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Occurrence and incidence rate of peripheral intravascular catheter-related phlebitis and complications in critically ill patients: a prospective cohort study (AMOR-VENUS study)
- Source :
- Journal of Intensive Care, Vol 9, Iss 1, Pp 1-12 (2021), Journal of Intensive Care
- Publication Year :
- 2021
- Publisher :
- BMC, 2021.
-
Abstract
- BackgroundThe lack of precise information on the epidemiology of peripheral intravascular catheter (PIVC)-related phlebitis and complications in critically ill patients results in the absence of appropriate preventive measures. Therefore, we aimed to describe the epidemiology of the use of PIVCs and the incidence/occurrence of phlebitis and complications in the intensive care unit (ICU).MethodsThis prospective multicenter cohort study was conducted in 23 ICUs in Japan. All consecutive patients aged ≥ 18 years admitted to the ICU were enrolled. PIVCs inserted prior to ICU admission and those newly inserted after ICU admission were included in the analysis. Characteristics of the ICU, patients, and PIVCs were recorded. The primary and secondary outcomes were the occurrence and incidence rate of PIVC-related phlebitis and complications (catheter-related blood stream infection [CRBSI] and catheter failure) during the ICU stay.ResultsWe included 2741 patients and 7118 PIVCs, of which 48.2% were inserted in the ICU. PIVC-related phlebitis occurred in 7.5% (95% confidence interval [CI] 6.9–8.2%) of catheters (3.3 cases / 100 catheter-days) and 12.9% (95% CI 11.7–14.2%) of patients (6.3 cases / 100 catheter-days). Most PIVCs were removed immediately after diagnosis of phlebitis (71.9%). Grade 1 was the most common phlebitis (72.6%), while grade 4 was the least common (1.5%). The incidence rate of CRBSI was 0.8% (95% CI 0.4–1.2%). In cases of catheter failure, the proportion and incidence rate per 100 intravenous catheter-days of catheter failure were 21% (95% CI 20.0-21.9%) and 9.1 (95% CI 8.7–10.0), respectively.ConclusionPIVC-related phlebitis and complications were common in critically ill patients. The results suggest the importance of preventing PIVC-related complications, even in critically ill patients.Trial registrationUMIN-CTR, the Japanese clinical trial registry (registration number:UMIN000028019, July 1, 2017).
- Subjects :
- medicine.medical_specialty
Epidemiology
Critical Care and Intensive Care Medicine
01 natural sciences
law.invention
03 medical and health sciences
0302 clinical medicine
law
Internal medicine
medicine
Intensive care unit
030212 general & internal medicine
0101 mathematics
Prospective cohort study
Catheter
business.industry
Incidence (epidemiology)
Research
010102 general mathematics
lcsh:Medical emergencies. Critical care. Intensive care. First aid
lcsh:RC86-88.9
Confidence interval
Clinical trial
Catheter-Related Infections
Critically ill patient
business
Phlebitis
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 20520492
- Volume :
- 9
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Intensive Care
- Accession number :
- edsair.doi.dedup.....5d94dca08297a13d577c9d58bad9a1ec