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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
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
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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