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Replacing peripheral intravenous catheters: an observational study of peripheral intravenous catheter outcomes in adult hospitalised patients

Complication of peripheral intravenous catheters - a prospective observational study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12615000738527
Acronym
REPLACE
Enrollment
1000
Registered
2015-07-17
Start date
2014-10-15
Completion date
2015-11-26
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The rate of peripheral intravenous catheter failure at the RBWH is high (around 40%). When a catheter fails, before treatment has been completed, a new catheter is generally required, causing discomfort to the patient and considerable cost to the organisation. There are a number of reasons for catheter failure, some of which may be preventable with appropriate intervention. At present we do not have a clear idea of the causes of catheter failure at the RBWH. The proposed study will follow a cohort of patients from admission to discharge and closely monitor any IV access events associated with their stay. Patients with catheter failure will be compared to a group who do not have catheter failure, to identify opportunities for intervention.

Interventions

Patients with a peripheral intravenous catheter admitted to medical, surgical and maternity services, within the preceding 24 hour period will be identified prospectively. Consenting patients will have demographic data collected: e.g. admitting diagnosis, co-morbidities, skin and vein condition, cannula insertion details. Participants will be reviewed by a research nurse second daily and other risk factors collected: e.g. antibiotic type and dosage, flushing regime, continuous or intermittent i

Patients with a peripheral intravenous catheter admitted to medical, surgical and maternity services, within the preceding 24 hour period will be identified prospectively. Consenting patients will have demographic data collected: e.g. admitting diagnosis, co-morbidities, skin and vein condition, cannula insertion details. Participants will be reviewed by a research nurse second daily and other risk factors collected: e.g. antibiotic type and dosage, flushing regime, continuous or intermittent intravenous fluid administration, dressing and other securement types of both catheter and tubing, presence of extension tubing or 3-way taps, catheter type and size, patient factors such as mobility status, presence of delirium. Participants will be monitored until discharge from hospital or until they have a central venous access device inserted.

Sponsors

Griffith University
Lead SponsorUniversity

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Patients requiring peripheral intravenous catheters and able to provide informed consent 2. Catheter inserted within 24 hours of recruitment

Exclusion criteria

1. Patients admitted for palliative treatment or who are on a care of the dying pathway 2. Patients who are under the age of 18 years

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026