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Risk factors of difficult intravenous access and catheter failure in the urology ward: A prospective observational
Mari Abe1, Kaomi Tanaka2, Masuda Minoru1
1Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Background:
Patients in the urology ward often require peripheral intravenous catheters for cancer chemotherapy, antibiotics to treat urinary tract infections, surgery, and other treatments. Moreover, as the elderly population within urology has a high incidence of cancer, many patients also have fragile vasculature. Proper intravenous catheter insertion and management are crucial in such cases. However, no observational studies have revealed specific practices and patient outcomes related to intravenous catheter insertion and management in urology wards. This study aimed to clarify the actual situation of peripheral intravenous catheter placements in patients hospitalized in a general urology ward and investigate the risk factors for patient outcomes such as difficult intravenous access (DIVA) and catheter failure (CF).
Methods:
This was a prospective observational study. Medical record data were collected, and the actual catheter placement situation was described. A multivariate logistic regression analysis was performed to investigate the risk factors for DIVA and CF.
Results:
This study analyzed 180 catheters in 99 patients. The median age of the group was 70 years. The prevalence of DIVA and CF were 9.9% and 35.2%, respectively. A history of intravenous chemotherapy for cancer was positively associated with both DIVA and CF.
Conclusion:
This study's results demonstrate the crucial need for careful insertion and management of intravenous catheters in patients admitted to urology wards. These findings can help identify patients at high risk of DIVA and CF, while hospitalized in the urology ward.
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