J Korean Crit Care Nurs.  2018 Jun;11(2):11-20. 10.0000/jkccn.2018.11.2.11.

Factors Related to Extravasation of Non-chemotherapy Vesicant Drugs in Peripheral Vein Catheters

• Lee JM
• Lee J
• Jang YS
• Kim YH

• KMID: 2416797
• DOI: http://doi.org/10.0000/jkccn.2018.11.2.11

Abstract

PURPOSE
This study aimed to investigate the incidence of intravenous extravasation and the risk factors associated with the use of peripheral intravenous catheters in adults. METHOD: This prospective observational study included 203 adult patients admitted to the general ward who received non-chemotherapy vesicant drug infusion treatments. Data were analyzed using frequencies, percentage, means, standard deviations, and odds ratios (ORs) from multiple logistic regressions.
RESULTS
The incidence of extravasation was 43.3%. Risk factors for intravenous extravasation included continuous injections (OR=5.35, 95% CI [1.38, 20.83]), and parenteral nutrition (OR=3.53, 95% CI [1.43, 8.73]).
CONCLUSION
The present findings revealed that gastrointernal medicine problems, continuous injection, and parenteral nutrition were related to intravenous extravasation. Further research is necessary to reduce the incidence of extravasation related to peripheral intravenous catheterization in adults, and to prevent secondary complications. Finally, patients should be provided appropriate and continuous care based on the type of intravenous infusion.

Keyword

Intravenous; Extravasation; Irritants; Incidence; Risk Factors

MeSH Terms

Adult
Catheterization
Catheters*
Humans
Incidence
Infusions, Intravenous
Irritants
Logistic Models
Methods
Observational Study
Odds Ratio
Parenteral Nutrition
Patients' Rooms
Prospective Studies
Risk Factors
Veins*
Irritants