Correction to: Full title: peripheral venous catheter complications in children: predisposing factors in a multicenter prospective cohort study

Abdelaziz, Rim Ben; Hafsi, Habiba; Hajji, H.; Boudabous, Hela; Chehida, Amel Ben; Mrabet, Ali; Boussetta, K.; Barsaoui, Sihem; Sammoud, A.; Hamzaoui, M.; Azzouz, Hatem; Tebib, Néji

doi:10.1186/s12887-018-1281-x

Cited by 3 publications

(4 citation statements)

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“…The PIVC failure rate in the control group (34%) aligns with both adult and pediatric literature (28% to 38%) . Compared with previous studies demonstrating infiltration to be the leading cause of device failure, we found unintentional dislodgement and occlusion were responsible for most failures in the control group .…”

Section: Discussionsupporting

confidence: 85%

Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction

Charters,

Foster,

Lawton

et al. 2024

JAMA Pediatr

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ImportancePeripheral intravenous catheters (PIVCs) facilitate essential treatment. Failure of these essential devices is frequent and new securement strategies may reduce failure and improve patient outcomes.ObjectiveTo evaluate clinical effectiveness of novel PIVC securement technologies for children to reduce catheter failure.Design, Setting, and ParticipantsA 3-arm, parallel group, superiority randomized clinical trial was conducted at 2 regional Australian hospitals from February 5, 2020, to January 14, 2022. Children aged 6 months to 8 years who were anticipated to require admission with a PIVC for at least 24 hours of in hospital treatment were eligible. Data were analyzed from May 25, 2022, to February 20, 2024.InterventionsParticipants were randomly allocated in a 1:1:1 ratio to standard care, bordered polyurethane (Tegaderm [3M]), integrated securement dressing (SorbaView SHIELD [Medline]), and integrated securement dressing with tissue adhesive (Secureport IV). One catheter was studied per patient.Main Outcomes and MeasuresPrimary outcome was PIVC failure, defined as premature cessation of PIVC function for any reason prior to completion of planned treatment. Secondary outcomes were PIVC complications (any time dislodgement, occlusion, infiltration, partial dislodgement, extravasation, device leaking, phlebitis, pain), PIVC longevity, intervention acceptability (clinicians, participants, caregivers; 0-10 scale), and pain on removal (participants and caregivers; 0-10 scale relevant to age), adverse events, and health care costs.ResultsA total of 383 patients (51% female; median age 36 [25th-75th percentiles, 22-72] months) were randomized 134 to standard care, 118 to integrated securement dressing, and 131 to integrated securement dressing with tissue adhesive. PIVC failure was lowest in integrated securement dressing with tissue adhesive (15 [12%]; adjusted hazard ratio [aHR], 0.47; 95% CI, 0.26-0.84) compared with integrated securement dressing (24 [21%]; aHR, 0.78; 95% CI, 0.47-1.28) and standard care (43 [34%]). Direct costs were significantly lower for integrated securement dressing with tissue adhesive (median, Australian dollars [A$], 312 [A$1 is equal to $0.65 US dollars]; IQR, A$302-A$380) and integrated securement dressing (median, A$303; IQR, A$294-A$465) compared with standard care (median, A$341; IQR, A$297-A$592; P ≤ .002) when considering the economic burden related to failure of devices. PIVC longevity and intervention acceptability were similar across all groups.Conclusions and RelevanceIn this study, PIVCs secured with integrated securement dressings and tissue adhesive, in comparison with standard care, bordered polyurethane dressings, were associated with significantly reduced PIVC failure, for children admitted to hospital via the emergency department. Further research should focus on implementation in inpatient units where prolonged dwell and reliable intravenous access is most needed.Trial RegistrationAustralian New Zealand Clinical Trials Registry Identifier: ACTRN12619001026112

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Section: Discussionsupporting

confidence: 85%

Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction

Charters,

Foster,

Lawton

et al. 2024

JAMA Pediatr

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“…The upper extremity and especially the upper-forearm area were the most preferred sites for PIVC insertion (pretest: 69.2%; posttest: 74.1%). When the literature was analyzed, similarly, it was seen that the 24-gauge PIVC was used for the insertion of the PIVC in children 14,19 and the upper extremity was preferred more frequently for the PIVC insertion. 9,14,16,20 Repeated IV interventions are known to cause pain, delay in treatment, limit future vascular interventions, and increase the risk of complications and costs.…”

Section: Discussionmentioning

confidence: 99%

Effect of Intravenous Infiltration Management Program on Peripheral Intravenous Catheter Success and Infiltration in Hospitalized Infants

Taşdelen

Çağlar

2020

Journal of Nursing Care Quality

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“…[3] Pediatric patients are considered at risk for PIVCs complications more than adults. For example, Ben Abdelaziz et al, [4] showed that about a quarter of pediatric patients have local complications from PIVC and premature loss of the PIVC before the therapy is completed with a median life span of cannula ranging from 29 to 60 hours compared to 96 hours for adult patients. [5] Furthermore, up to 97% of PIVCs in neonates have these local complications with a median life span from 23 to 40 hours.…”

Section: Introductionmentioning

confidence: 99%

“…[5] Furthermore, up to 97% of PIVCs in neonates have these local complications with a median life span from 23 to 40 hours. [4] There has been extensive research regarding the factors of PIVC complication among pediatric patients. [6][7][8] However, it is widely recognized that the complication factors of PIVC are mainly related to physiological factors such as fragile vein structure and psychological factors such as communication barriers, activity level, little awareness about PIVC importance, and the care dependency on their family.…”

Section: Introductionmentioning

confidence: 99%

Mothers’ knowledge regarding peripheral intravenous catheter caring and complications among pediatric patients: A cross-sectional study

Jaber

Shaweesh

Zarqa

et al. 2021

JNEP

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Objective: Pediatric patients are considered at risk for Peripheral intravenous catheters (PIVCs) complications more than adults. This study aimed to assess the level of mothers’ knowledge of PIVC maintenance, caring, and complications among pediatric patients. It was also aimed to investigate the association between maintenance and complication knowledge of PIVC. Furthermore, demographic factors were investigated to assess associations on mothers’ knowledge of PIVC.Methods: The study adopted a cross-sectional design. This study was performed on a convenience sample of 193 mothers from a tertiary hospital in Jordan in 2020.Results: Mothers’ knowledge regarding complications was higher than their knowledge of maintenance and caring of PIVC. Mothers’ knowledge toward caring for PIVC was positively correlated with their knowledge about PIVC complications. Mothers’ age and the number of hospital admissions were found to be significantly associated with the level of maintenance and caring knowledge of PIVC but not with complication knowledge of PIVC. The higher the educational level of a mother the less prone she is to complications of PIVC in pediatric patients.Conclusions: It is recommended that health professionals working in pediatric engage mothers in educational sessions to improve maintenance, care, and to prevent complications of PIVC among pediatric patients.

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Correction to: Full title: peripheral venous catheter complications in children: predisposing factors in a multicenter prospective cohort study

Cited by 3 publications

References 1 publication

Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction

Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction

Effect of Intravenous Infiltration Management Program on Peripheral Intravenous Catheter Success and Infiltration in Hospitalized Infants

Mothers’ knowledge regarding peripheral intravenous catheter caring and complications among pediatric patients: A cross-sectional study

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