Vascular Access Adverse Events: A Comprehensive Literature Review and Comparative Analysis
Author(s)
Bouguerra H1, Waltl F2, Dierick K3
1Terumo BCT, Arcueil, ile de france, France, 2Terumo BCT, Garching bei München, BY, Germany, 3Terumo BCT Europe NV, Zavemtem, Belgium
Presentation Documents
OBJECTIVES: This literature review aims to identify and analyze the rates of adverse events associated with peripheral vascular access and other common access devices.
METHODS: A systematic search was conducted through the PubMed database to identify relevant studies reporting on the rates of complications associated with vascular access devices, with a focus on peripheral catheters (PVC), peripherally inserted central catheters (PICC), midline catheters (MC), and central venous catheters (CVC).
Studies that provided data on the rates of complications were included in the analysis The selected studies were analyzed, and data regarding the rates of specific adverse events were extracted and compared across the different catheter types.RESULTS: Data on various complications, such as deep vein thrombosis (DVT), bloodstream infections, pneumothorax, phlebitis, cellulitis, dislodgment, infiltration, occlusion, pain/discomfort, leaking, haematoma, bleeding, and pulmonary embolism, were extracted and analyzed.
The results show varying rates of complications across the different catheter types. The rates of DVT were 2.36% for PVC, 2.87% for PICC, 2.50% for MC, and 10.91% for CVC. Bloodstream infection showed 0.21% for PVC, 8.02% for PICC, 11.17% for MC, and 11.82% for CVC. Phlebitis rates were 11.96% for PVC and 17.00% for PICC. Pneumothorax had a rate of 17.00% for CVC, while other complications displayed varied rates across different catheter types.CONCLUSIONS: This literature review reveals different rates of adverse events associated with peripheral vascular access and other access devices. It stresses the significance of considering the catheter type when evaluating the risks and complexities associated with vascular access procedures.
The results can help healthcare professionals choose the most suitable catheter type according to the desired outcomes and possible risks. Additional research and adopting standardized methods for reporting harmful incidents will enhance comprehension of these problems and facilitate the development of practical prevention strategies and management approaches.Conference/Value in Health Info
Value in Health, Volume 26, Issue 11, S2 (December 2023)
Code
PCR100
Topic
Medical Technologies
Topic Subcategory
Medical Devices
Disease
Drugs, Injury & Trauma, Medical Devices