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Evaluation of the risk factors on time to phlebitis- and nonphlebitis-related failure when peripheral venous catheters were replaced as clinically indicated.

根据临床指征更换外周静脉导管时,评估静脉炎和非静脉炎相关失败的时间危险因素。

  • 影响因子:1.12
  • DOI:10.1177/1129729820924553
  • 作者列表:"Ozger HS","Yasar M","Başyurt R","Bucak F","Dizbay M
  • 发表时间:2021-01-01
Abstract

BACKGROUND:This study aimed to determine the frequency of peripheral venous catheter-related complications and the risk factors that have an impact on the time of peripheral venous catheter failure when they were replaced as clinically indicated. METHODS:This was a prospective observational study. The demographic and clinical characteristics of the patients, as well as the catheter specifications, were recorded. All the catheters were followed-up at 12-h intervals for the development of complications. Two different peripheral venous catheters were used in the study. The catheter dwell times were estimated using Kaplan-Meier analysis. The logrank test was utilized to investigate the catheter dwell times by univariate analyses. Variables with a significance level of less than 0.20 were taken into Cox regression analysis. RESULTS:Our results revealed that phlebitis and nonphlebitis complications occurred more frequently within the first 96 h. No significant difference was observed in the occurrence time of phlebitis, nonphlebitis, and composite failures. The use of a locally manufactured catheter, unsuccessful first attempt, poor skin integrity, after-hours' insertion, the use of sterile gauze dressing were all associated with shorter catheter survival rates. CONCLUSION:We observed no difference on the time to phlebitis or nonphlebitis symptoms with clinically indicated replacement of peripheral venous catheters. We found a significant difference in survival rates between locally manufactured and imported peripheral venous catheters. Our identified risk factors should be taken into account to reduce peripheral venous catheter-related complications and to increase dwell time.

摘要

背景: 本研究旨在确定外周静脉导管相关并发症的发生率,以及当外周静脉导管根据临床指征更换时,影响外周静脉导管失效时间的危险因素。 方法: 这是一项前瞻性观察性研究。记录患者的人口统计学和临床特征,以及导管规格。所有导管在12小时间隔随访并发症的发展。在研究中使用两种不同的外周静脉导管。使用Kaplan-Meier分析估计导管停留时间。利用logrank试验通过单变量分析来研究导管停留时间。将显著性水平小于0.20的变量纳入Cox回归分析。 结果: 我们的结果显示,在最初的96小时内,静脉炎和非静脉炎并发症发生率更高。静脉炎、非静脉炎和复合失败的发生时间没有显著差异。使用本地制造的导管、首次尝试失败、皮肤完整性差、小时后插入、使用无菌纱布敷料均与较短的导管存活率相关. 结论: 我们观察到静脉炎或非静脉炎症状的时间与临床指征置换外周静脉导管无差异。我们发现本地制造和进口外周静脉导管的存活率有显著差异。我们确定的风险因素应予以考虑,以减少外周静脉导管相关并发症并增加停留时间。

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