Hospital-wide survey of the adequacy in the number of vascular catheters and catheter lumens
Version of Record online: 9 DEC 2013
© 2013 Society of Hospital Medicine
Journal of Hospital Medicine
Volume 9, Issue 1, pages 35–41, January 2014
How to Cite
Fernández-Ruiz, M., Carretero, A., Díaz, D., Fuentes, C., González, J. I., García-Reyne, A., Aguado, J. M. and López-Medrano, F. (2014), Hospital-wide survey of the adequacy in the number of vascular catheters and catheter lumens. J. Hosp. Med., 9: 35–41. doi: 10.1002/jhm.2130
- Issue online: 6 JAN 2014
- Version of Record online: 9 DEC 2013
- Manuscript Accepted: 11 NOV 2013
- Manuscript Revised: 26 OCT 2013
- Manuscript Received: 12 SEP 2013
Removal of unnecessary catheters has been proposed as an important measure to reduce catheter-related morbidity. Nevertheless, there is scarce information about the potential magnitude of such intervention.
The present study was aimed at analyzing the appropriateness of use of vascular catheters and catheter lumens in the inpatient setting.
The entire population of adult inpatients admitted to a 1368-bed tertiary-care hospital in a single day.
We used a set of preestablished criteria to evaluate the appropriateness of use of vascular catheters and catheter lumens according to the number and administration regimen of intravenous drugs.
Out of 834 patients, 575 (68.9%) had ≥1 vascular catheters in place on the day of the survey. The type and distribution of the 703 surveyed catheters were peripheral venous catheter, 80.6%; central venous catheter, 15.8%; and arterial catheter, 3.6%. We found an overall mean of 2.06 ± 0.82 lumens per catheter, with significant differences between intensive care units and conventional wards (P < 0.0001). Based on our criteria, 126 out of 575 patients (21.9%) had an inappropriate number of catheters (medical wards, 20.0%; surgical wards, 23.9%; intensive care units, 26.3%), and 631 out of 14248 nonarterial catheter lumens (43.6%) were considered unnecessary.
Significant room exists for improving the adequacy of the number of vascular catheters and catheter lumens as a potentially useful tool for decreasing the incidence of catheter-related bloodstream infection. Journal of Hospital Medicine 2014;9:35–41. © 2013 Society of Hospital Medicine