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"High-quality care was more effective than routine care in reducing the incidence and degree of infiltration and extravasation of peripheral intravenous infusions" Litao et al (2021).

Infiltration and extravasation reduction in children

Abstract:

Objective: To study the value of high-quality care on the outcome of infiltration and extravasation of peripheral intravenous infusions in children.

Methods: The retrospective cohort study was conducted at the Third Affiliated Hospital of Zunyi Medical University, Guizhou, China, and comprised secondary-data analysis on children aged <3 years hospitalized between January 2013 and September 2019. The sample was divided into control group A and high-quality care group B. Outcomes noted were severity of infiltration and extravasation of intravenous infusions graded using the Infusion Nurses Society score. Data was analysed using SAS software version 9.4.

Results: Of the 16,268 subjects, 2147(13%) were in control group A and 14,121(87%)were in the high-quality care group B. Group B had lower severity of infiltration and extravasation compared to group A (odds ratio: 0.75; 95% confidence interval: 0.63-0.90). The causes of infiltration and extravasation included agents with high osmolarity, poor condition of veins, guardianship negligence and allergies to dressing materials (p<0.05).

Conclusions: High-quality care was more effective than routine care in reducing the incidence and degree of infiltration and extravasation of peripheral intravenous infusions.

Reference:

Litao H, Yuxuan R, Yongxia S. Infiltration and extravasation of intravenous infusions in children-value of high-quality care on outcome. J Pak Med Assoc. 2021 Apr;71(4):1181-1183. doi: 10.47391/JPMA.02-194. PMID: 34125767.