外周静脉短导管在住院儿童中的使用寿命：一项前瞻性研究。
Lifespan of peripheral intravenous short catheters in hospitalized children: A prospective study.
机构信息
Faculty of Nursing, Department of Clinical Nursing, San Ignacio University Hospital, Pontificia Universidad Javeriana, Bogota, Colombia.
Faculty of Medicine, Department of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Bogota, Colombia.
出版信息
J Vasc Access. 2022 Sep;23(5):730-737. doi: 10.1177/11297298211005299. Epub 2021 Apr 12.
OBJECTIVE
To estimate the recommended lifespan of 223 peripheral intravenous accesses in pediatric services.
METHOD
In this cohort study, we monitored the time of intravenous catheter between insertion and removal in children aged up to 15 years old in a Hospital from Bogotá-Colombia. The routine catheter observations was registered in questionnaires during nursing shifts. Survival analyses were performed to analyze the lifespan of the catheter free of complications.
RESULTS
The median lifespan of peripheral intravenous catheters without complications was 129 h (IQR 73.6-393.4 h). This median time free from complications was much lower for children ⩽1 year 98.3 h (IQR 63-141 h), than for participants aged >1 year 207.4 h (IQR 100-393 h). Catheters of 24 G (gauge) caliber had a median complication free time of 128 h (IQR 69-207 h) and 22 G calibers 144 h (IQR 103-393 h).
CONCLUSIONS
In this study, 75% of peripheral indwell catheters remained free from complications for 74 h, the other extreme 25% of these patients could remain up to 393 h.
目的
估计儿科服务中 223 个外周静脉通路的建议使用期限。
方法
在这项队列研究中，我们监测了哥伦比亚波哥大一家医院 15 岁以下儿童静脉导管插入和拔出之间的时间。在护理轮班期间，通过问卷记录常规导管观察结果。生存分析用于分析无并发症的导管寿命。
结果
无并发症的外周静脉导管中位寿命为 129 小时（IQR 73.6-393.4 小时）。无并发症的中位时间对于 ⩽1 岁的儿童为 98.3 小时（IQR 63-141 小时），明显短于 ⩾1 岁的参与者 207.4 小时（IQR 100-393 小时）。24G（规格）的导管无并发症中位时间为 128 小时（IQR 69-207 小时），而 22G 规格为 144 小时（IQR 103-393 小时）。
结论
在这项研究中，75%的外周留置导管无并发症的时间为 74 小时，另外 25%的患者可以保持长达 393 小时。
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