Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-12

AUTHORS

Claire M Rickard, Damhnat McCann, Jane Munnings, Matthew R McGrail

ABSTRACT

BACKGROUND: Peripheral intravenous device (IVD) complications were traditionally thought to be reduced by limiting dwell time. Current recommendations are to resite IVDs by 96 hours with the exception of children and patients with poor veins. Recent evidence suggests routine resite is unnecessary, at least if devices are inserted by a specialised IV team. The aim of this study was to compare the impact of peripheral IVD 'routine resite' with 'removal on clinical indication' on IVD complications in a general hospital without an IV team. METHODS: A randomised, controlled trial was conducted in a regional teaching hospital. After ethics approval, 362 patients (603 IVDs) were randomised to have IVDs replaced on clinical indication (185 patients) or routine change every 3 days (177 patients). IVDs were inserted and managed by the general hospital medical and nursing staff; there was no IV team. The primary endpoint was a composite of IVD complications: phlebitis, infiltration, occlusion, accidental removal, local infection, and device-related bloodstream infection. RESULTS: IVD complication rates were 68 per 1,000 IVD days (clinically indicated) and 66 per 1,000 IVD days (routine replacement) (P = 0.86; HR 1.03; 95% CI, 0.74-1.43). Time to first complication per patient did not differ between groups (KM with log rank, P = 0.53). There were no local infections or IVD-related bloodstream infections in either group. IV therapy duration did not differ between groups (P = 0.22), but more (P = 0.004) IVDs were placed per patient in the routine replacement (mean, 1.8) than the clinical indication group (mean, 1.5), with significantly higher hospital costs per patient (P < 0.001). CONCLUSIONS: Resite on clinical indication would allow one in two patients to have a single cannula per course of IV treatment, as opposed to one in five patients managed with routine resite; overall complication rates appear similar. Clinically indicated resite would achieve savings in equipment, staff time and patient discomfort. There is growing evidence to support the extended use of peripheral IVDs with removal only on clinical indication. REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ANZCTR) Number ACTRN12608000421336. More... »

