Successful multifaceted intervention aimed to reduce short peripheral venous catheter-related adverse events: A quasiexperimental cohort study

Mestre, Gabriel; Berbel, Cristina; Tortajada, Purificación; Alarcia, Margarita; Coca, Roser; Fernández, Mari Mar; Gallemi, Gema; García, Irene García; Aguilar, Mari Carmen; Rodríguez-Baño, Jesús; Martínez, José Antonio

doi:10.1016/j.ajic.2012.07.014

Cited by 48 publications

(34 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(25) Equivalent rates resulted in 10% (9) (n=11 out of 110 catheters) and in 11.7% (12) for obstruction or function loss. For traction, similar to the present findings, studies measure rates of 10.2%, (4) 7.8%, (24) and between 6 and 9%. (14) The absence of information records on venipuncture from the patient histories was a limiting factor in this research.…”

Section: Discussionsupporting

confidence: 76%

“…(23) When relating the dwelling time with the grades of phlebitis, the results appoint grade I and II phlebitis for catheters inserted for up to 72 hours and grade III and IV after 72 hours of dwelling time, with a statistically significant difference (p=0.006), as well as a significant relation (p= 0.0130) for grade I in the back of the hands and grades II, III and IV in the forearm region. (23) The rates of infiltration were similar to the literature, measured at 12.5% (24) and 13%. (12) In this research, no significant difference was found between the variables analyzed for obstruction, but a study involving surgical patients appointed that the 22 gauge caliber, used in 8.1% of the participants, presented more cases of obstruction, with a proven statistical difference (p=0.0004).…”

Section: Discussionsupporting

confidence: 75%

See 1 more Smart Citation

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

et al. 2016

View full text Add to dashboard Cite

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

show abstract

Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 75%

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

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Whereas phlebitis scoring has been refined and used broadly by other healthcare facilities, a quantifiable impact upon infection risk-reduction has not been reported. 8,16 Given the time required for clinical assessment and documentation of phlebitis severity, we suggest that further refinement of this component is necessary to justify roll-out in other centres. The impact of cointerventions, including hand hygiene compliance, was not analysed.…”

Section: Discussionmentioning

confidence: 98%

Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannulae: successful implementation of a care bundle at a large Australian health service

Rhodes

Cheng

McLellan

et al. 2016

Journal of Hospital Infection

View full text Add to dashboard Cite

“…In a cohort study with 967 adult patients in Barcelona, it was observed a higher frequency of phlebitis Grade 1 (77.6%) and Grade 2 (22%). A quasi-experimental research type, held in a private hospital in Barcelona, found higher incidence of phlebitis Grade 1 (50%) and Grade 2 (35%) (3,22) . A review study conducted with a sample of 679 adults with PIC described 25 (3.7%) occurrences of phlebitis, ...continuation most were considered as Grade 1 (23) .…”

Section: Discussionmentioning

confidence: 99%

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

Enes

Opitz

Faro

et al. 2016

Rev. esc. enferm. USP

View full text Add to dashboard Cite

OBJECTIVE To identify the presence of phlebitis and the factors that influence the development of this complication in adult patients admitted to hospital in the western Brazilian Amazon. METHOD Exploratory study with a sample of 122 peripheral intravenous catheters inserted in 122 patients in a medical unit. Variables related to the patient and intravenous therapy were analyzed. For the analysis, we used chi-square tests of Pearson and Fisher exact test, with 5% significance level. RESULTS Complication was the main reason for catheter removal (67.2%), phlebitis was the most frequent complication (31.1%). The mean duration of intravenous therapy use was 8.81 days in continuous and intermittent infusion (61.5%), in 20G catheter (39.3%), inserted in the dorsal hand vein arc (36.9 %), with mean time of usage of 68.4 hours. The type of infusion (p=0.044) and the presence of chronic disease (p=0.005) and infection (p=0.007) affected the development of phlebitis. CONCLUSION There was a high frequency of phlebitis in the sample, being influenced by concomitant use of continuous and intermittent infusion of drugs and solutions, and more frequent in patients with chronic diseases and infection.

show abstract

Successful multifaceted intervention aimed to reduce short peripheral venous catheter-related adverse events: A quasiexperimental cohort study

Cited by 48 publications

References 23 publications

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

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

Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannulae: successful implementation of a care bundle at a large Australian health service

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

Contact Info

Product

Resources

About