Integrated versus nOn-integrated Peripheral inTravenous catheter. Which Is the most effective systeM for peripheral intravenoUs catheter Management? (The OPTIMUM study): a randomised controlled trial protocol

BMJ Open
Maria Isabel CastilloClaire M Rickard

Abstract

Peripheral intravenous catheters (PIVCs) are frequently used in hospitals. However, PIVC complications are common, with failures leading to treatment delays, additional procedures, patient pain and discomfort, increased clinician workload and substantially increased healthcare costs. Recent evidence suggests integrated PIVC systems may be more effective than traditional non-integrated PIVC systems in reducing phlebitis, infiltration and costs and increasing functional dwell time. The study aim is to determine the efficacy, cost-utility and acceptability to patients and professionals of an integrated PIVC system compared with a non-integrated PIVC system. Two-arm, multicentre, randomised controlled superiority trial of integrated versus non-integrated PIVC systems to compare effectiveness on clinical and economic outcomes. Recruitment of 1560 patients over 2 years, with randomisation by a centralised service ensuring allocation concealment. Primary outcomes: catheter failure (composite endpoint) for reasons of: occlusion, infiltration/extravasation, phlebitis/thrombophlebitis, dislodgement, localised or catheter-associated bloodstream infections. first time insertion success, types of PIVC failure, device colonisation, insertion...Continue Reading

Citations

Jul 11, 2019·Journal of Nursing Care Quality·Heather GalangKathie S Zimbro
Jul 4, 2020·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Elizabeth Morrell
Jul 20, 2021·The Journal of Vascular Access·Fulvio Pinelli, Mauro Pittiruti
Aug 28, 2021·The Lancet. Haematology·Nicole Marsh, Claire M Rickard

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