Complications related to the use of peripheral venous catheters: a randomized clinical trial

Danski, Mitzy Tannia Reichembach; Johann, Derdried Athanasio; Vayego, Stela Adami; Oliveira, Gabriella Rodrigues Lemes de; Lind, Jolline

doi:10.1590/1982-0194201600012

Brasil

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

Original Articles • Acta Paul Enferm. 29 (1) • Jan-Feb 2016 • https://doi.org/10.1590/1982-0194201600012 linkcopy

This document is related to:

Complications related to the use of peripheral venous catheters: a randomized clinical trial

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective To analyze the complications deriving from the use and type of peripheral venous catheter in adults.

Methods Randomized clinical trial; undertaken at a teaching hospital between 2012 and 2015; 169 adults were included who were hospitalized at clinical and surgical services and needed peripheral venipuncture with an expected dwelling time of more than 96 hours. Through systemized randomization, 90 participants were allocated to the trial group (complete safety catheter) and 79 to the control group (short flexible catheter).

Results The general complications rate was 55.62%, with 18.34% of phlebitis, 11.83% infiltration, 11.24% obstruction and 9.47% traction. No significant difference was found between the groups for the occurrence of complications, phlebitis, obstruction and traction.

Conclusion The complication rate in peripheral venous catheterization was high but, when compared, without a statistically significant difference, the complete safety catheter showed lower complication rates after the fourth day of survival.

Variable/Catheter	Trial Group	Control Group	p-value
Variable/Catheter	n=90 n(%)	n=79 n(%)	p-value
Sociodemographic data
Gender
Female	48(53.33)	34(43.04)	0.2372**
Male	42(46.67)	45(56.96)
Age	90(54.5±18.05)	79(54.53±16.55)	0.9159^†
Caucasian ethnic origin	79(87.78)	61(77.22)	0.2138*
Unfinished primary education	43(47.78)	29(36.71)	0.0681*
Occupation retired	29(32.22)	32(40.51)	0.9375*
Clinical data
Family history of systemic arterial hypertension	47(52.22)	47(59.49)	0.4271**
Smoking not mentioned	68(75.56)	49(62.03)	0.0732**
Alcohol consumption not mentioned	78(86.67)	64(81.01)	0.3656*
Male Medical Clinic	24(26.67)	25(31.65)	0.5221*
Length of Hospitalization	86(11.53±8.40)	76(13.14±8.82)	0.1861^†
Diagnosis of digestive diseases	29(32.22)	24(30.38)	0.6538*
No associated comorbidity	62(68.89)	54(68.35)	0.8618*
No surgical procedure	73(81.11)	55(69.62)	0.1163**
Absence of preexisting infection	65(72.22)	48(60.76)	0.2320**
Discharge / Transfer from Service	85(94.44)	74(93.67)	0.7899*
Catheter data
20 Gauge Caliber	66(73.33)	47(59.49)	0.2397**
Location upper left limb	62(68.89)	40(50.63)	0.0236**
Forearm region	59(65.56)	48(60.76)	0.7233*
Successful puncture upon first attempt	76(84.44)	51(64.56)	0.0427*
Solutions and serum schedules	51(56.67)	42(53.16)	0.7629**
Sedatives and analgesics	60(66.67)	51(64.56)	0.8998**
Other drugs	75(83.33)	65(82.28)	0.9817**
Dwelling time ≥ 72 hours	54(60.00)	47(59.49)	0.9281**

Variable/Catheter	Total	Trial Group	Control Group	p-value
Variable/Catheter	n=169 n(%)	n=90 n(%)	n=79 n(%)	p-value
Complication	94(55.62)	50(55.56)	44(55.70)	0.4927*
Phlebitis	31(18.34)	19(21.11)	12(15.19)	0.6147**
Infiltration	20(11.83)	11(12.22)	9(11.39)
Obstruction	19(11.24)	8(8.89)	11(13.92)
Traction	16(9.47)	8(8.89)	8(10.13)

vertical_align_top file_download show_chart

more_horiz close
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

Acessibilidade / Reportar erro

[TFN1001] *Williams’ G test; **Chi-Squared Test; ^† Mann-Whitney’s U test