• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Journal articles
    • View Item
    • Home
    • Griffith Research Online
    • Journal articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial

    Thumbnail
    View/Open
    55480_1.pdf (346.8Kb)
    Author(s)
    Webster, Joan
    Clarke, Samantha
    Paterson, Dana
    Hutton, Anne
    van Dyk, Stacey
    Gale, Catherine
    Hopkins, Tracey
    Griffith University Author(s)
    Webster, Joan
    Year published
    2008
    Metadata
    Show full item record
    Abstract
    Objective: To compare routine replacement of intravenous peripheral catheters with replacement only when clinically indicated. Design: Randomised controlled trial. Setting: Tertiary hospital in Australia. Participants: 755 medical and surgical patients: 379 allocated to catheter replacement only when clinically indicated and 376 allocated to routine care of catheter (control group). Main outcome measure: A composite measure of catheter failure resulting from phlebitis or infiltration. Results: Catheters were removed because of phlebitis or infiltration from 123 of 376 (33%) patients in the control group compared with 143 of ...
    View more >
    Objective: To compare routine replacement of intravenous peripheral catheters with replacement only when clinically indicated. Design: Randomised controlled trial. Setting: Tertiary hospital in Australia. Participants: 755 medical and surgical patients: 379 allocated to catheter replacement only when clinically indicated and 376 allocated to routine care of catheter (control group). Main outcome measure: A composite measure of catheter failure resulting from phlebitis or infiltration. Results: Catheters were removed because of phlebitis or infiltration from 123 of 376 (33%) patients in the control group compared with 143 of 379 (38%) patients in the intervention group; the difference was not significant (relative risk 1.15, 95% confidence interval 0.95 to 1.40). When the analysis was based on failure per 1000 device days (number of failures divided by number of days catheterised, divided by 1000), no difference could be detected between the groups (relative risk 0.98, 0.78 to 1.24). Infusion related costs were higher in the control group (mean $A41.02;㱹.71;಴.80;$38.55) than intervention group ($A36.40). The rate of phlebitis in both groups was low (4% in intervention group, 3% in control group). Conclusion: Replacing peripheral intravenous catheters when clinically indicated has no effect the incidence of failure, based on a composite measure of phlebitis or infiltration. Larger trials are needed to test this finding using phlebitis alone as a more clinically meaningful outcome. Registration number: Australian New Zealand Clinical Trials Registry ACTRN12605000147684.
    View less >
    Journal Title
    BMJ
    Volume
    337
    Issue
    7662
    DOI
    https://doi.org/10.1136/bmj.a339
    Copyright Statement
    © The Author(s) 2008. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the authors.
    Subject
    Clinical sciences
    Publication URI
    http://hdl.handle.net/10072/23236
    Collection
    • Journal articles

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E
    • TEQSA: PRV12076

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander