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2024-10-15

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cc-by (c) Urbina, A. et al., 2024
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/216497

Association between peripheral venous catheter failure and care complexity factors in emergency department: A cross-sectional study

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Recurs relacionat

https://doi.org/10.1136/bmjopen-2024-090101

Resum

Objective: The objective was to determine the prevalence of peripheral venous catheter (PVC) failure and its association with care complexity individual factors (CCIFs) in emergency department (ED) patients. Design: A cross-sectional, descriptive-correlational study was performed. Methods: All patients with a PVC inserted in the ED of a tertiary hospital were included. The period of study was from June 2021 to June 2022. The main outcomes were PVC failure (phlebitis, extravasation/infiltration, dysfunction/occlusion and dislodgement/involuntary withdrawal) and 26 CCIFs categorised into 5 domains (psycho-emotional, mental-cognitive, sociocultural, developmental and comorbidity/complications). Other secondary variables were also collected, such as level of triage or nursing care plan. All data were collected retrospectively from the electronic health records. A descriptive and inferential analysis was performed. Results: A total of 35 968 patients with one or more PVC inserted during their ED visit were included in the study. The prevalence of PVC failure was 0.9% (n=316). The statistically significant CCIFs associated with PVC failure were: incontinence, haemodynamic instability, transmissible infection, vascular fragility, anxiety and fear, impaired adaptation, consciousness disorders, lack of caregiver support and agitation. In addition, we identified that patients with a higher number of CCIFs were more frequently experienced PVC failure. Conclusion: This study identified a prevalence of PVC failure in the ED of around 1%. The most prevalent complication was dysfunction, followed by extravasation and dislodgement. In addition, PVC failure was associated with comorbidity/complications, psycho-emotional and mental-cognitive CCIFs domains.

Matèries

Adults, Factors de risc en les malalties, Cateterisme, Serveis d'urgències hospitalàries

Matèries (anglès)

Adulthood, Risk factors in diseases, Catheterization, Hospital emergency services

Citació

Col·leccions

Articles publicats en revistes (Infermeria Fonamental i Clínica)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

URBINA, Andrea, et al. Association between peripheral venous catheter failure and care complexity factors in emergency department: A cross-sectional study. BMJ Open. 2024. Vol. 14, num. 10. ISSN 2044-6055. [consulted: 7 of August of 2026]. Available at: https://hdl.handle.net/2445/216497

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