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Peripheral intravenous therapy infiltration and extravasation (PIVIE) risks in 11 006 paediatric surgery inpatients

WenJiao Huang1, Zheng Liu2, Liwei Feng1

  • 1Department of Paediatric Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, China.

The Journal of International Medical Research
|October 9, 2024
PubMed

Insights

Peripheral intravenous therapy infiltration and extravasation (PIVIE) risk factors in pediatric surgery patients include sex, age, disease type, puncture site, and indwelling time. Careful assessment and selection of puncture sites are crucial for prevention.

Area of Science:

  • Pediatric Surgery
  • Vascular Access Devices
  • Patient Safety

Background:

  • Peripheral intravenous catheters (PIVCs) are essential for medication delivery in pediatric surgery.
  • Infiltration and extravasation injuries (PIVIE) pose significant risks to pediatric patients.
  • Identifying risk factors for PIVIE is critical for improving patient outcomes.

Purpose of the Study:

  • To identify risk factors associated with peripheral intravenous therapy infiltration and extravasation (PIVIE) in pediatric surgery inpatients.
  • To provide data for developing targeted preventive strategies against PIVIE.

Main Methods:

  • Retrospective observational study at a tertiary general hospital.
  • Logistic regression analysis to identify independent risk factors for PIVIE.
  • Kaplan-Meier survival analysis to assess the relationship between PIVIE and duration.

Main Results:

  • The study analyzed 11,006 pediatric surgery inpatients and 19,771 PIVCs.
  • The overall incidence of PIVIE was 16.93%.
  • Significant predictors of PIVIE included sex, age, disease classification, puncture site, and indwelling time.

Conclusions:

  • Sex, age, disease type, puncture site, and indwelling time are significant risk factors for PIVIE in pediatric surgery patients.
  • Effective assessment and selection of puncture sites are paramount.
  • Informed clinical judgments based on patient-specific factors are necessary to minimize PIVIE risk.
Abstract

Keywords:
Peripheral intravenous catheters (PIVCs)infiltration and extravasationnursingpaediatricrisk factors

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