Peripheral venous catheter related complications are common among paediatric and neonatal patients

• AimThe aims of this study were to describe the characteristics of peripheral venous catheters (PVCs), including dwell time and reasons for removal, and explore predictors for PVC-related complications. MethodsWe included PVCs in 2032 children - 484 neonatal and 1548 paediatric - from 12 inpatient units. Data were retrieved from the patient record system, and predictors for complications were explored using logistic regression analyses. ResultsJust over one-third (35.4%) of the PVCs were removed due to complications, in particular infiltration and occlusion (51.9 and 48.4/1000 PVC days, respectively). PVC survival time was shorter in neonatal than paediatric patients (4 versus 5days), and infiltration was more frequent in neonatal patients (92.8 versus 38.7/1000 PVC days). Infiltration was associated with younger age (odds ratio 0.97) for neonatal patients and with younger age (OR 0.96), insertion in the bend of the arm (OR 1.48) or ankle (OR2.81) for paediatric patients. Occlusion was, both for neonatal and paediatric patients, associated with longer dwell time (OR 1.32 and 1.22 respectively), insertion in the ankle (OR 5.00 and 3.51) or foot (OR 3.47 and 1.99). ConclusionPVC-related complications, particularly infiltration and occlusion, were more common in hospitalised children but decreased with the child's age.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Keyword

Complications

Electronic patient record

Neonatal care

Paediatric care

Peripheral venous catheters

INTRAVENOUS THERAPY

CHILDREN

TEFLON

INFILTRATION

PREVENTION

INFANTS

CARE

Pediatrics

ANLEY MD

1992

SOUTHERN MEDICAL JOURNAL

V85

P883

Complications; Electronic patient record; Neonatal care; Paediatric care; Peripheral venous catheters

Sjuksköterskors kunskapskällor och forskningsanvändning - effekter av införande av datoriserat beslutsstöd.

Publication and Content Type

ref (subject category)

art (subject category)