The Prevalence and Associated Factors of Peripheral Intravenous Complications in a Thai Hospital.
Kraiwan Kaphan, Siriporn Auypornsakul, Jenjira Somno and 5 others
PMID 38422405WHAT IT FOUND
In 497 Thai hospital peripheral IV sites, low-grade phlebitis was 2.41%, low-grade infiltration 1.01%, and mild or moderate extravasation 0.60%.
Infusion setting, crystalloids, and analgesics were linked to complications; age was linked to extravasation.
Key findings
01The one-day survey assessed 441 patients and 497 peripheral IV catheter sites.
02Grade 1 or 2 phlebitis was found at 2.41% of sites, grade 1 or 2 infiltration at 1.01%, and mild or moderate extravasation at 0.60%.
03Overall complications were associated with infusion setting (P = .03), crystalloids (P = .04), and analgesic drugs (P = .01), and age was associated with extravasation (P = .001).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The survey was done at one tertiary university hospital on one day, so the rates may not apply to other settings or over time. The paper says the sample size was relatively small. It was cross-sectional, so it can show association but not cause. The prevalence figures counted only grade 1 or 2 phlebitis and infiltration, and mild or moderate extravasation; severe events were not observed in this sample. The paper reports chi-square associations without adjusted analysis, so other differences between patients may explain the findings.
The easy way to misread this
Do not conclude that crystalloids, analgesic drugs, infusion setting, or age caused complications. The study was a one-day cross-sectional survey and only reported associations, so it cannot show that changing these factors prevents phlebitis, infiltration, or extravasation.