Risk Factors for Peripheral Intravenous Catheter Failure: A Multivariate Analysis of Data from a Randomized Controlled Trial

Wallis, Marianne; McGrail, Matthew Richard; Webster, Joan; Marsh, Nicole; Gowardman, John; Playford, Geoffrey; Rickard, Claire M

doi:10.1086/674398

Cited by 286 publications

(328 citation statements)

References 26 publications

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“…(4,(7)(8)(9)(10)(11)(12)(13) Concerning the catheter characteristics, studies appoint that caliber 20G is the most used, (10)(11)(12)(13)(14) location in upper left limb (3,10) and forearm region, (1,8,9,13) successful puncture upon the first attempt, (1,4) and dwelling time superior to 72 hours, (8)(9)(10)13,15) similar to the present findings. The use of antimicrobials in this research differed from studies that appoint frequent use.…”

Section: Discussionsupporting

confidence: 89%

“…The use of antimicrobials in this research differed from studies that appoint frequent use. (1,3,4,14,15) Similar complication rates in peripheral venous catheterization are found in 52% (7) and 51.1% (4) of the catheters. Data appoint a larger proportion of complications in peripheral venous catheters in women (p=0.0300), patients aged 85 years or older, when compared to participants younger than 65 years of age (p=0.0500), puncture in the forearm region when compared to other puncture regions (p≤0.0001) and other regions punctured.…”

Section: Discussionmentioning

confidence: 54%

“…Most catheters are removed due to the occurrence of complications, the end of the treatment or lack of use. (1) The following local complications are associated with the use of peripheral intravenous catheter: hematoma, thrombosis, phlebitis, thrombophlebitis, infiltration, extravasation, local infection and venous spasm. (2) More than 70% of inpatients need a peripheral venous catheter.…”

Section: Introductionmentioning

confidence: 99%

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Complicações relacionadas ao uso do cateter venoso periférico: ensaio clínico randomizado

et al. 2016

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Objective: To analyze the complications deriving from the use and type of peripheral venous catheter in adults. Methods: Randomized clinical trial; undertaken at a teaching hospital between 2012 and 2015; 169 adults were included who were hospitalized at clinical and surgical services and needed peripheral venipuncture with an expected dwelling time of more than 96 hours. Through systemized randomization, 90 participants were allocated to the trial group (complete safety catheter) and 79 to the control group (short flexible catheter). Results: The general complications rate was 55.62%, with 18.34% of phlebitis, 11.83% infiltration, 11.24% obstruction and 9.47% traction. No significant difference was found between the groups for the occurrence of complications, phlebitis, obstruction and traction. Conclusion: The complication rate in peripheral venous catheterization was high but, when compared, without a statistically significant difference, the complete safety catheter showed lower complication rates after the fourth day of survival. ResumoObjetivo: Analisar as complicações decorrentes do uso e tipo de cateter venoso periférico em adultos. Métodos: Ensaio clínico randomizado; realizado em um hospital de ensino, no período de 2012 a 2015; incluiu-se 169 adultos internados em unidades clínicas e cirúrgicas que necessitaram de punção venosa periférica e com permanência prevista de mais de 96 horas. A randomização aleatória sistematizada alocou 90 participantes no Grupo Experimental (cateter de segurança completo) e 79 no Grupo Controle (cateter curto flexível). Resultados: A taxa geral de complicações foi 55,62%, houve 18,34% de flebite, infiltração 11,83%, obstrução 11,24% e tração 9,47%. Não houve diferença significativa entre os grupos para a ocorrência de complicações, flebite, obstrução e tração. Conclusão: A taxa de complicações no cateterismo venoso periférico foi alta, mas quando comparados, sem diferença estatística significativa, o cateter de segurança completo teve taxas menores de complicações após o quarto dia de sobrevida.Brazilian Clinical Trial Registers (ReBEC): RBR-46ZQR8

