsA total of 35 968 patients with one or more PVC inserted during their ED visit were included in the study. The prevalence of PVC failure was 0.9% (n=316). The statistically significant CCIFs associated with PVC failure were: incontinence, haemodynamic instability, transmissible infection, vascular fragility, anxiety and fear, impaired adaptation, consciousness disorders, lack of caregiver support and agitation. In addition, we identified that patients with a higher number of CCIFs were more frequently experienced PVC failure.ConclusionThis study identified a prevalence of PVC failure in the ED of around 1%. The most prevalent complication was dysfunction, followed by extravasation and dislodgement. In addition, PVC failure was associated with comorbidity/complications, psycho-emotional and mental-cognitive CCIFs domains.

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Incidence of and risk factors for local complications of peripheral venous catheters in patients older than 70 years: Empirical research quantitative

Cited by 3 publications

References 31 publications

Peripheral Intravenous Catheter Insertion

Peripheral Intravenous Catheter Insertion

Impact of an interventional bundle on complications associated with peripheral venous catheters in elderly patients

Association between peripheral venous catheter failure and care complexity factors in emergency department: a cross-sectional study

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