Peripheral Vein Thrombophlebitis in the Upper Extremity: A Systematic Review of a Frequent and Important Problem.
Background: The acceptable incidence of thrombophlebitis following intravenous cannulation is 5%, as recommended by the Intravenous Nurses Society guidelines, but publications have reported startling figures of 20% to 80%. Given the frequency of intravenous lines, this presents a potential clinical...
| Publicado en: | American Journal of Medicine Vol. 133; no. 4; pp. 473 - 474 |
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| Autores principales: | , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Excerpta Medica Publishing Group
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142883739&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142883739 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00029343 AJM jtl: American Journal of Medicine issn: 00029343 maglogo: N pubinfo: dt: Apr2020 vid: 133 iid: 4 pid: 1688 pub: Excerpta Medica Publishing Group artinfo: ui: 142883739 142883739 NLM31606488 142883739 10.1016/j.amjmed.2019.08.054 NLM31606488 142883739 ppf: 473 ppct: 1 formats: tig: atl: Peripheral Vein Thrombophlebitis in the Upper Extremity: A Systematic Review of a Frequent and Important Problem. aug: au: Heng, Shu Yun Yap, Robert Tze-Jin Tie, Joyce McGrouther, Duncan Angus affil: Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore sug: subj: Thrombophlebitis Etiology Upper Extremity Risk Factors Catheterization, Peripheral Adverse Effects Thrombophlebitis Prevention and Control Human Systematic Review Validation Studies Comparative Studies Evaluation Research Multicenter Studies ab: Background: The acceptable incidence of thrombophlebitis following intravenous cannulation is 5%, as recommended by the Intravenous Nurses Society guidelines, but publications have reported startling figures of 20% to 80%. Given the frequency of intravenous lines, this presents a potential clinical problem. We aimed to determine the predisposing patient, catheter, and health care-related factors of peripheral vein thrombophlebitis in the upper extremity.Methods: In this systematic review, we used a comprehensive search strategy to identify risk factors of thrombophlebitis from inception to May 20, 2019. Studies reporting risk factors of peripheral vein thrombophlebitis of adult patients admitted to the hospital and receiving an intravenous cannulation were included. The Quality of Prognostic Studies tool was used in the assessment for risk of bias to determine the study quality.Results: Of the 6910 studies initially identified, 25 were eligible for inclusion. Qualitative syntheses revealed that patient-related factors that confer a higher risk included intercurrent illness, immunocompromised state, comorbidities such as diabetes mellitus, malignancy, previous thrombophlebitis, burns, and higher hemoglobin levels. Catheter-related risk factors included catheter size, duration, and site of insertion. Intravenous antibiotics and potassium chloride predisposed to thrombophlebitis. Cannulation by an intravenous therapy team and more nursing care were associated with a decreased risk. A P-value < .5 was considered to be statistically significant.Conclusion: Recognition of the predisposing factors would allow for targeted strategies to aid in the prevention of this iatrogenic infection, which may include closer monitoring of patients who are identified to be vulnerable. Based on this systematic review, we developed an algorithm to guide clinical management. Further research is warranted to validate this algorithm. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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