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Intravenous peripheral catheter dwell times: randomised controlled trial of hospital in-patients

Webster, Joan, Lloyd, Sophia, Hopkins, Tracey, Osborne, Sonya, & Yaxley, Maria (2005) Intravenous peripheral catheter dwell times: randomised controlled trial of hospital in-patients. .

Abstract

Background: There is currently no high grade evidence on which to base decisions about the frequency of intravenous cannula re-sites Objective: To assess the safety of changing peripheral venous cannulas when clinically indicated Design: Randomised controlled trial Setting: A tertiary referral hospital in Brisbane, Australia Participants: 206 hospitalised patients from surgical, medical and orthopaedic wards Interventions: Peripheral intravenous cannulas were re-sited only when complications occurred (intervention group) or every 3 days (control group). Main outcome measures: The primary endpoint was a composite measure of complications leading to an unplanned cannula removal, the secondary outcome was cost. Results: Forty six patients had unplanned removals in the intervention group compared with 41 in the control group [relative risk 1.12, 95% confidence interval 0.81 to 1.55 (p = 0.286)]. Total duration of peripheral cannulation was similar in both groups (mean 123.3 hours in the intervention group and 125.9 hours in the control group: P = 0.82) but significantly more re-sites occurred in the control group (167 in intervention group, 202 in the control group: p = 0.022). Cost of cannula replacements in the intervention group was AUD$3,183.62 and in the control group AUD$3,837.56 (p = 0.006). After adjustment for other risk factors, frequency of cannulation [odds ratio (OR) 0.78. 95% confidence interval (CI) 0.27 – 0.22], total duration of cannulation (OR 1.01. CI 1.00 – 1.02) and irritability of IV medications other than antibiotics (OR 0.45, CI 0.21 – 0.97) were positively associated with unplanned cannula removal.
Conclusion: Re-siting peripheral venous cannulas when clinically indicated compared with changing them routinely every 3 days does not lead to more complications and reduces costs.

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ID Code: 2249
Item Type: Journal Article
Keywords: Clinical trials, Cost and cost analysis, Infusions, intravenous
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2005 (please consult author)
Deposited On: 12 Dec 2006
Last Modified: 11 Aug 2011 00:45

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