Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Marianne C WallisClaire M Rickard

Abstract

To assess the relative importance of independent risk factors for peripheral intravenous catheter (PIVC) failure. Secondary data analysis from a randomized controlled trial of PIVC dwell time. The Prentice, Williams, and Peterson statistical model was used to identify and compare risk factors for phlebitis, occlusion, and accidental removal. Three acute care hospitals in Queensland, Australia. The trial included 3,283 adult medical and surgical patients (5,907 catheters) with a PIVC with greater than 4 days of expected use. Modifiable risk factors for occlusion included hand, antecubital fossa, or upper arm insertion compared with forearm (hazard ratio [HR], 1.47 [95% confidence interval (CI), 1.28-1.68], 1.27 [95% CI, 1.08-1.49], and 1.25 [95% CI, 1.04-1.50], respectively); and for phlebitis, larger diameter PIVC (HR, 1.48 [95% CI, 1.08-2.03]). PIVCs inserted by the operating and radiology suite staff had lower occlusion risk than ward insertions (HR, 0.80 [95% CI, 0.67-0.94]). Modifiable risks for accidental removal included hand or antecubital fossa insertion compared with forearm (HR, 2.45 [95% CI, 1.93-3.10] and 1.65 [95% CI, 1.23-2.22], respectively), clinical staff insertion compared with intravenous service (HR, 1.69 [9...Continue Reading

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Citations

Apr 2, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Peter J CarrClaire M Rickard
Jul 18, 2015·Journal of Evaluation in Clinical Practice·Nicole MarshClaire M Rickard
Oct 28, 2014·Emergency Medicine Australasia : EMA·Lorelle MalyonClaire M Rickard
Jun 16, 2015·Nursing Research and Practice·Joan WebsterClaire M Rickard
Sep 20, 2016·Enfermería clínica·Loreto Arias-FernándezAlberto Lana
Jun 22, 2016·Journal of Clinical Nursing·Ying Hua Grace TanHui Leng Isabel Ng
Dec 3, 2016·Revista latino-americana de enfermagem·Derdried Athanasio JohannJolline Lind
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Jul 7, 2017·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Ryoko MurayamaHiromi Sanada
Mar 21, 2018·The Cochrane Database of Systematic Reviews·Peter J CarrClaire M Rickard
Apr 24, 2018·British Journal of Nursing : BJN·Gillian Ray-Barruel, Claire M Rickard
Apr 24, 2018·British Journal of Nursing : BJN·Andrew Barton
Dec 9, 2017·The Journal of Vascular Access·Garret J HullShramik Sengupta
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Nov 28, 2017·BMC Nursing·Vanno SouEvan Alexandrou
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Oct 30, 2016·British Journal of Nursing : BJN·Scott M Gouveia
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Jul 20, 2018·Emergency Medicine Journal : EMJ·Ananda Vishnu PandurangaduAmit Bahl
Sep 11, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Peter J CarrClaire M Rickard
Jan 28, 2017·The Journal of Vascular Access·Sergio BertoglioMarguerite Stas
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Sep 9, 2017·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Toshiaki TakahashiHiromi Sanada

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