Avoiding Idle Peripheral Intravenous Catheters in Taiwanese Emergency Wards: Who Is at Risk?

Li-Yuan Chen, Wei-Ling Lee, Cheng-Hua Huang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background and purpose: Excessive use of peripheral intravenous catheters (PICs) is associated with greater numbers of complications and higher costs, while patient characteristics and indications associated with idle catheters in emergency wards are rarely reported. Methods: In total, 400 patients who received an empiric PIC in the emergency ward were assigned to either a necessary or idle catheter group according to the inclusion criteria. Their characteristics, presentations, and indications for a PIC were analyzed. Results: Among all catheters, 45% were idle. We found that patients presenting with fever (odds ratio (OR): 8.31), leukocytosis (OR: 1.55), and diarrhea (OR: 10.07) were more likely to have an idle catheter. Patients who received a PIC for electrolyte disturbances also had more idle catheters than those with other indications. Conclusions: We found that nearly half of empiric PICs were idle in our study. Considering the excessive costs, complications, and injuries from PICs, we suggest judicious use of PICs when there are less-invasive and more-effective alternatives.
Original languageEnglish
Pages (from-to)177-184
Number of pages8
Journal輔仁醫學期刊
Volume10
Issue number4
Publication statusPublished - 2012

Fingerprint

Hospital Emergency Service
Catheters
Odds Ratio
Costs and Cost Analysis
Leukocytosis
Electrolytes
Diarrhea
Fever
Wounds and Injuries

Keywords

  • 急診
  • 周邊靜脈導管
  • 靜脈輸液
  • 非必要治療
  • emergency
  • peripheral venous catheterization
  • intravenous infusion
  • unnecessary procedure

Cite this

Avoiding Idle Peripheral Intravenous Catheters in Taiwanese Emergency Wards: Who Is at Risk? / Chen, Li-Yuan ; Lee, Wei-Ling; Huang, Cheng-Hua.

In: 輔仁醫學期刊, Vol. 10, No. 4, 2012, p. 177-184.

Research output: Contribution to journalArticle

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N2 - Background and purpose: Excessive use of peripheral intravenous catheters (PICs) is associated with greater numbers of complications and higher costs, while patient characteristics and indications associated with idle catheters in emergency wards are rarely reported. Methods: In total, 400 patients who received an empiric PIC in the emergency ward were assigned to either a necessary or idle catheter group according to the inclusion criteria. Their characteristics, presentations, and indications for a PIC were analyzed. Results: Among all catheters, 45% were idle. We found that patients presenting with fever (odds ratio (OR): 8.31), leukocytosis (OR: 1.55), and diarrhea (OR: 10.07) were more likely to have an idle catheter. Patients who received a PIC for electrolyte disturbances also had more idle catheters than those with other indications. Conclusions: We found that nearly half of empiric PICs were idle in our study. Considering the excessive costs, complications, and injuries from PICs, we suggest judicious use of PICs when there are less-invasive and more-effective alternatives.

AB - Background and purpose: Excessive use of peripheral intravenous catheters (PICs) is associated with greater numbers of complications and higher costs, while patient characteristics and indications associated with idle catheters in emergency wards are rarely reported. Methods: In total, 400 patients who received an empiric PIC in the emergency ward were assigned to either a necessary or idle catheter group according to the inclusion criteria. Their characteristics, presentations, and indications for a PIC were analyzed. Results: Among all catheters, 45% were idle. We found that patients presenting with fever (odds ratio (OR): 8.31), leukocytosis (OR: 1.55), and diarrhea (OR: 10.07) were more likely to have an idle catheter. Patients who received a PIC for electrolyte disturbances also had more idle catheters than those with other indications. Conclusions: We found that nearly half of empiric PICs were idle in our study. Considering the excessive costs, complications, and injuries from PICs, we suggest judicious use of PICs when there are less-invasive and more-effective alternatives.

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KW - peripheral venous catheterization

KW - intravenous infusion

KW - unnecessary procedure

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JF - 輔仁醫學期刊

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