• Intern Emerg Med · Apr 2024

    Evaluation of use and identification of predictive factors for nonuse of peripheral venous catheters in the emergency department.

    • Florent Noel, Aurélie Lefèvre, Jacques-Emmanuel Galimard, Célina Pognonec, Christian Kassasseya, Sofiane Yefsah, Youri Yordanov, and Pierre-Clément Thiebaud.
    • Service d'Accueil Des Urgences, Hôpital Saint Antoine, AP-HP.Sorbonne Université, 184, Rue du Faubourg Saint-Antoine, 75012, Paris, France.
    • Intern Emerg Med. 2024 Apr 17.

    AbstractThe placement of peripheral venous catheters (PVC) is a frequent procedure in the emergency department (ED), which exposes patients to complications (hematoma, fluid leakage, phlebitis, edema, infection), increases hemolysis of blood samples, is time-consuming and costly. The main aim of this study is to analyze the rate of PVC nonuse in the ED and to identify predictive factors of their nonuse. This prospective single-center observational study was conducted in the ED of the Saint-Antoine Hospital in Paris, France between February and March 2022. Adult patients receiving a PVC were included. In addition to demographic and medical data, the reason for PVC prescription and the prescribing physician's expectation of PVC use were collected. A total of 304 patients were included, with a median age of 61.5 years (IQR: 43-79 years), of whom 152 (50%) were men. PVC were primarily prescribed for intravenous medication administration. Seventy-two (23.7%) PVC were not used. In multivariable analysis, the predictive factors of nonuse were the prescribing physician's expectation of nonuse [OR 6.35, CI 95% (2.64-15.29), for "no" and "not sure" vs. "yes" responses] and the reason for prescribing "just in case" [OR 3.54, CI 95% (1.37-9.17)]. PVC were not used in 23.7% of cases. Predictors of nonuse were the prescribing physician's expectation of nonuse and the reason for prescribing "just in case". A PVC should probably not be prescribed if the prescribing physician thinks it will not be used or prescribes it "just in case".© 2024. The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI).

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