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DIRETRIZES DO AUTORES)

Eventos adversos relacionados a cateteres venosos periféricos em pessoas hospitalizadas em um hospital público no Chile

Autores

Resumo

Introdução: O cateter venoso periférico é um dispositivo amplamente utilizado que permite a administração de terapia intravenosa e apresenta uma alta taxa de complicações. Objetivo: Descrever os eventos adversos associados a cateteres venosos periféricos em pacientes hospitalizados e em atendimento de emergência. Metodologia: O estudo foi descritivo, até 30 dias antes do dia da coleta de dados. A população do estudo foi de pacientes hospitalizados em um hospital público de alta complexidade em Santiago do Chile. Para a análise dos dados, foram utilizadas estatísticas descritivas e modelos de regressão logística. Resultados: Foram incluídos 602 cateteres em 248 pessoas, com uma prevalência de cateteres venosos periféricos de 51,4% de todos os usuários hospitalizados. A amostra consistiu de 46,3% de mulheres, com uma média de idade de 52,8 anos. O serviço com mais dispositivos foi o médico-cirúrgico para adultos, com 44,3%. Desses, 399 tinham registros completos, dos quais 264 (66,2%) foram removidos eletivamente devido ao término da terapia intravenosa e 135 (33,8%) cateteres apresentaram um evento adverso e tiveram de ser removidos. Os principais eventos adversos observados corresponderam a infiltração/extravasamento sem dano tecidual 9,2 x 100 cateteres venosos periféricos, seguidos por flebite 7,7 x 100 cateteres venosos periféricos e auto-remoção pelo paciente 4,0 x 100 cateteres venosos periféricos. Conclusões: Os resultados acima nos permitem direcionar esforços para disseminar e fortalecer as práticas clínicas para prevenir eventos adversos em pessoas que precisam de um cateter venoso periférico de acordo com os eventos adversos mais prevalentes.

Palavras-chave:

Cateterismo Periférico, Infusões Intravenosas, Segurança do Paciente, Gestão da Qualidade Total, Pesquisa em Enfermagem Clínica

Referências

Donaldson L, Dhingra N, Gupta N. Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. First ed. Ginebra: World Health Organization; 2021. 108 p.

Unidad de Asesoría Técnica de la Intendencia de Prestadores. Nota Técnica N°11/2018 Recomendaciones para la implementación de sistemas de notificación o reporte de eventos adversos en atención abierta. Primera ed. Santiago, Chile. Observatorio de Calidad en Salud; 2018. 16 p.

Bates D, Levine D, Salmasian H, Syrowatka, A, Shahian D, et al. The Safety of Inpatient Health Care. N Engl J Med 2023;388(2):142–153. https://doi.org/10.1056/NEJMsa2206117

Schwendimann R, Blatter C, Dhaini S, Simon M, Ausserhofer D. The occurrence, types, consequences and preventability of in-hospital adverse events - a scoping review. BMC Health Serv Res 2018;18(1):521. https://doi.org/10.1186/s12913-018-3335-z

Simões AMN, Vendramim P, Pedreira MLG. Risk factors for peripheral intravenous catheter-related phlebitis in adult patients. Rev Esc Enferm USP. 2022;56:e20210398. https://doi.org/10.1590/1980-220X-REEUSP-2021-0398en

Kashiura M, Yasuda H, Oishi T, Kishihara Y, Moriya T, Kotani Y, Kondo N, et al. Risk factors for peripheral venous catheter-related phlebitis stratified by body mass index in critically ill patients: A post-hoc analysis of the AMOR-VENUS study. Front. Med. 2022;9:1037274. https://doi.org/10.3389/fmed.2022.1037274

Blanco-Mavillard I, Rodríguez-Calero M, de Pedro-Gómez J, Parra-García G, Fernández-Fernández I, Castro-Sánchez E. Incidence of peripheral intravenous catheter failure among inpatients: variability between microbiological data and clinical signs and symptoms. Antimicrobial resistance and infection control 2019;8:124. https://doi.org/10.1186/s13756-019-0581-8

Walker R, Pires M, Ray-Barruel G, Cooke M, Mihala G, Azevedo S, et al. Peripheral vascular catheter use in Latin America (the vascular study): A multinational cross-sectional study. Frontiers in medicine 2022;9:1039232. https://doi.org/10.3389/fmed.2022.1039232

Blanco-Mavillard I, Personat-Labrador C, Castro-Sánchez E, Rodríguez-Calero M, Fernández-Fernández I, Carr P, et al. Interventions to reduce peripheral intravenous catheter failure: An international e-Delphi consensus on relevance and feasibility of implementation. Journal of infection and public health 2023;16(12):1994–2000. https://doi.org/10.1016/j.jiph.2023.10.004

Miliani K, Taravella R, Thillard D, Chauvin V, Martin E, Edouard S, et al. Peripheral Venous Catheter-Related Adverse Events: Evaluation from a Multicentre Epidemiological Study in France (the CATHEVAL Project). PloS one 2017;12(1):e0168637. https://doi.org/10.1371/journal.pone.0168637

Ghali H, Ben Rejeb O, Bouafia N, Ammar A, Njah M, Ernez S, et al. Incidence and risk factors of peripheral venous catheter-related adverse events in cardiology department of a Tunisian university hospital: A prospective observational study. Annales de cardiologie et d'angeiologie 2019;68(4):207–214. https://doi.org/10.1016/j.ancard.2018.08.025

García-Uribe J, Lopera-Jaramillo D, Gutiérrez-Vargas J, Arteaga-Noriega A, Bedoya OA. Efectos adversos relacionados con la administración de norepinefrina por accesos venosos periféricos cortos: una revisión de alcance. Enferm Intensiva 2023;34(4):218–26. http://dx.doi.org/10.1016/j.enfi.2022.09.001

