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- Title
Peripheral intravenous catheters in the care of oncology and haematology patients.
- Authors
Larsen, Emily N.; Ray-Barruel, Gillian; Takashima, Mari; Marsh, Nicole; Friese, Christopher R.; Chopra, Vineet; Alexandrou, Evan; Rickard, Claire M.
- Abstract
Aim To determine peripheral intravenous catheter (PIVC) characteristics, complications and risk factors among patients in cancer units. Methods A secondary analysis of a global, cross-sectional study (127 hospitals in 24 countries). Participants (≥18 years) admitted to cancer units were assessed once for PIVC characteristics and the presence of complications. Variables included patient demographics, device characteristics, treatment details, and device and/or site complications. PIVC characteristics were presented using qualitative descriptors; mixed-effects logistic regression models determined risk factors for PIVC complications. Results: In total, 1,807 participants (1,812 PIVCs) were included; 12% (n=215) of PIVCs presented with complications. Risk factors included: insertion by doctors; insertion in ED and ambulance/other locations; poor PIVC dressing integrity; dwell time ≥49 hours; and administration of colloids/blood products and antiemetics. Conclusions At least one in ten PIVCs in cancer units present with complications; regular PIVC assessment and improved dressing integrity is likely to reduce risk and improve outcomes.
- Subjects
BLOOD disease treatment; INTRAVENOUS catheterization; HOSPITALS; SPECIALTY hospitals; CROSS-sectional method; CANCER patients; RISK assessment; CANCER treatment; TREATMENT effectiveness; DESCRIPTIVE statistics; SOCIODEMOGRAPHIC factors; LOGISTIC regression analysis; CANCER patient medical care; SECONDARY analysis; WOUND care; ANTIEMETICS
- Publication
Australian Journal of Cancer Nursing, 2022, Vol 23, Issue 1, p16
- ISSN
1441-2551
- Publication type
Article
- DOI
10.33235/ajcn.23.1.16-22