Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2024 Sep;19(6):1605-1613.
doi: 10.1007/s11739-024-03651-2. Epub 2024 May 28.

Complications related to short peripheral intravenous catheters in patients with acute stroke: a prospective, observational, single-cohort study

Daniele Privitera  1 , Annalisa Geraneo  2 , Greta Li Veli  2 , Giorgio Parravicini  2 , Annamaria Mazzone  2 , Michela Rossini  2 , Marianna Sanfilippo  2 , Alessandro Gubertini  2 , Chiara Airoldi  3 , Nicolò Capsoni  2 , Erica Busca  3   4 , Erika Bassi  3   4 , Thomas Langer  5   6 , Alberto Dal Molin  3   4
Affiliations
Observational Study

Complications related to short peripheral intravenous catheters in patients with acute stroke: a prospective, observational, single-cohort study

Daniele Privitera et al. Intern Emerg Med. 2024 Sep.

Abstract

Patients with acute stroke often require venous access to facilitate diagnostic investigations or intravenous therapy. The primary aim of this study was to describe the rate and type of complications associated with the placement of a short peripheral catheter (SPC) in patients with acute ischemic or hemorrhagic stroke. A prospective, observational, single-cohort study was conducted at Niguarda Hospital, Italy, with enrolment in the Emergency Department. Adult patients with an ischemic or hemorrhagic stroke requiring an SPC were enrolled. Complications, such as infiltration, occlusion, phlebitis and dislodgment, were recorded daily. Descriptive statistics were used, and the incidence rate ratio (IRR) was estimated to assess the difference in complications, considering catheter calibre, dominant side, exit site, limb, and limb mobility, ictus type (ischemic/haemorrhagic), impairment deficit (language, motor, visual) and EA-DIVA score. A total of 269 participants and 755 SPC were analysed. Removal of SPC due to at least one local complication occurred in 451 (60%). Dislodgment was the major cause of SPC removal (31%), followed by infiltration (18%), occlusion (6%), and phlebitis (5%). The SPC calibre (22G), exit-site other than antecubital and forearm, visual deficit and EA-DIVA ≥ 8 were associated with a higher rate of SPC complications: IRR, 1.71 [1.31; 2.31]; 1.27 [1.01; 1.60], 1.38 [1.06; 1.80], 1.30 [1.04; 1.64], respectively. No other differences in complication rates were observed according to the insertion site, i.e. dominant side, left side, plegic/hyposthenic limb, or exit site. This study provides novel insights into the frequency and types of complications associated with SPC in patients with acute stroke. Compared to the literature, a higher dislodgment rate was observed, being the first cause of SPC removal, whereas no differences in the number of infiltrations, occlusions, and phlebitis were recorded.

Keywords: Complications; Device removal; Emergency department; SPC; Stroke; Vascular catheter.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict interest.

Figures

Fig. 1
Fig. 1
From left to right: Kaplan–Meier curve of (i) at least one event at removal, (ii) dislodgment, and (iii) infiltration at removal
See this image and copyright information in PMC

References

    1. Wafa HA, Wolfe CDA, Emmett E, Roth GA, Johnson CO, Wang Y (2020) Burden of stroke in Europe: thirty-year projections of incidence, prevalence, deaths, and disability-adjusted life years. Stroke 51(8):2418–2427. 10.1161/STROKEAHA.120.029606 10.1161/STROKEAHA.120.029606 - DOI - PMC - PubMed
    1. Jauch EC, Saver JL, Adams HP Jr, Bruno A, Connors JJ, Demaerschalk BM, Khatri P, McMullan PW Jr, Qureshi AI, Rosenfield K, Scott PA, Summers DR, Wang DZ, Wintermark M, Yonas H, American Heart Association Stroke Council; Council on Cardiovascular Nursing; Council on Peripheral Vascular Disease; Council on Clinical Cardiology (2013) Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 44(3):870–947. 10.1161/STR.0b013e318284056a 10.1161/STR.0b013e318284056a - DOI - PubMed
    1. Ashkenazi L, Toledano R, Novack V, Eiluz E, Abu-Salamae I, Ifergane G (2015) Emergency department companions of stroke patients: implications on quality of care. Medicine 94(9):e520. 10.1097/MD.0000000000000520 10.1097/MD.0000000000000520 - DOI - PMC - PubMed
    1. Nickel B, Gorski L, Kleidon T, Kyes A, DeVries M, Keogh S, Meyer B, Sarver MJ, Crickman R, Ong J, Clare S, Hagle ME (2024) Infusion therapy standards of practice. J Infus Nurs 47(1S Suppl 1):1–285. 10.1097/NAN.000000000000053210.1097/NAN.0000000000000532 - DOI - PubMed
    1. Gungor L, Arsava EM, Guler A, Togay Isikay C, Aykac O, Batur Caglayan HZ, Kozak HH, Aydingoz U, Topcuoglu MA, MASS investigators, (2023) Determinants of in-hospital muscle loss in acute ischemic stroke-results of the muscle assessment in stroke study (MASS). Clinical nutrition (Edinburgh, Scotland) 42(3):431–439. 10.1016/j.clnu.2023.01.017 10.1016/j.clnu.2023.01.017 - DOI - PubMed

Publication types

LinkOut - more resources