• 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
    • Conference outputs
    • View Item
    • Home
    • Griffith Research Online
    • Conference outputs
    • 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
  • The burden of peripheral intravenous catheters (PIVCs) in older hospital in-patients: A National Cross-Sectional Study (Part of the One Million Global [OMG] PIVC Collaboration)

    Author(s)
    Ni Chroinin, Danielle
    Alexandrou, Evan
    Ray-Barruel, Gillian
    Carr, Peter J
    Frost, Steven A
    Rickard, Claire M
    Griffith University Author(s)
    Rickard, Claire
    Ray-Barruel, Gillian A.
    Alexandrou, Evan
    Year published
    2021
    Metadata
    Show full item record
    Abstract
    Aims: We investigated the burden of PIVCs in older in-patients. Methods: In a cross-sectional study of patients aged ≥65 across 65 Australian hospitals, we assessed PIVC characteristics and complications. Results: In 2179 individual PIVCs across 2041 patients (mean age 77.6 years, 44.9% female, 57.7% NSW), 43% were inserted by doctors, 24% by nurses. Most were inserted on the ward (40.2%) or in ED (25.6%). Antecubital fossa was the commonest site (28.9%), followed by hand and forearm (both 27%). Eighty percent were 20-22 gauge, and 74.2% were used that day. The commonest indications for PIVC were IV medications (57.7%) and ...
    View more >
    Aims: We investigated the burden of PIVCs in older in-patients. Methods: In a cross-sectional study of patients aged ≥65 across 65 Australian hospitals, we assessed PIVC characteristics and complications. Results: In 2179 individual PIVCs across 2041 patients (mean age 77.6 years, 44.9% female, 57.7% NSW), 43% were inserted by doctors, 24% by nurses. Most were inserted on the ward (40.2%) or in ED (25.6%). Antecubital fossa was the commonest site (28.9%), followed by hand and forearm (both 27%). Eighty percent were 20-22 gauge, and 74.2% were used that day. The commonest indications for PIVC were IV medications (57.7%) and fluids (22%). Overall, 18% (393/2179) of patients had PIVC-related signs/symptoms, most commonly tenderness (4.1%; 90/2179) and local redness (1.8%); other symptoms (tracking erythema, palpable vein, swelling) were rare. Dressing (98% transparent type) was clean and dry in 70.9%, but only timed/dated in 36.8%. Highest age quartile (≥84 years) was associated with reduced likelihood of phlebitis symptoms (OR 0.60, P = 0.03), and increased ‘ideal’ (forearm/upper arm) placement (aOR 1.24, P = 0.05). Among 1565 patients (76.7%) who rated their catheter experience (Likert scale 0-10, 10 = ‘best possible’), median score was 8 (IQR 6-10). Highest age quartile was associated with lower likelihood of a high (>8) experience score (both univariate and adjusted for presence of clinical signs; aOR 0.71, P = 0.02). Conclusions: Despite a potentially vulnerable population, clinical signs and patient dissatisfaction were uncommon, although the oldest old were less likely to rate the experience very highly. Further research should focus on minimising harm and improving patient experiences.
    View less >
    Conference Title
    Australasian Journal On Ageing
    Volume
    40
    Issue
    S1
    Publisher URI
    https://onlinelibrary.wiley.com/doi/10.1111/ajag.4_12956
    Subject
    Biomedical and clinical sciences
    Human society
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    Geriatrics & Gerontology
    Publication URI
    http://hdl.handle.net/10072/406157
    Collection
    • Conference outputs

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E

    Tagline

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