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Peripheral venous catheter related complications are common among paediatric and neonatal patients

M Unbeck1, U Förberg2,3, B-M Ygge3

  • 1Division of Orthopaedics, Danderyd Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.

Acta Paediatrica (Oslo, Norway : 1992)
|February 7, 2015
PubMed

Insights

Peripheral venous catheter (PVC) complications like infiltration and occlusion are common in hospitalized children, particularly in neonates. These issues decrease as the child

Area of Science:

  • Pediatric Medicine
  • Medical Devices
  • Patient Safety

Background:

  • Peripheral venous catheters (PVCs) are crucial for administering fluids and medications in pediatric patients.
  • Understanding PVC dwell time and complication rates is essential for optimizing patient care and safety.
  • Complications associated with PVCs can lead to increased morbidity and healthcare costs.

Purpose of the Study:

  • To characterize peripheral venous catheter (PVC) usage in children, including dwell time and reasons for removal.
  • To identify predictors of PVC-related complications such as infiltration and occlusion.
  • To analyze differences in PVC characteristics and complication rates between neonatal and pediatric populations.

Main Methods:

  • A retrospective study involving 2032 pediatric patients (484 neonatal, 1548 pediatric) across 12 inpatient units.
  • Data on PVCs, dwell times, and removal reasons were extracted from electronic patient records.
  • Logistic regression analysis was employed to identify predictors of PVC-related complications.

Main Results:

  • Over one-third (35.4%) of PVCs were removed due to complications, primarily infiltration and occlusion.
  • PVC survival time was shorter in neonates (4 days) compared to pediatric patients (5 days).
  • Infiltration was more frequent in neonates, while both infiltration and occlusion were associated with younger age, specific insertion sites (e.g., ankle, foot), and longer dwell times.

Conclusions:

  • PVC-related complications, notably infiltration and occlusion, are prevalent in hospitalized children.
  • Complication rates were found to decrease with increasing age of the child.
  • Insertion site and dwell time are significant factors influencing the risk of PVC complications in pediatric patients.
Abstract

Keywords:
ComplicationsElectronic patient recordNeonatal carePaediatric carePeripheral venous catheters

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