Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS study
Abstract Aim To investigate an association between failure of initial peripheral intravascular catheter (PIVC) insertion and adverse events in patients admitted to the intensive care unit (ICU) from the emergency room (ER). Methods This study was a post hoc analysis of the AMOR‐VENUS study, a multic...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Acute Medicine & Surgery |
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| Online Access: | https://doi.org/10.1002/ams2.850 |
| _version_ | 1797374343749042176 |
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| author | Yuki Kishihara Hideto Yasuda Masahiro Kashiura Takashi Moriya Yutaro Shinzato Yuki Kotani Natsuki Kondo Kosuke Sekine Nobuaki Shime Keita Morikane the AMOR‐VENUS study group |
| author_facet | Yuki Kishihara Hideto Yasuda Masahiro Kashiura Takashi Moriya Yutaro Shinzato Yuki Kotani Natsuki Kondo Kosuke Sekine Nobuaki Shime Keita Morikane the AMOR‐VENUS study group |
| author_sort | Yuki Kishihara |
| collection | DOAJ |
| description | Abstract Aim To investigate an association between failure of initial peripheral intravascular catheter (PIVC) insertion and adverse events in patients admitted to the intensive care unit (ICU) from the emergency room (ER). Methods This study was a post hoc analysis of the AMOR‐VENUS study, a multicenter cohort study that included 22 institutions and 23 ICUs in Japan between January and March of 2018. Study participants included consecutive adult patients admitted to the ICU with PIVCs inserted in ICU during the study period exclusively from the ER. The primary outcome was adverse events. Adverse events were composite of arterial puncture, hematoma, extravasation, nerve injury, tendon injury, compartment syndrome, pain, redness, bad location, and effusion. Multivariate logistic regression analyses were performed to assess the association between adverse events and the failure of initial PIVC insertion. Results In total, 363 patients and 1121 PIVCs were analyzed. Moreover, 199 catheters failed to insert properly, and 36 patients and 107 catheters experienced adverse events. After performing multivariate logistic regression analysis, there were statistically significant associations in the odds ratio (OR) and 95% confidence interval (CI) for the failure of initial insertion (OR, 1.66 [1.02–2.71]; p = 0.04). Conclusion Failure of initial insertion may be a risk factor for adverse events. We could potentially provide various interventions to avoid failure of initial PIVC insertion. For example, PIVC insertion could be performed by experienced practitioners. |
| first_indexed | 2024-03-08T19:04:29Z |
| format | Article |
| id | doaj.art-236ae80ab30e4c3fb2c71e47ac0e5796 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-03-08T19:04:29Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-236ae80ab30e4c3fb2c71e47ac0e57962023-12-28T00:28:39ZengWileyAcute Medicine & Surgery2052-88172023-01-01101n/an/a10.1002/ams2.850Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS studyYuki Kishihara0Hideto Yasuda1Masahiro Kashiura2Takashi Moriya3Yutaro Shinzato4Yuki Kotani5Natsuki Kondo6Kosuke Sekine7Nobuaki Shime8Keita Morikane9the AMOR‐VENUS study groupDepartment of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama JapanDepartment of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama JapanDepartment of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama JapanDepartment of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama JapanDepartment of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama JapanDepartment of Intensive Care Medicine Kameda Medical Center Chiba JapanDepartment of Intensive Care Medicine Chiba Emergency Medical Center Chiba‐shi JapanDepartment of Medical Engineer Kameda Medical Center Chiba JapanDepartment of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima JapanDivision of Clinical Laboratory and Infection Control Yamagata University Hospital Yamagata JapanAbstract Aim To investigate an association between failure of initial peripheral intravascular catheter (PIVC) insertion and adverse events in patients admitted to the intensive care unit (ICU) from the emergency room (ER). Methods This study was a post hoc analysis of the AMOR‐VENUS study, a multicenter cohort study that included 22 institutions and 23 ICUs in Japan between January and March of 2018. Study participants included consecutive adult patients admitted to the ICU with PIVCs inserted in ICU during the study period exclusively from the ER. The primary outcome was adverse events. Adverse events were composite of arterial puncture, hematoma, extravasation, nerve injury, tendon injury, compartment syndrome, pain, redness, bad location, and effusion. Multivariate logistic regression analyses were performed to assess the association between adverse events and the failure of initial PIVC insertion. Results In total, 363 patients and 1121 PIVCs were analyzed. Moreover, 199 catheters failed to insert properly, and 36 patients and 107 catheters experienced adverse events. After performing multivariate logistic regression analysis, there were statistically significant associations in the odds ratio (OR) and 95% confidence interval (CI) for the failure of initial insertion (OR, 1.66 [1.02–2.71]; p = 0.04). Conclusion Failure of initial insertion may be a risk factor for adverse events. We could potentially provide various interventions to avoid failure of initial PIVC insertion. For example, PIVC insertion could be performed by experienced practitioners.https://doi.org/10.1002/ams2.850catheterscritical illnessequipment failureintensive care unitsrisk factors |
| spellingShingle | Yuki Kishihara Hideto Yasuda Masahiro Kashiura Takashi Moriya Yutaro Shinzato Yuki Kotani Natsuki Kondo Kosuke Sekine Nobuaki Shime Keita Morikane the AMOR‐VENUS study group Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS study Acute Medicine & Surgery catheters critical illness equipment failure intensive care units risk factors |
| title | Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS study |
| title_full | Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS study |
| title_fullStr | Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS study |
| title_full_unstemmed | Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS study |
| title_short | Impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room: A post hoc analysis of the AMOR‐VENUS study |
| title_sort | impact of the failure of initial insertion of a peripheral intravascular catheter on the development of adverse events in patients admitted to the intensive care unit from the emergency room a post hoc analysis of the amor venus study |
| topic | catheters critical illness equipment failure intensive care units risk factors |
| url | https://doi.org/10.1002/ams2.850 |
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