Peer-reviewed veterinary case report
Longer hospital stays and more IV catheters raise risk of IV line
By Granger, Kyle L et al.Ā·Published in Journal of the American Veterinary Medical AssociationĀ·2024Ā·View original on PubMed ā
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Original publication title: Length of hospitalization, APPLE score, and number of intravenous catheters placed at admission are associated with increased odds of peripheral intravenous catheter complications in dogs.
- Species:
- dog
Plain-English summary
A group of 107 dogs in a critical care unit were monitored for complications related to intravenous catheters used for treatment. The study found that dogs who stayed longer in the hospital, had a higher APPLEFULL score (which indicates more severe illness), and had two catheters placed at admission were more likely to experience issues like swelling or inflammation at the catheter site. Overall, about 12% of the dogs had complications, with swelling and inflammation being the most common. This information can help veterinarians identify which dogs might be at higher risk for these complications during treatment.
People also search for: dog intravenous catheter complications Ā· why does my dog have swelling from IV Ā· dog critical care hospitalization risks
Abstract
OBJECTIVE: To identify risk factors associated with peripheral intravenous catheter (PIVC) complications in dogs hospitalized in the critical care unit (CCU). ANIMALS: 107 dogs admitted to the CCU between October 2022 and March 2023. METHODS: This prospective, observational clinical trial was performed at a single veterinary teaching hospital. Dogs hospitalized in the CCU for at least 24 hours were evaluated for enrollment. PIVC were placed following a standardized protocol and monitored for complications. PIVC complications were classified as extravasation, phlebitis, dislodgement, occlusion, line breakage, or patient removal. RESULTS: Median PIVC dwell time was 46.50 hours (range, 24.25 to 159.25 hours). Overall PIVC complication rate was 12.1% (13/107), with phlebitis (4/107 [3.7%]) and extravasation (4/107 [3.7%]) being the most frequently recorded complications. Multivariable analysis identified increasing length of hospitalization (LOH; OR, 1.43; 95% CI, 1.04 to 1.97; P = .029), an acute patient physiologic and laboratory evaluation full (APPLEFULL) score > 35 (OR, 4.66; 95% CI, 1.09 to 19.90; P = .038), and having 2 PIVCs placed at admission (OR, 10.92; 95% CI, 1.96 to 60.73; P = .006) as risk factors for PIVC complication. CLINICAL RELEVANCE: Increasing LOH, an APPLEFULL score > 35 and having 2 PIVCs placed at admission were associated with increased odds for PIVC complication in this study. Although these are independent risk factors for PIVC complication, the combination of increasing LOH, an APPLEFULL score > 35, and having 2 PIVCs placed at admission may represent a more severely ill population, drawing attention to a vulnerable group of dogs at risk for PIVC complication.
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Search related cases āOriginal publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37918104/