Perioperative medicine & outcomes
The performance and complications of long peripheral venous catheters: A retrospective single‐centre study
Authors' conclusion
The overall incidence rate of catheter removal was 95.8/1000 catheter days, and the most common causes of catheter failure were phlebitis, infiltration and unintended catheter removal. The use of the cephalic vein was significantly associated with catheter failure in multivariable analyses. We did not find an association between vancomycin infusion and catheter failure in multivariable analyses.
Study context
- Population
- Hospitalised patients with consecutively inserted long peripheral venous catheters (LPCs) over 18 months751 catheters
- Participants
- 457 patients
- Outcome
- All-cause incidence rate of catheter removal
Methodological detailssingle-centre, consecutive catheters
- Single-centre
- Consecutive catheters
Main finding
As reported in the abstract
Overall incidence rate of catheter removal
95.8/1000 catheter days
per 1000 catheter days; 95% CI 88.4–103.8
Observational data: associations, not effects.
Secondary outcomes
Vancomycin infusion and catheter failure (multivariable)
| HR (CI) | P value | ||
|---|---|---|---|
| Vancomycin infusionAll-cause catheter failure · multivariable analyses | 1.15 (0.55–2.42) | P = 0.71 | |
| Vancomycin infusionCatheter failure due to phlebitis · multivariable analyses | 1.49 (0.49–4.53) | P = 0.49 | |
| 0.20.5125Hazard ratio (log scale) |
Dwell time
- Median dwell time, days (IQR 5-14)
- 8
- Total dwell time, days
- 6136
Cephalic vein use and catheter failure (multivariable)
- Significantly associated with all-cause catheter failure
- P < 0.001
- Significantly associated with catheter failure due to phlebitis
- P < 0.001
- Multivariable analyses
Safety
Catheter failure (reasons recorded in 563 cases)
- Catheter failure, n (%)
- 283 (50.3%)
- Phlebitis (most common cause), n (%)
- 101, 17.9%
Original publication
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