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Risk factors for complications in peripheral intravenous catheters in adults: secondary analysis of a randomized controlled trial

OBJECTIVE: analyze the risk factors linked to complications in peripheral intravenous catheters. METHOD: secondary data analysis of a randomized controlled trial with 169 medical and surgical patients placed in two groups, one with integrated safety catheter (n=90) and other using simple needle cath...

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Detalles Bibliográficos
Autores principales: Johann, Derdried Athanasio, Danski, Mitzy Tannia Reichembach, Vayego, Stela Adami, Barbosa, Dulce Aparecida, Lind, Jolline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5172614/
https://www.ncbi.nlm.nih.gov/pubmed/27901218
http://dx.doi.org/10.1590/1518-8345.1457.2833
Descripción
Sumario:OBJECTIVE: analyze the risk factors linked to complications in peripheral intravenous catheters. METHOD: secondary data analysis of a randomized controlled trial with 169 medical and surgical patients placed in two groups, one with integrated safety catheter (n=90) and other using simple needle catheter (n=79), with three months follow-up time. RESULTS: the risk factors that raised the odds of developing complications were: hospitalization between 10-19 days (p=0.0483) and 20-29 days (p=0,0098), antimicrobial use (p=0.0288) and use of fluid solutions (p=0.0362). The 20 Gauge lowered the risks of complications (p=0.0153). Multiple analysis showed reduction of risk for the 20 Gauge (p=0.0350); heightened risk for solutions and fluids (p=0.0351) and use of corticosteroids (p=0.0214). CONCLUSION: risk factors linked to complications in peripheral intravenous catheters were: hospitalization periods between 10-29 days, antimicrobial infusion, solutions and fluids and corticosteroids. Regarding complications, 20 Gauge is a protecting factor compared with 22. Brazilian Clinical Trials Registry: RBR-46ZQR8.