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

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Complicações relacionadas ao uso do cateter venoso periférico: ensaio clínico randomizado

et al. 2016

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“…Some studies show traumatic phlebitis as an important occurrence related to catheters inserted in flexion areas or areas of large member mobility, culminating in accidental removal of the device. (5,15) In the present study, however, the development of phlebitis was not different between groups of elderly people with punctures in dominant members or not.…”

Section: Discussioncontrasting

confidence: 72%

Fatores relacionados à flebite em idosos com infusão intravenosa de amiodarona

et al. 2016

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Objective: To verify the incidence of phlebitis and identify factors associated with the development of phlebitis due to peripheral intravenous infusion of amiodarone in elderly patients. Methods: Prospective and observational cohort study on risk factors for the development of phlebitis in patients aged over 60 years, who received peripheral intravenous infusion of amiodarone, hospitalized in 2012 in the coronary care (22 beds) and general semi-intensive units (43 beds) of a large private hospital in São Paulo, Brazil. Results: Of the total 102 elderly people, 34 (33.3%) had phlebitis. It was more frequent in women (43.6%), in the dominant punctured member (36.2%), in the forearm basilica or cephalic veins (41.2%), in caliber 20G devices (40.0%), in IV Fix® sterile dressings (39.3%), in Intima® catheters (34.3%) and when there was device repositioning (33.3%). However, these variables were not statistically associated with phlebitis. Phlebitis absence in the exclusive bolus infusion was marginally significant (p = 0.051) compared to different types of infusion. Conclusion: One-third of the studied elderly patients presented phlebitis. There was absence of phlebitis only in exclusive bolus infusions. ResumoObjetivo: Identificar fatores associados à ocorrência de flebite decorrente da infusão intravenosa periférica de amiodarona em idosos. Métodos: Coorte prospectiva, observacional sobre fatores de risco para ocorrência de flebite em pacientes com idade acima de 60 anos que receberam infusão intravenosa periférica de amiodarona, internados, no ano de 2012, nas unidades Coronarianas (22 leitos) e Semi Intensivas Gerais (43 leitos) de um hospital privado de grande porte, localizado na cidade de São Paulo, Brasil. Resultados: Do total de 102 idosos, 34 (33,3%) apresentaram flebite. A flebite foi mais frequente em mulheres (43,6%), em membro dominante puncionado (36,2%), em veias basílica ou cefálica do antebraço (41,2%), nos dispositivos de calibre 20G (40,0%), em curativo estéril IV Fix® (39,3%), em cateter Intima® (34,3%) e quando houve reposicionamento do dispositivo (33,3%); mas essas variáveis não se associaram estatisticamente à flebite. Ausência de flebite na infusão rápida exclusiva foi marginalmente significante (p= 0,051) comparada aos diferentes tipos de infusão. Conclusão: Um terço dos idosos estudados apresentou flebite, verificou-se ausência de flebite somente nas infusões rápidas exclusivas.

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“…Patients were kept in hospital and continuous infusion rates were set by the nurses. These low-flow infusions were more exposed to obstructions favored by changes in patient position [8].…”

Section: Resultsmentioning

confidence: 99%

Compliance in the Duration of Administration of Anticancer Chemotherapy: Comparative Study of Two Different Administration Modalities (PVC versus IVAD)

At¹,

Toure²,

Dta³

et al. 2017

Journal of Cancer science and Clinical Oncology

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Risk Factors for Peripheral Intravenous Catheter Failure: A Multivariate Analysis of Data from a Randomized Controlled Trial

Abstract: The original randomized controlled trial on which this secondary analysis is based is registered with the Australian New Zealand Clinical Trials Registry (http://www.anzctr.org.au; ACTRN12608000445370).

Cited by 286 publications

References 26 publications

Complicações relacionadas ao uso do cateter venoso periférico: ensaio clínico randomizado

Complicações relacionadas ao uso do cateter venoso periférico: ensaio clínico randomizado

Fatores relacionados à flebite em idosos com infusão intravenosa de amiodarona

Compliance in the Duration of Administration of Anticancer Chemotherapy: Comparative Study of Two Different Administration Modalities (PVC versus IVAD)

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