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Updated: Jun 2, 2026

In Vitro Thrombosis Test for Ventricular Assist Devices
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Published on: March 21, 2025

Inappropriate intravascular device use: a prospective study.

M M Tiwari1, E D Hermsen, M E Charlton

  • 1College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA.

The Journal of Hospital Infection
|April 22, 2011
PubMed
Summary
This summary is machine-generated.

Inappropriate use of intravascular catheters is common in hospitals, affecting 31% of catheter-days. This overuse is linked to longer hospital stays and increased intensive care unit admissions, highlighting a need for better management strategies.

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Published on: June 12, 2021

Area of Science:

  • Medical research
  • Hospital quality improvement
  • Patient safety

Background:

  • Intravascular catheters are crucial but associated with significant complications.
  • Inappropriate use of these devices in hospitalized patients is not well understood.
  • Effective strategies to reduce catheter-related adverse events are needed.

Purpose of the Study:

  • To define appropriate intravascular device use.
  • To determine the frequency of inappropriate intravascular device use in hospitalized patients.
  • To identify risk factors and outcomes associated with inappropriate device use.

Main Methods:

  • Prospective observational study design.
  • Inclusion of 436 hospitalized patients over a 3-month period.
  • Analysis of 3806 total catheter-days to assess appropriateness, risk factors, and outcomes.

Main Results:

  • 31% of recorded catheter-days were deemed inappropriate.
  • Age, number of catheters, and duration of catheterization were risk factors for inappropriate use.
  • Inappropriate use correlated with increased ICU admission and longer hospital stays (8.5 vs. 4.9 days).

Conclusions:

  • Inappropriate intravascular device use is prevalent in hospitals.
  • This overuse is significantly associated with adverse patient outcomes and increased healthcare utilization.
  • Findings support developing targeted interventions to minimize excessive catheter use and improve patient safety.