Complications of venous cannular needle retainment and related factors in children treated at Hanoi Heart Hospital in 2025
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Abstract
Objectives: The aim of this study was to determine the incidence and and risk factors of catheter-related complications caused by peripheral intravenous catheter (PIVC) in children with heart disease at Pediatric Department – Ha Noi Heart Hospital.
Study design: A retrospective study of 267 PIVCs in 147 children from 01/01/2025 to 02/06/2025 at Pediatric Department – Ha Noi Heart Hospital. We evaluated our data regarding catheter life, caution during insertion, the base heart disease of all patients, and all kind of complications related PIVC until removal.
Results: A boy-to-girl ratio is approximately 56% to 44%. The cardiac disease groups in the study included: completely repaired congenital heart disease (56.2%), non-repaired congenital heart disease (24%), partial or palliative repaired congenital heart disease (13.9%) and acquired heart disease (6%). The rate of transmission line with complications accounted for 32.2%, of which peripheral venous infiltration/ extravasation accounted for the highest proportion with 15,7% (maily grade 1 with 32.2% cases). The second highest relared- PIVC complication is phlebitis(which accounted for 12,4% - mainly grade 1(32,6%) – grade 2 (4,7%) -grade 3(1,2%). The third highest relared- PIVC complications was pressure ulcer (which accounted for 2,6%- all grade 1), and some minor complications accounted for 1,5% (included bleeding or fluid-leaking at the needle insertion point post PIVC).
Conclusion: Multivariate regression analysis revealed some risk factors for PIVC-related complications in children included, catheter retention time, the primary purpose of PIVC, and the nutrition status of the patients at the time of PIVCs performed.
Keywords
children, catheter, complications, vein, peripheral, phlebitis, vascular infiltration, extravasation, pressure ulcer
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References
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