PAGES

53

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1741-7015-8-53

DOI

http://dx.doi.org/10.1186/1741-7015-8-53

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1048456824

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20831782


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged, 80 and over", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Catheter-Related Infections", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Catheterization, Peripheral", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Device Removal", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Equipment Failure", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Infusions, Intravenous", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Phlebitis", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Practice Guidelines as Topic", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Time Factors", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Griffith University", 
          "id": "https://www.grid.ac/institutes/grid.1022.1", 
          "name": [
            "Research Centre for Clinical and Community Practice Innovation, Griffith University, 170 Kessels Rd, 4111, Nathan, Qld, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Rickard", 
        "givenName": "Claire M", 
        "id": "sg:person.01121041461.16", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01121041461.16"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Tasmania", 
          "id": "https://www.grid.ac/institutes/grid.1009.8", 
          "name": [
            "School of Nursing and Midwifery, University of Tasmania, Newnham Drive, 7250, Launceston Tas, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "McCann", 
        "givenName": "Damhnat", 
        "id": "sg:person.01074022630.98", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01074022630.98"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "St Luke's Hospital, Calvary Tasmania, 7250, Launceston Tas, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Munnings", 
        "givenName": "Jane", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Monash University", 
          "id": "https://www.grid.ac/institutes/grid.1002.3", 
          "name": [
            "Gippsland Medical School, Monash University, Northways Rd, 3842, Churchill, Vic, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "McGrail", 
        "givenName": "Matthew R", 
        "id": "sg:person.01207712357.31", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01207712357.31"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1097/00129804-200109000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004895368"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129804-200109000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004895368"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-2648.2006.03962.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007377275"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/320001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012182728"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ijnurstu.2006.02.003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013317938"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s0195941700080577", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015196928"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4065/81.9.1159", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015427205"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archinte.158.2.151", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018796611"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1308/147870804317", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024084962"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.a339", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026769768"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-6553(98)70063-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032372930"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-6553(98)70063-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032372930"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/14651858.cd007798.pub2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036477999"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0261-5614(91)90060-p", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037120041"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/502164", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038031244"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129804-200205000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038127935"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129804-200205000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038127935"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/502044", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038345896"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.1800830817", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038625145"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/599776", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042088308"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.320.7243.1197", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042484851"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(75)90875-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045387162"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(75)90875-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045387162"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1159/000022509", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047856309"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.1800751223", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049852879"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archinte.1980.00330130033012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051558893"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archinte.140.1.31", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054108218"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/502007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1058783367"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/502007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1058783367"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/biomet/68.2.373", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059419080"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.a630", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1062800890"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.a630", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1062800890"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.12968/bjon.1998.7.21.5551", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064788157"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.12968/bjon.1998.7.22.5533", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064788163"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.18773/austprescr.2003.029", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068689761"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.7326/0003-4819-114-10-845", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1073695117"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074995731", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1079603393", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0310057x8801600305", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1079603393"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0310057x8801600305", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1079603393"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0310057x8801600305", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1079603393"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/oxfordjournals.aje.a113702", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1081881215"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2010-12", 
    "datePublishedReg": "2010-12-01", 
    "description": "BACKGROUND: Peripheral intravenous device (IVD) complications were traditionally thought to be reduced by limiting dwell time. Current recommendations are to resite IVDs by 96 hours with the exception of children and patients with poor veins. Recent evidence suggests routine resite is unnecessary, at least if devices are inserted by a specialised IV team. The aim of this study was to compare the impact of peripheral IVD 'routine resite' with 'removal on clinical indication' on IVD complications in a general hospital without an IV team.\nMETHODS: A randomised, controlled trial was conducted in a regional teaching hospital. After ethics approval, 362 patients (603 IVDs) were randomised to have IVDs replaced on clinical indication (185 patients) or routine change every 3 days (177 patients). IVDs were inserted and managed by the general hospital medical and nursing staff; there was no IV team. The primary endpoint was a composite of IVD complications: phlebitis, infiltration, occlusion, accidental removal, local infection, and device-related bloodstream infection.\nRESULTS: IVD complication rates were 68 per 1,000 IVD days (clinically indicated) and 66 per 1,000 IVD days (routine replacement) (P = 0.86; HR 1.03; 95% CI, 0.74-1.43). Time to first complication per patient did not differ between groups (KM with log rank, P = 0.53). There were no local infections or IVD-related bloodstream infections in either group. IV therapy duration did not differ between groups (P = 0.22), but more (P = 0.004) IVDs were placed per patient in the routine replacement (mean, 1.8) than the clinical indication group (mean, 1.5), with significantly higher hospital costs per patient (P < 0.001).\nCONCLUSIONS: Resite on clinical indication would allow one in two patients to have a single cannula per course of IV treatment, as opposed to one in five patients managed with routine resite; overall complication rates appear similar. Clinically indicated resite would achieve savings in equipment, staff time and patient discomfort. There is growing evidence to support the extended use of peripheral IVDs with removal only on clinical indication.\nREGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ANZCTR) Number ACTRN12608000421336.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1741-7015-8-53", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1032885", 
        "issn": [
          "1741-7015"
        ], 
        "name": "BMC Medicine", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "8"
      }
    ], 
    "name": "Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised controlled trial", 
    "pagination": "53", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "e6d6de4a0ffa8cb8e54ed0d2e6d06bc0c20f39c46c7fa9dfe73c0b429782b928"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "20831782"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101190723"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1741-7015-8-53"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1048456824"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1741-7015-8-53", 
      "https://app.dimensions.ai/details/publication/pub.1048456824"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T23:25", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8693_00000516.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2F1741-7015-8-53"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1741-7015-8-53'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1741-7015-8-53'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1741-7015-8-53'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1741-7015-8-53'


 

This table displays all metadata directly associated to this object as RDF triples.

