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Infusion phlebitis assessment measures: a systematic review.

Gillian Ray-Barruel1, Denise F Polit, Jenny E Murfield

  • 1NHMRC Centre for Research Excellence in Nursing, Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Brisbane, Queensland, Australia.

Journal of Evaluation in Clinical Practice
|January 10, 2014
PubMed
Summary
This summary is machine-generated.

Infusion phlebitis assessment lacks validated tools, hindering accurate incidence reporting. This review found many scales exist, but none are rigorously tested for clinical use.

Keywords:
assessmentmeasurementperipheral intravenous catheterphlebitispsychometric assessmentscales

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Area of Science:

  • Medical Complications
  • Evidence-Based Practice

Background:

  • Phlebitis is a frequent and painful complication of peripheral intravenous cannulation.
  • Reliable assessment tools are crucial for managing this complication.

Purpose of the Study:

  • To identify measures for infusion phlebitis assessment.
  • To evaluate the evidence for their reliability, validity, responsiveness, and feasibility.

Main Methods:

  • Systematic literature review of Cochrane Library, Ovid MEDLINE, and EBSCO CINAHL up to September 2013.
  • Analysis of English-language studies using infusion phlebitis scales, evaluating psychometric properties using COSMIN guidelines.

Main Results:

  • 71 different phlebitis assessment scales were identified.
  • Only three scales underwent preliminary psychometric analysis; none were rigorously tested.
  • A significant number of studies lacked a clear definition of phlebitis.

Conclusions:

  • No phlebitis assessment scale is thoroughly validated for clinical practice.
  • Lack of consensus on phlebitis measures contributes to disparities in reported incidence rates.