Peripheral intravenous catheters in the care of oncology and haematology patients

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Larsen, Emily N
Ray-Barruel, Gillian
Takashima, Mari
Marsh, Nicole
Friese, Christopher R
Chopra, Vineet
Alexandrou, Evan
Rickard, Claire M
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2022
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Abstract

Aim: To determine peripheral intravenous catheter (PIVC) characteristics, complications and risk factors among patients in cancer units. Methods: A secondary analysis of a global, cross-sectional study (127 hospitals in 24 countries). Participants (≥18 years) admitted to cancer units were assessed once for PIVC characteristics and the presence of complications. Variables included patient demographics, device characteristics, treatment details, and device and/or site complications. PIVC characteristics were presented using qualitative descriptors; mixed-effects logistic regression models determined risk factors for PIVC complications. Results: In total, 1,807 participants (1,812 PIVCs) were included; 12% (n=215) of PIVCs presented with complications. Risk factors included: insertion by doctors; insertion in ED and ambulance/other locations; poor PIVC dressing integrity; dwell time ≥49 hours; and administration of colloids/blood products and antiemetics. Conclusions: At least one in ten PIVCs in cancer units present with complications; regular PIVC assessment and improved dressing integrity is likely to reduce risk and improve outcomes.

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Australian Journal of Cancer Nursing

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23

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1

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Larsen, EN; Ray-Barruel, G; Takashima, M; Marsh, N; Friese, CR; Chopra, V; Alexandrou, E; Rickard, CM, Peripheral intravenous catheters in the care of oncology and haematology patients, Australian Journal of Cancer Nursing, 2022, 23 (1), pp. 16-22

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