Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial
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Clarke, Samantha
Paterson, Dana
Hutton, Anne
van Dyk, Stacey
Gale, Catherine
Hopkins, Tracey
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Trevor Jackson, Fiona Godlee (Editor-in-Chief)
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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 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;
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BMJ
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337
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7662
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© 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.
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Clinical sciences