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Incidence and Predictors of Peripheral Venous Catheter-Related Complications in Hospitals in Burkina Faso

Open Journal of Emergency Medicine 2021年第4期9卷 196-208页

作者： Imbe Ignace Yaro Mikaila Kaboré Martin Lankoande farid belem Ismael Guibla Ahmed Ouattara Charles Ilboudo Papougnézambo Bonkoungou Kongnimissom Apoline Sondo Raweleguinbasba Armel Flavien Kaboré Nazinigouba Ouedraogo Medical Emergency Department Yalgado Ouédraogo Teaching Hospital Ouagadougou Burkina Faso Anesthesia Resuscitation Ward Regional Hospital of Ziniaré Ziniaré Burkina Faso Infectious Diseases Department Yalgado Ouédraogo Teaching Hospital Ouagadougou Burkina Faso Health Sciences Training and Research Unit Joseph KI-Zerbo University Ouagadougou Burkina Faso Anesthesia Resuscitation Department Sanon Souro Teaching Hospital Bobo-Dioulasso Burkina Faso Anesthesia Resuscitation and Emergency Department Yalgado Ouédraogo Teaching Hospital Ouagadougou Burkina Faso Anesthesia Resuscitation and Emergency Department Tengandogo Teaching Hospital Ouagadougou Burkina Faso

Introduction: Peripheral venous catheters (PVCs) are the most commonly used medical devices in hospitals for the administration of medications. Their use can lead to complications of varying severity. Objective: Determine the incidence and factors associated with the occurrence of PVC-related complications. Methods: This was a two-month prospective observational study conducted in the Medical Emergency Department (MED) of Yalgado Ouedraogo Teaching Hospital in Ouagadougou. All patients admitted during the study period who had a PVC inserted and removed were included in the study. Logistic regression analysis was used to identify the factors associated with the occurrence of complications. Results: In total, 459 PVCs were inserted and removed in 415 patients hospitalized at the Medical Emergency Department during the study period. The placement of 37.7% (n = 173) of PVCs resulted in complications in 131 patients (31.6%). For 644.3 days of catheterization, the incidence density was estimated at 6.5 complications per 1000 patient days. Phlebitis (24.0%), infection (5.7%), and accidental removal (2.8%) were the most frequently identified complications. The average age of the patients was 46.8 ± 18.9 years with a sex ratio of 1.22. The average patient hospitalization duration was 2.5 ± 2.6 days. In multivariate analysis, the factors significantly associated with the occurrence of complications after PVC insertion were patient’s state of agitation during the procedure (aOR = 12.59;95% CI = 4.12 - 38.49), placement of the PVC at the elbow bend (aOR = 2.17;95% CI = 1.86 - 5.52), multiple attempts

关键词： Peripheral Venous Catheter Complications Risk Factors Emergencies

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