256 TRIPLES      21 PREDICATES      78 URIs      36 LITERALS      24 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1741-7015-8-53 schema:about N0114909aca284f2faf878c5e1ffe4897
2 N01420fc02c57431cbdec06537b48193b
3 N1e841268f57d4608b08ab945844d245a
4 N272c5e97010c4288974ea84a9177bb2d
5 N293ec990fbdf4e038c59c59e7f04a2f5
6 N342fac97935c4a39b17421e621f68e25
7 N4a566e6aabe843f0902e0764cf77bb85
8 N541a87e2981346e29c77455d44984a6f
9 N59814c0bd8d340ae977809841824ef9d
10 N5cd1a15491024302a39b06914e31ebd4
11 N8dfb3ceabddf4ec4a0c4cb265c3ef183
12 N9694f86475174569a2e24faad9b15daa
13 Neb893d0fd322487bb4184a1827b7ca4c
14 Nef5653808b864b39824e37d02b1c71e9
15 Nf5fc25c8f8844101ba4db89826e91e93
16 anzsrc-for:11
17 anzsrc-for:1103
18 schema:author Nadde5ada5d8948e2a869da705b90ce90
19 schema:citation https://app.dimensions.ai/details/publication/pub.1074995731
20 https://app.dimensions.ai/details/publication/pub.1079603393
21 https://doi.org/10.1001/archinte.140.1.31
22 https://doi.org/10.1001/archinte.158.2.151
23 https://doi.org/10.1001/archinte.1980.00330130033012
24 https://doi.org/10.1002/14651858.cd007798.pub2
25 https://doi.org/10.1002/bjs.1800751223
26 https://doi.org/10.1002/bjs.1800830817
27 https://doi.org/10.1016/0261-5614(91)90060-p
28 https://doi.org/10.1016/j.ijnurstu.2006.02.003
29 https://doi.org/10.1016/s0140-6736(75)90875-2
30 https://doi.org/10.1016/s0196-6553(98)70063-x
31 https://doi.org/10.1017/s0195941700080577
32 https://doi.org/10.1086/320001
33 https://doi.org/10.1086/502007
34 https://doi.org/10.1086/502044
35 https://doi.org/10.1086/502164
36 https://doi.org/10.1086/599776
37 https://doi.org/10.1093/biomet/68.2.373
38 https://doi.org/10.1093/oxfordjournals.aje.a113702
39 https://doi.org/10.1097/00129804-200109000-00008
40 https://doi.org/10.1097/00129804-200205000-00003
41 https://doi.org/10.1111/j.1365-2648.2006.03962.x
42 https://doi.org/10.1136/bmj.320.7243.1197
43 https://doi.org/10.1136/bmj.a339
44 https://doi.org/10.1136/bmj.a630
45 https://doi.org/10.1159/000022509
46 https://doi.org/10.1177/0310057x8801600305
47 https://doi.org/10.12968/bjon.1998.7.21.5551
48 https://doi.org/10.12968/bjon.1998.7.22.5533
49 https://doi.org/10.1308/147870804317
50 https://doi.org/10.18773/austprescr.2003.029
51 https://doi.org/10.4065/81.9.1159
52 https://doi.org/10.7326/0003-4819-114-10-845
53 schema:datePublished 2010-12
54 schema:datePublishedReg 2010-12-01
55 schema:description BACKGROUND: Peripheral intravenous device (IVD) complications were traditionally thought to be reduced by limiting dwell time. Current recommendations are to resite IVDs by 96 hours with the exception of children and patients with poor veins. Recent evidence suggests routine resite is unnecessary, at least if devices are inserted by a specialised IV team. The aim of this study was to compare the impact of peripheral IVD 'routine resite' with 'removal on clinical indication' on IVD complications in a general hospital without an IV team. METHODS: A randomised, controlled trial was conducted in a regional teaching hospital. After ethics approval, 362 patients (603 IVDs) were randomised to have IVDs replaced on clinical indication (185 patients) or routine change every 3 days (177 patients). IVDs were inserted and managed by the general hospital medical and nursing staff; there was no IV team. The primary endpoint was a composite of IVD complications: phlebitis, infiltration, occlusion, accidental removal, local infection, and device-related bloodstream infection. RESULTS: IVD complication rates were 68 per 1,000 IVD days (clinically indicated) and 66 per 1,000 IVD days (routine replacement) (P = 0.86; HR 1.03; 95% CI, 0.74-1.43). Time to first complication per patient did not differ between groups (KM with log rank, P = 0.53). There were no local infections or IVD-related bloodstream infections in either group. IV therapy duration did not differ between groups (P = 0.22), but more (P = 0.004) IVDs were placed per patient in the routine replacement (mean, 1.8) than the clinical indication group (mean, 1.5), with significantly higher hospital costs per patient (P < 0.001). CONCLUSIONS: Resite on clinical indication would allow one in two patients to have a single cannula per course of IV treatment, as opposed to one in five patients managed with routine resite; overall complication rates appear similar. Clinically indicated resite would achieve savings in equipment, staff time and patient discomfort. There is growing evidence to support the extended use of peripheral IVDs with removal only on clinical indication. REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ANZCTR) Number ACTRN12608000421336.
