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Adverse events associated to peripheral venous catheters in people hospitalized in a hospital in Chile
Authors
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Nicolas Ramirez Aguilera
Hospital Clínico Félix Bulnes
https://orcid.org/0000-0003-4461-6977
-
Paulina Veloz Medina
Hospital Clínico Félix Bulnes
https://orcid.org/0009-0000-5163-8301
-
Franco Hernández Jara
Hospital Clínico Félix Bulnes
https://orcid.org/0009-0004-7513-4828
-
Francisco Funez Toledo
Hospital Clínico Félix Bulnes
https://orcid.org/0009-0004-7513-4828
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Ximena Martínez Asenjo
Hospital Clínico Félix Bulnes
https://orcid.org/0009-0006-1929-0150
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Catalina Rodríguez Garrido
Hospital Clínico Félix Bulnes
https://orcid.org/0009-0000-5779-7864
-
Belén Campos Salazar
Hospital Clínico Félix Bulnes
https://orcid.org/0009-0000-3659-6131
-
Vanessa Letelier Alvarado
Hospital Clínico Félix Bulnes
https://orcid.org/0009-0006-6955-7220
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Felipe De La Fuente
Universidad de Chile
https://orcid.org/0000-0002-0543-9413
Abstract
Introduction: Peripheral venous catheters are widely used to administer intravenous therapy. However, they are associated with a high rate of complications. Objective: To describe adverse events related to the use of peripheral venous catheters in hospitalized patients undergoing emergency care. Methodology: This descriptive study analyzed information up to 30 days before the data collection date. The population comprised hospitalized patients in a high-complexity public hospital in Santiago, Chile. Data analysis involved descriptive statistics and logistic regression models. Results: A total of 602 catheters were analyzed in 248 patients, with a peripheral venous catheter prevalence of 51.4% among hospitalized patients. The sample consisted of 46.3% women, with a mean age of 52.8 years. The medical-surgical adult unit had the highest proportion of catheters (44.3%). Of the 399 catheters with complete records, 264 (66.2%) were electively removed upon completion of intravenous therapy, whereas 135 (33.8%) were removed due to an adverse event. The most common adverse events were infiltration/extravasation without tissue damage (9.2 per 100 peripheral venous catheters), followed by phlebitis (7.7 per 100 peripheral venous catheters), and patient self-removal (4.0 per 100 peripheral venous catheters). Conclusions: There is a need to enhance and disseminate adequate clinical practices to prevent adverse events in patients requiring peripheral venous catheters, focusing on the most prevalent complications.
Keywords:
Catheterization, Peripheral, Infusions Intravenous, Patient Safety, Total Quality Management, Clinical Nursing ResearchReferences
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