A Model of Phlebitis Associated with Peripheral Intravenous Catheters in Orthopedic Inpatients.

Sookhee Lee,Ji-Su Kim,Kyunghee Kim

doi:10.3390/ijerph16183412

Abstract

Phlebitis leads to increased discomfort for patients, longer hospital stays, and higher healthcare costs. This study aimed to identify predictive factors of peripheral phlebitis related to intravenous injection among orthopedic inpatients, develop a prediction model, and evaluate the goodness-of-fit of the prediction model. This study included 270 orthopedic patients who were hospitalized in the orthopedic ward of a general hospital. A peripheral intravenous injection-related questionnaire based on previous studies and the modified Infusion Nurses Society scale were used to collect data. Phlebitis risk factors were identified, and a prediction model was developed using the Bayesian regression model. Vein quality, contrast medium use, hygiene duration, and period of nursing clinical experience were significant based on their 95% confidence intervals. The prediction model exhibited good discrimination. The prediction model developed in this study can be used for screening high-risk patients for peripheral intravenous catheter-related phlebitis and for providing basic data for developing interventions for the prevention and management of peripheral intravenous catheter-related phlebitis.

Highlights

Intravenous injection via a peripheral intravenous catheter (PIVC) is the most common route of administering medication [1]
This study aimed to identify individual, chemical, mechanical, and infectious factors reported to be associated with PIVC-related phlebitis, to develop a prediction model for the incidence of PIVC-related phlebitis in orthopedic inpatients, and to evaluate the prediction model by a goodness-of-fit test
This study developed a PIVC-related phlebitis prediction model and identified an incidence of PIVC-related phlebitis of 35.9% of the studied cohort

Summary

Introduction

Intravenous injection via a peripheral intravenous catheter (PIVC) is the most common route of administering medication [1]. Given the diverse utility of intravenous injections, such as administration of fluid, medications, and contrast agents required for imaging [5], their usage is predicted to increase even further. Despite this utility, numerous complications are associated with intravenous bolus/push medication administration, including phlebitis, infiltration, burning sensation, and fluid volume excess [6]. There is little literature on phlebitis associated with PIVC, and it is less conclusive [19]

Objectives

Discussion

Conclusion