Evidence map›Paper›PMID 25525365›Full record

ArticleTherapeutics and clinical risk management2014

Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications.

Mostafa A Abolfotouh, Mahmoud Salam, Ala'a Bani-Mustafa, David White, Hanan H Balkhy

4 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03533777 nacompletednot on this mapstarted 2018, after this paper: background citation

Comparison of Retrograde and Antegrade Peripheral Intravenous Cannulation on the Ability to Aspirate Blood Samples in the Operating Room

TypeinterventionalSponsorUniversity of IowaRan2018 to 2019Enrolled230ConditionsThere is no Focus on Any Specific ConditionArmsPeripheral intravenous catheter placement, Blood draw, Peripheral intravenous catheter, To keep open (TKO) infusion of 0.9% normal saline
NCT03563703 nacompletednot on this mapstarted 2018, after this paper: background citation

Transfer of Technological Innovations to Nursing Practice: A Contribution to the Prevention of Infections

TypeinterventionalSponsorEscola Superior de Enfermagem de CoimbraRan2018 to 2019Enrolled40ConditionsCatheterization, PeripheralArmsUltrasound, Near Infrared Light
NCT04046770 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Innovative Device for Intravenous Administration

TypeinterventionalSponsorEscola Superior de Enfermagem de CoimbraRan2020 to 2020Enrolled146ConditionsSafety Issues, Medical DeviceArmsDrug administration and Flushing procedure using Double-Chamber Syringe, Drug administration and Flushing procedure using Classic Syringe
NCT04821193 nacompletednot on this mapstarted 2017, after this paper: background citation

Comparison of the Effects of 5% NaHCO3, 2% Chlorhexidine Gluconate and 70% Alcohol for Prevention of Infections Related to Catheter Applications in Children.

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2017 to 2020Enrolled62ConditionsDisinfectant Dye Adverse Reaction, Catheter-Related Infections, Nursing Caries, Children, OnlyArmsSkin antisepsis with 5% NaHCO3 water solution, Skin antisepsis with 2% Chlorhexidine Gluconate solution
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 150 citations in OpenAlex.

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  12. Development of a Machine Learning-Based Model for Predicting the Incidence of Peripheral Intravenous Catheter-Associated Phlebitis.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Mostafa A AbolfotouhKing Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia ; King Saud bin-Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia.
Mahmoud SalamKing Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.
Ala'a Bani-MustafaKing Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.
David WhiteNursing Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Hanan H BalkhyKing Saud bin-Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia ; Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center · SAKing Abdulaziz Medical City · SAKing Saud bin Abdulaziz University for Health Sciences · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough intravenous therapy is one of the most commonly performed procedures in hospitalized patients, it remains susceptible to infectious and noninfectious complications. Previous studies investigated peripheral intravenous catheter (PIVC) complications mainly in pediatrics, but apparently none were investigated among Saudi adult populations. The aim of this study was to assess the pattern and complications of PIVCs at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia.

methodsAn observational prospective cohort study investigated PIVCs pattern and complications among adults with PIVCs, admitted to various wards at KAMC. PIVCs-related clinical outcomes (pain, phlebitis, leaking, and others) were recorded in 12-hour intervals, using the Visual Inspection Phlebitis scale. Density incidence (DI) and cumulative incidence (CI) of complications and their relative risks (RRs) were calculated. Regression analyses were applied and significance limits were set at P<0.05.

resultsDuring the study period, 359 adults were included, mounting to 842 PIVCs and 2,505 catheter days. The majority of patients, 276 (76.9%), had medical, chief admission complaints, whereas 83 (23.1%) were trauma/surgical and infectious cases. Complicated catheters were found in 141 (39.3%) patients, with 273 complications (32.4/100 catheters), in 190 complicated catheters (CI =22.56/100 catheters and DI =75.84/1,000 catheter days). Phlebitis ranked first among complications, 148 (CI =17.6%), followed by pain 64 (CI =7.6%), leaking 33 (CI =3.9%), dislodgement 20 (CI =2.4%), and extravasations and occlusion 4 (CI =0.5% each). Phlebitis was predicted with female sex (P<0.001), insertion in fore/upper arm (P=0.024), and infusion of medication (P=0.02). Removal time for PIVCs insertion was not a significant predictor of phlebitis (RR =1.46, P=0.08).

conclusionIncidence of complications in this study was significantly higher than rates in previous studies. Better insertion techniques may be sought to lower the incidences of PIVC complications, thus extending their onset beyond day 3. Changing catheters is recommended when clinically indicated rather than routinely post-72 hours.

Indexed as

catheter-induced complicationsincidenceperipheral venous catheterphlebitisprospective studythrombo-phlebitis

Identifiers

PMID25525365
PMCPMC4266329
OpenAlexW2002400867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.