Incidence and risk factors of peripheral venous catheter-related adverse events in cardiology department of a Tunisian university hospital: A prospective observational study

Aim: The purpose of our study was to determine the incidence and risk factors of Peripheral Venous Catheter-Related Adverse Events (PVCAEs) in a cardiology department of a university hospital. Patients and methods: We carried out a prospective observational study from Mars 2017 to May 2017 in the cardiology department of the University Hospital of Farhat Hached in Sousse, Tunisia. During this period, we actively followed-up all inserted PVCs (every 12 hours) from insertion up to 48 hours after removal. Regression analyses were applied and significance limits were set at P < 0.05. Results: Data were analysed for 210 PVCs (794 PVC-days) in 148 patients. The incidence of PVCAEs was 33.33% with density of incidence of 8.81/1000 PVC-days. PVCAEs were mainly pain (50%) and mechanical events (31.42%). Infections accounted for 11.42%. The most frequent mechanical PVCAEs, was haematoma (15.71%). Multivariate analysis revealed as independent factors for the occurrence of PVCAEs: the hydro electrolytic nature of the injected product (OR = 13.42, P < 10−3), the medicinal nature of the injected product (OR = 5.08, P = 0.003), bad cutaneous state (OR = 8.08, P = 0.003), admission during nightshift (OR = 3.76; P = 0.014) and advanced age (OR = 1.04, P = 0.042). Conclusion: Multicenter studies would be very useful to better analyze risk factors associated with PVCAEs.