56 schema:genre research_article
57 schema:inLanguage en
58 schema:isAccessibleForFree true
59 schema:isPartOf N6ec46058992b4a6caed75107b93a0c40
60 Nea77d72074c84e54a3d77eb4eee05697
61 sg:journal.1032885
62 schema:name Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised controlled trial
63 schema:pagination 53
64 schema:productId N45194c42b1634329aa13653b9c548ae1
65 N9d738af65f084501a55427a8290bef9c
66 Ne74a8b79328143bdbc82b7b82d571139
67 Nedc071b3af4740f6b4039205558729c1
68 Nf41d73d030a34889b8156f26080a9077
69 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048456824
70 https://doi.org/10.1186/1741-7015-8-53
71 schema:sdDatePublished 2019-04-10T23:25
72 schema:sdLicense https://scigraph.springernature.com/explorer/license/
73 schema:sdPublisher Ne416844a7c2f486cb6eabbdc01929699
74 schema:url http://link.springer.com/10.1186%2F1741-7015-8-53
75 sgo:license sg:explorer/license/
76 sgo:sdDataset articles
77 rdf:type schema:ScholarlyArticle
78 N0114909aca284f2faf878c5e1ffe4897 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
79 schema:name Male
80 rdf:type schema:DefinedTerm
81 N01420fc02c57431cbdec06537b48193b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
82 schema:name Catheterization, Peripheral
83 rdf:type schema:DefinedTerm
84 N1e841268f57d4608b08ab945844d245a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
85 schema:name Equipment Failure
86 rdf:type schema:DefinedTerm
87 N2609dee8af8541dabf7aed77cce998f8 rdf:first sg:person.01207712357.31
88 rdf:rest rdf:nil
89 N272c5e97010c4288974ea84a9177bb2d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
90 schema:name Catheter-Related Infections
91 rdf:type schema:DefinedTerm
92 N293ec990fbdf4e038c59c59e7f04a2f5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
93 schema:name Female
94 rdf:type schema:DefinedTerm
95 N342fac97935c4a39b17421e621f68e25 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
96 schema:name Device Removal
97 rdf:type schema:DefinedTerm
98 N45194c42b1634329aa13653b9c548ae1 schema:name doi
99 schema:value 10.1186/1741-7015-8-53
100 rdf:type schema:PropertyValue
101 N4a566e6aabe843f0902e0764cf77bb85 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
102 schema:name Adult
103 rdf:type schema:DefinedTerm
104 N541a87e2981346e29c77455d44984a6f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
105 schema:name Phlebitis
106 rdf:type schema:DefinedTerm
107 N578c1a65e90846a9ba37f45ae2af0b50 schema:affiliation N73c8bdcb6b954036a381c8340624ddf0
108 schema:familyName Munnings
109 schema:givenName Jane
110 rdf:type schema:Person
111 N59814c0bd8d340ae977809841824ef9d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
112 schema:name Aged, 80 and over
113 rdf:type schema:DefinedTerm
114 N5cd1a15491024302a39b06914e31ebd4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
115 schema:name Time Factors
116 rdf:type schema:DefinedTerm
117 N6ec46058992b4a6caed75107b93a0c40 schema:volumeNumber 8
118 rdf:type schema:PublicationVolume
119 N73c8bdcb6b954036a381c8340624ddf0 schema:name St Luke's Hospital, Calvary Tasmania, 7250, Launceston Tas, Australia
120 rdf:type schema:Organization
121 N8dfb3ceabddf4ec4a0c4cb265c3ef183 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
122 schema:name Middle Aged
123 rdf:type schema:DefinedTerm
124 N9694f86475174569a2e24faad9b15daa schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
125 schema:name Practice Guidelines as Topic
126 rdf:type schema:DefinedTerm
