Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis

Indarwati, Ferika; Mathew, Saira; Munday, Judy; Keogh, Samantha

doi:10.1016/j.ijnurstu.2019.103488

Cited by 55 publications

(59 citation statements)

References 62 publications

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“…PIVCs are often the primary and most commonly inserted devices used to obtain vascular access during hospitalisation. 20 The incidence of device failure in the current study is slightly higher when compared with the 34% pooled incidence of failure in the recently published meta-analyses by Indarwati et al 22 It is difficult to give an unambiguous clarification for this, although the pattern of complications and their relative incidence does match.…”

Section: Open Accesscontrasting

confidence: 78%

“…The incidence of infiltration reported elsewhere ranges from 6% to 87%, and the incidence of extravasation ranges between 2% and 77%. 22 The use of the infiltration/extravasation staging instrument, as developed by Montgomery et al, 23 could accomplish consensus on the definition of the condition and its severity. 5 An explanation for the non-standard use of this instrument may be that it has not been externally validated.…”

Section: Open Accessmentioning

confidence: 99%

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Evaluation of unmodifiable and potentially modifiable factors affecting peripheral intravenous device-related complications in neonates: a retrospective observational study

et al. 2021

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ObjectivesInfants in neonatal units benefit from dependable peripheral intravenous access. However, peripheral intravenous access exposes infants to high rates of clinically minor and serious complications. Despite this, little is known about the interplay of risk factors. The aim of this study was to assess the incidence and evaluate the interactions of risk factors on the occurrence of peripheral intravenous complications in a neonatal population.DesignThis was a retrospective observational study.SettingThe study was performed on the neonatal intensive care unit of the Women’s Wellness and Research Center, Hamad Medical Corporation, Qatar, as a single-site study.ParticipantsThis study included 12 978 neonates who required intravenous therapy.Outcome measurementsThe main outcome was the occurrence of any peripheral intravenous cannulation failure, leading to unplanned removal of the device before completion of the intended intravenous therapy.ResultsA mean dwell time of 36±28 hours was recorded in participants with no complications, whereas the mean dwell time was 31±23 hours in participants with an indication for premature removal of the peripheral intravenous catheter (PIVC) (p<0.001, t=11.35). Unplanned removal occurred in 59% of cases; the overall complication rate was 18 per 1000 catheter days. Unmodifiable factors affecting PIVC dwell time include lower birth (HR=0.23, 0.20 to 0.28, p<0.001) and current body weight (HR=1.06, 1.03 to 1.10, p=0.018). Cannulation site (HR=1.23, 1.16 to 1.30, p<0.001), the inserted device (HR=0.89, 0.84 to 0.94, p<0.001) and the indication for intravenous treatment (HR=0.76, 0.73 to 0.79, p<0.001) were modifiable factors.ConclusionMost infants experienced a vascular access-related complication. Given the high complication rate, PIVCs should be used judiciously and thought given prior to their use as to whether alternate means of intravenous access might be more appropriate.

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Section: Open Accesscontrasting

confidence: 78%

Section: Open Accessmentioning

confidence: 99%

Evaluation of unmodifiable and potentially modifiable factors affecting peripheral intravenous device-related complications in neonates: a retrospective observational study

et al. 2021

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“…Variables such as appropriate dilution of the drugs, the use of the infusion pump, the nature of the area where the PIVC is inserted, the determination of the area, the care of the area, the age of the child and the child's disease, dressing, knowledge and experience of the nurse, may affect the duration of the catheter in the vein and complications. [5,10,15] Prevention of infiltration/extravasation (I/E) in pediatric patients is important. A study has examined the effect of an education program, which aims to prevent and manage pediatric I/E, on I/E rates in pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, continued efforts from health care providers are required to decrease the incidence of these complications. [15] Purpose of the Study This study was conducted for the primary purpose of examining the duration of the PIVC in the vein, the number of PIVC inserted until discharge, and the causes of removals of PIVC, which are used at children hospitalized in pediatric clinics.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Duration of Peripheral Venous Catheter in Vein in Hospitalized Children

Acar

Güner

Yilmaz

2021

Journal of Contemporary Medicine

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This study was conducted to evaluate the duration of the peripheral venous catheter in vein, which is employed in the treatment of children who are hospitalized in pediatric clinics. Material and Method:The study was conducted as a prospective and observational-descriptive study. The sampling of the study consisted of the 249 child, who were admitted to the pediatric clinic and who underwent peripheral venous catheter insertion. Institution and ethics committee permission was obtained for the study. The data were collected with the "Peripheral Venous Catheter Monitoring Form" and "Phlebitis Scale", which were prepared according to the literature.Results: It was determined that a total of 57.8% of the children who were included in the study were 1-36 months old, 60.6% were male, and 66.7% were hospitalized for more than 6 days. It was also determined that the duration of the catheter in children was 58.76±28 hours and catheter was inserted 3.61±1 times during hospitalization. The negative correlation between "durations of peripheral ıntravenous catheters in veins" and "number of peripheral intra venous catheters inserted from hospitalization to discharge" was found to be statistically significant. It was determined that 73.5% of the catheters were removed because of the obstruction. Conclusion:As a result of the present study, it was determined that the peripheral venous catheter in children under three years of age had a shorter duration of remaining in the veins, and children were subjected to repeated peripheral venous catheter attempts because of obstructions before their treatments were completed.

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“…[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. [9] Complications of PIVC are documented in pediatric patients such as phlebitis, infiltration, pain, and local inflammation.…”

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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Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis

Cited by 55 publications

References 62 publications

Evaluation of unmodifiable and potentially modifiable factors affecting peripheral intravenous device-related complications in neonates: a retrospective observational study

Evaluation of unmodifiable and potentially modifiable factors affecting peripheral intravenous device-related complications in neonates: a retrospective observational study

Evaluation of the Duration of Peripheral Venous Catheter in Vein in Hospitalized Children

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

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