Cited by 430Central Venous Catheters and HemodialysisIntravenous Infusion Technology and SafetyVascular Procedures and Complications

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Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

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Alexandrou, Evan, Ray‐Barruel, Gillian, Carr, Peter J., Frost, Steven A., Inwood, Sheila, Higgins, Niall, Lin, Frances, Alberto, Laura, Mermel, Leonard, Rickard, Claire M., the OMG Study Group·2018·Journal of Hospital Medicine

DOI 10.12788/jhm.3039

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Abstract

BACKGROUND: Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE: To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: Cross‐sectional study. SETTING/PATIENTS: Hospitalized patients from rural, regional, and metropolitan areas internationally. MEASUREMENTS: Hospital, device, and inserter characteristics were collected along with assessment of the catheter insertion site. PIVC use in different geographic regions was compared. RESULTS: We reviewed 40,620 PIVCs in 51 countries. PIVCs were used primarily for intravenous medication ( n = 28,571, 70%) and predominantly inserted in general wards ( n = 22,167, 55%). Two‐thirds of all devices were placed in non‐recommended sites such as the hand, wrist, or antecubital veins. Nurses inserted most PIVCs ( n = 28,575, 71%); although there was wide regional variation (26% to 97%). The prevalence of idle PIVCs was 14% ( n = 5,796). Overall, 10% ( n = 4,204) of PIVCs were painful to the patient or otherwise symptomatic of phlebitis; a further 10% ( n = 3,879) had signs of PIVC malfunction; and 21% of PIVC dressings were suboptimal ( n = 8,507). Over one‐third of PIVCs ( n = 14,787, 36%) had no documented daily site assessment and half ( n = 19,768, 49%) had no documented date and time of insertion. CONCLUSIONS: In this study, we found that many PIVCs were placed in areas of flexion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice.

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Authors: Alexandrou, E., Ray‐Barruel, G., Carr, P. J., Frost, S. A., Inwood, S., Higgins, N., Lin, F., Alberto, L., Mermel, L., Rickard, C. M., & the OMG Study Group
Affiliations: Griffith University (AU)
Liverpool Hospital (AU)
Corresponding author: Alexandrou, Evan
ORCID: Alexandrou, Evan
Ray‐Barruel, Gillian
Carr, Peter J.
Frost, Steven A.
Higgins, Niall
Lin, Frances
Alberto, Laura
Mermel, Leonard
Rickard, Claire M.
Venue: Journal of Hospital Medicine
Publisher: Wiley
Published: 2018-05
Volume: 13
Issue: 5
ISSN: 1553-5592 (ISSN-L)
1553-5606
DOI: 10.12788/jhm.3039
OpenAlex: W2806490016
Cited by: 430
References: 42
Citations by year: 2026: 30 · 2025: 54 · 2024: 67 · 2023: 59 · 2022: 68 · 2021: 61 · 2020: 60 · 2019: 24 · 2018: 6
FWCI: 57.70
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1927 d)
Locations: Journal of Hospital Medicine (publishedVersion)
PubMed (publishedVersion)
QUT ePrints (Queensland University of Technology) (submittedVersion)
Griffith Research Online (submittedVersion)
Funders: Cook Medical
Griffith University
Western Sydney University
Topics: Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Central Venous Catheters and Hemodialysis
Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
Keywords: peripheral intravenous catheters, catheter insertion site, catheter malfunction, phlebitis, catheter dressing, regional variation in practice, hospitalized patients
MeSH terms: Catheterization, Peripheral, Catheters, Indwelling, Cross-Sectional Studies, Documentation, Female, Hospitals, Humans, Male, Middle Aged, Internationality, Administration, Intravenous

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Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

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