127 N9ad296eb3bbe49318821fa56cfe5b907 rdf:first N578c1a65e90846a9ba37f45ae2af0b50
128 rdf:rest N2609dee8af8541dabf7aed77cce998f8
129 N9d738af65f084501a55427a8290bef9c schema:name readcube_id
130 schema:value e6d6de4a0ffa8cb8e54ed0d2e6d06bc0c20f39c46c7fa9dfe73c0b429782b928
131 rdf:type schema:PropertyValue
132 Nadde5ada5d8948e2a869da705b90ce90 rdf:first sg:person.01121041461.16
133 rdf:rest Ndf7dacdb1b0e49b28676e977ec0783cd
134 Ndf7dacdb1b0e49b28676e977ec0783cd rdf:first sg:person.01074022630.98
135 rdf:rest N9ad296eb3bbe49318821fa56cfe5b907
136 Ne416844a7c2f486cb6eabbdc01929699 schema:name Springer Nature - SN SciGraph project
137 rdf:type schema:Organization
138 Ne74a8b79328143bdbc82b7b82d571139 schema:name pubmed_id
139 schema:value 20831782
140 rdf:type schema:PropertyValue
141 Nea77d72074c84e54a3d77eb4eee05697 schema:issueNumber 1
142 rdf:type schema:PublicationIssue
143 Neb893d0fd322487bb4184a1827b7ca4c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
144 schema:name Aged
145 rdf:type schema:DefinedTerm
146 Nedc071b3af4740f6b4039205558729c1 schema:name dimensions_id
147 schema:value pub.1048456824
148 rdf:type schema:PropertyValue
149 Nef5653808b864b39824e37d02b1c71e9 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
150 schema:name Infusions, Intravenous
151 rdf:type schema:DefinedTerm
152 Nf41d73d030a34889b8156f26080a9077 schema:name nlm_unique_id
153 schema:value 101190723
154 rdf:type schema:PropertyValue
155 Nf5fc25c8f8844101ba4db89826e91e93 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
156 schema:name Humans
157 rdf:type schema:DefinedTerm
158 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
159 schema:name Medical and Health Sciences
160 rdf:type schema:DefinedTerm
161 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
162 schema:name Clinical Sciences
163 rdf:type schema:DefinedTerm
164 sg:journal.1032885 schema:issn 1741-7015
165 schema:name BMC Medicine
166 rdf:type schema:Periodical
167 sg:person.01074022630.98 schema:affiliation https://www.grid.ac/institutes/grid.1009.8
168 schema:familyName McCann
169 schema:givenName Damhnat
170 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01074022630.98
171 rdf:type schema:Person
172 sg:person.01121041461.16 schema:affiliation https://www.grid.ac/institutes/grid.1022.1
173 schema:familyName Rickard
174 schema:givenName Claire M
175 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01121041461.16
176 rdf:type schema:Person
177 sg:person.01207712357.31 schema:affiliation https://www.grid.ac/institutes/grid.1002.3
178 schema:familyName McGrail
179 schema:givenName Matthew R
180 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01207712357.31
181 rdf:type schema:Person
182 https://app.dimensions.ai/details/publication/pub.1074995731 schema:CreativeWork
183 https://app.dimensions.ai/details/publication/pub.1079603393 schema:CreativeWork
184 https://doi.org/10.1001/archinte.140.1.31 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054108218
185 rdf:type schema:CreativeWork
186 https://doi.org/10.1001/archinte.158.2.151 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018796611
187 rdf:type schema:CreativeWork
188 https://doi.org/10.1001/archinte.1980.00330130033012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051558893
189 rdf:type schema:CreativeWork
190 https://doi.org/10.1002/14651858.cd007798.pub2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036477999
191 rdf:type schema:CreativeWork
192 https://doi.org/10.1002/bjs.1800751223 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049852879
193 rdf:type schema:CreativeWork
194 https://doi.org/10.1002/bjs.1800830817 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038625145
195 rdf:type schema:CreativeWork
196 https://doi.org/10.1016/0261-5614(91)90060-p schema:sameAs https://app.dimensions.ai/details/publication/pub.1037120041
197 rdf:type schema:CreativeWork
198 https://doi.org/10.1016/j.ijnurstu.2006.02.003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013317938
199 rdf:type schema:CreativeWork
200 https://doi.org/10.1016/s0140-6736(75)90875-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045387162