Brørs G, Gjeilo K, Lund T, Skevik K, Aa E, Høvik L, et al. Amiodarone-induced phlebitis: incidence and adherence to a clinical practice guideline. European journal of cardiovascular nursing, 2023;22(8):824–831. https://doi.org/10.1093/eurjcn/zvad003

Shimoni Z, Houdhoud N, Isaacs Y, Froom P. Observational study of peripheral intravenous catheter outcomes in an internal medicine department. Internal medicine journal 2023;53(2):221–227. https://doi.org/10.1111/imj.15963

Marsh N, Larsen E, Ullman A, Mihala G, Cooke M, Chopra V, et al. (2023). Peripheral intravenous catheter infection and failure: A systematic review and meta-analysis. International journal of nursing studies 2023;151:104673. Advance online publication. https://doi.org/10.1016/j.ijnurstu.2023.104673

Chen Y, Fan X, Liu M, Wang J, Yang Y, Su Y. Risk factors for peripheral venous catheter failure: A prospective cohort study of 5345 patients. The journal of vascular access 2022;23(6):911–921. https://doi.org/10.1177/11297298211015035

Marsh N, Larsen E, Takashima M, Kleidon T, Keogh S, Ullman A, et al. Peripheral intravenous catheter failure: A secondary analysis of risks from 11,830 catheters. International journal of nursing studies 2021;124:104095. https://doi.org/10.1016/j.ijnurstu.2021.104095

Liu C, Chen L, Kong D, Lyu F, Luan L, Yang L. Incidence, risk factors and medical cost of peripheral intravenous catheter-related complications in hospitalised adult patients. The journal of vascular access 2022;23(1),57–66. https://doi.org/10.1177/1129729820978124

Marsh N, Webster J, Ullman A, Mihala G, Cooke M, Chopra V, et al. Peripheral intravenous catheter non-infectious complications in adults: A systematic review and meta-analysis. Journal of advanced nursing 2020;76(12):3346–3362. https://doi.org/10.1111/jan.14565

Pérez-Granda M, Irigoyen-von-Sierakowski Á, Toledo N, Rodríguez E, Cruz M, Hernanz G, et al. Impact of an interventional bundle on complications associated with peripheral venous catheters in elderly patients. Eur J Clin Microbiol Infect Dis 2024;43:703-712. https://doi.org/10.1007/s10096-024-04771-5

Gras E, Jean A, Rocher V, Tran Y, Katsahian S, Jouclas D, et al. Incidence of and risk factors for local complications of peripheral venous catheters in patients older than 70 years: Empirical research quantitative. Journal of clinical nursing 2023;32(15-16), 5000–5009. https://doi.org/10.1111/jocn.16732

Takashima M, Gibson V, Borello E, Galluzzo L, Gill F, Kinney S, et al. Pediatric invasive device utility and harm: a multi-site point prevalence survey. Pediatric research 2024;96:148-158. https://doi.org/10.1038/s41390-023-03014-1

Indarwati F, Mathew S, Munday J, Keogh S. Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis. International journal of nursing studies 2020;102:103488. https://doi.org/10.1016/j.ijnurstu.2019.103488

Karaoğlan N, Sarı H, Devrim İ. Complications of peripheral intravenous catheters and risk factors for infiltration and phlebitis in children. British journal of nursing 2022;31(8):S14–S23. https://doi.org/10.12968/bjon.2022.31.8.S14

McIntyre C, August D, Cobbald L, Lack G, Takashima M, Foxcroft K, et al. (2023). Neonatal Vascular Access Practice and Complications: An Observational Study of 1,375 Catheter Days. The Journal of perinatal & neonatal nursing 2023;37(4):332–339. https://doi.org/10.1097/JPN.0000000000000589

Tsunozaki K, Suenaga H, Aoki M, Hamaguchi Y. (2023). Comparison of dwell time and complications between peripheral venous catheters and midline catheters in infants weighing ≥ 1500 g at birth. Pediatrics international 2023;65(1):e15611. https://doi.org/10.1111/ped.15611

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008;61(4):344–9. http://dx.doi.org/10.1016/j.jclinepi.2007.11.008

Rodríguez Yunta E. Comités DE evaluación ética y científica para la investigación en Seres humanos y Las pautas CIOMS 2002. Acta Bioeth 2004;10(1);37-47. http://dx.doi.org/10.4067/s1726-569x2004000100005

Armenteros-Yeguas V, Tomás-López MA, Miranda-Serrano E, Moraza-Dulanto I, Meléndez-Fernández L, Merino-Romero E, et al. Vascular access care in patients with multimorbidity. Br J Nurs 2021;30(8):S26–35. http://dx.doi.org/10.12968/bjon.2021.30.8.s26

Urbina A, Juvé-Udina M, Adamuz J, González-Samartino M, Jiménez-Martínez E, Delgado-Hito P, et al (2024). Association between peripheral venous catheter failure and care complexity factors in emergency department: a cross-sectional study. BMJ Open 2024;14:e090101. https://doi.org/10.1136/bmjopen-2024-090101

Resnick O, Abu Ahmad W, Bancovsky D, Rogachev S, Ashash A, Ohana Sarna Cahan L, et al. Predicting factors for complications in peripheral intravenous catheters in the pediatric population. Acta Paediatr 2021;110(5):1639–44. http://dx.doi.org/10.1111/apa.15687

Bahl A, Mielke N, Johnson S. Reliability and compliance of peripheral intravenous catheter documentation: A prospective observational study. The Journal of Vascular Access 2024;25(1):89–93. https://doi.org/10.1177/11297298221097555