PERIPHERAL INTRAVENOUS CATHETER SURVIVAL AND FACTORS ASSOCIATED WITH PERIPHERAL PHLEBITIS IN THE PEDIATRIC AND NEONATAL DEPARTMENTS AT VINMEC NHA TRANG INTERNATIONAL HOSPITAL AND VINMEC DA NANG INTERNATIONAL HOSPITAL
Main Article Content
Abstract
Background: Peripheral intravenous catheter (PIVC) is an essential device in pediatric and neonatal care for the administration of fluids, medications, and blood products. However, the anatomical and physiological characteristics of children’s veins make maintaining stable PIVC access challenging, often leading to early catheter removal and complications such as phlebitis. Previous studies have reported that the average lifespan of PIVC in pediatric patients ranges from 29 to 48 hours. In Vietnam, data on PIVC survival and its associated factors remain limited, particularly in international general hospitals. This study aimed to evaluate PIVC survival and associated factors in the Pediatric and Neonatal Departments of two Vinmec hospitals.
Methods: A cross-sectional descriptive study was conducted among neonates and pediatric patients admitted to the Pediatric and Neonatal Departments who required peripheral intravenous catheterization from August to December 2025. A total of 844 cases were included. Data were collected using a structured data collection form developed based on previous studies on PIVC survival in pediatric patients.
Results: Among 844 children, PIVC survival longer than 72 hours accounted for 78.1%, while 19.2% lasted ≤30 hours and 2.7% lasted >30 to ≤72 hours. Multivariate regression analysis showed that the hospital was independently associated with PIVC survival (AOR = 1.49; p = 0.016). Local complications were the strongest predictor of early failure (AOR ≈ 28; p < 0.001). Unfavorable catheter insertion sites increased the risk of shorter catheter survival (COR = 1.42), whereas difficult veins were identified as a protective factor (AOR = 0.56).
Conclusion: Overall, PIVC survival was relatively high; however, early failure remained notable. Local complications were the most significant determinant of early catheter removal, along with the influence of hospital differences and nursing experience. Standardizing procedures, enhancing technical training, minimizing unnecessary medication or fluid manipulations, and improving complication control may help improve patient safety.
Keywords
Peripheral intravenous catheter (PIVC), catheter survival, pediatric patients, catheter complications, phlebitis.
Article Details
References
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