Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis

Ferika Indarwati; Saira Mathew; Judy Munday; Samantha Keogh

doi:10.1016/j.ijnurstu.2019.103488

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Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis

Journal article

Peer reviewed

Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis

Ferika Indarwati, Saira Mathew, Judy Munday and Samantha Keogh

International Journal of Nursing Studies, Vol.102, pp.1-11

2020

DOI: https://doi.org/10.1016/j.ijnurstu.2019.103488

PMID: 31862530

Abstract

Infiltration

Intravenous administration

Peripheral venous catheterisation

Phlebitis

Systematic review

Background: Most paediatric patients have at least one peripheral intravenous catheter insertion during their hospitalisation. Despite the important function of peripheral intravenous catheters for delivery of intravenous therapy, failure and complications rates are widely reported; however these results have not been synthesised. Objective: To provide an overall estimate of peripheral intravenous catheter failure and related complications in the paediatric population. Design: Systematic review and meta-analysis Data sources: The electronic databases, Cochrane Central Register of Controlled Trials, US National Library of Medicine National Institutes of Health, Cumulative Index of Nursing and Allied Health, Embase, Joanna Briggs Institute databases and ProQuest Dissertations and Theses, from January 2000 to January 2019 was conducted. Review methods: Observational studies and randomised controlled trials were independently screened by paired reviewers, and then eligible studies had data extracted and assessed for quality. Key outcomes of interest were any peripheral intravenous catheter complication, either as a composite measure or individually reported, including infiltration, extravasation, phlebitis, accidental removal, occlusion, leakage, local or catheter-associated infection. Results were pooled for analysis or summarised in a narrative synthesis. Results: Thirty-two studies met the inclusion criteria. Overall, the pooled incidence of peripheral intravenous catheter failure as a composite measure was 38% (n = 6,492; 95% CI 0.32 – 0.45) by device and 34% (n = 3,654, 95% CI 0.29 – 0.39) by patients. Infiltration was the most common individual reason for failure with 10% pooled incidence (95% CI 0.07 – 0.14) followed by accidental removal, occlusion, and leakage. Incidence of total phlebitis (any symptoms) was 5% (95% CI 0.02 – 0.10), with extravasation at 1% (95% CI 0.00 – 0.02). Studies ranged in methodological quality as appraised by the relevant tool. Conclusions: Peripheral intravenous catheter failure and complications in paediatrics patients are a significant problem globally. Therefore, continued efforts from health care providers are required to decrease the incidence of these complications.

Details

Title: Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis
Authors: Ferika Indarwati (Author) - Muhammadiyah University of Yogyakarta
Saira Mathew (Author) - Queensland University of Technology
Judy Munday (Author) - Queensland University of Technology
Samantha Keogh (Corresponding Author) - Queensland University of Technology
Publication details: International Journal of Nursing Studies, Vol.102, pp.1-11
Publisher: Elsevier Ltd
DOI: 10.1016/j.ijnurstu.2019.103488
ISSN: 1873-491X
PMID: 31862530
Data Availability: All relevant data are within the paper and its supporting information files.
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 99991064302621
Output Type: Journal article