201 rdf:type schema:CreativeWork
202 https://doi.org/10.1016/s0196-6553(98)70063-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1032372930
203 rdf:type schema:CreativeWork
204 https://doi.org/10.1017/s0195941700080577 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015196928
205 rdf:type schema:CreativeWork
206 https://doi.org/10.1086/320001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012182728
207 rdf:type schema:CreativeWork
208 https://doi.org/10.1086/502007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1058783367
209 rdf:type schema:CreativeWork
210 https://doi.org/10.1086/502044 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038345896
211 rdf:type schema:CreativeWork
212 https://doi.org/10.1086/502164 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038031244
213 rdf:type schema:CreativeWork
214 https://doi.org/10.1086/599776 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042088308
215 rdf:type schema:CreativeWork
216 https://doi.org/10.1093/biomet/68.2.373 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059419080
217 rdf:type schema:CreativeWork
218 https://doi.org/10.1093/oxfordjournals.aje.a113702 schema:sameAs https://app.dimensions.ai/details/publication/pub.1081881215
219 rdf:type schema:CreativeWork
220 https://doi.org/10.1097/00129804-200109000-00008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004895368
221 rdf:type schema:CreativeWork
222 https://doi.org/10.1097/00129804-200205000-00003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038127935
223 rdf:type schema:CreativeWork
224 https://doi.org/10.1111/j.1365-2648.2006.03962.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1007377275
225 rdf:type schema:CreativeWork
226 https://doi.org/10.1136/bmj.320.7243.1197 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042484851
227 rdf:type schema:CreativeWork
228 https://doi.org/10.1136/bmj.a339 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026769768
229 rdf:type schema:CreativeWork
230 https://doi.org/10.1136/bmj.a630 schema:sameAs https://app.dimensions.ai/details/publication/pub.1062800890
231 rdf:type schema:CreativeWork
232 https://doi.org/10.1159/000022509 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047856309
233 rdf:type schema:CreativeWork
234 https://doi.org/10.1177/0310057x8801600305 schema:sameAs https://app.dimensions.ai/details/publication/pub.1079603393
235 rdf:type schema:CreativeWork
236 https://doi.org/10.12968/bjon.1998.7.21.5551 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064788157
237 rdf:type schema:CreativeWork
238 https://doi.org/10.12968/bjon.1998.7.22.5533 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064788163
239 rdf:type schema:CreativeWork
240 https://doi.org/10.1308/147870804317 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024084962
241 rdf:type schema:CreativeWork
242 https://doi.org/10.18773/austprescr.2003.029 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068689761
243 rdf:type schema:CreativeWork
244 https://doi.org/10.4065/81.9.1159 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015427205
245 rdf:type schema:CreativeWork
246 https://doi.org/10.7326/0003-4819-114-10-845 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073695117
247 rdf:type schema:CreativeWork
248 https://www.grid.ac/institutes/grid.1002.3 schema:alternateName Monash University
249 schema:name Gippsland Medical School, Monash University, Northways Rd, 3842, Churchill, Vic, Australia
250 rdf:type schema:Organization
251 https://www.grid.ac/institutes/grid.1009.8 schema:alternateName University of Tasmania
252 schema:name School of Nursing and Midwifery, University of Tasmania, Newnham Drive, 7250, Launceston Tas, Australia
253 rdf:type schema:Organization
254 https://www.grid.ac/institutes/grid.1022.1 schema:alternateName Griffith University
255 schema:name Research Centre for Clinical and Community Practice Innovation, Griffith University, 170 Kessels Rd, 4111, Nathan, Qld, Australia
256 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...