{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:49:57Z","timestamp":1790628597472,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In elderly patients hospitalised in internal medicine departments, risk factors, preferable placement area and methods of securement of short peripheral venous catheters (SPVC) a unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the incidence and risk factors of adverse events using a transparent bordered dressing for securement in the dorsum of the hand or cubital fossa in consecutive patients hospitalised in an internal medicine department.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a prospective observational study of patients admitted to a regional hospital with a SPVC, the dependent variable was the need to replace the catheter because of an adverse event (phlebitis, accidental removal, infiltration\/occlusion). The independent variables were age, gender, disorientation, placement area, intravenous antibiotic therapy and indwelling time. Risk factors were determined by Cox regression model analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 709 catheters placed in 499 patients. Per catheter placed the mean age was 75\u2009\u00b1\u200917\u2009years. Accidental removal, infiltration\/obstruction and phlebitis occurred in 21.5, 16.2 and 15.0 events per 1000\u2009days respectively. There was a significantly increased risk on Day 3 compared to Days 2 and 4. An older age, intravenous antibiotics and disorientation increased the hazard for accidental displacement, whereas phlebitis was associated only with intravenous antibiotics and occlusion\/infiltration only with age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The observed low rates of adverse events suggests that placement in the dorsum of the hand or cubital fossa secured by a transparent dressing is acceptable. It is important to consider the indwelling catheter time when studying adverse events, and elderly patients, disoriented patients and\/or patients receiving intravenous antibiotics deserve special attention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.15963","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T14:39:56Z","timestamp":1667918396000},"page":"221-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Observational study of peripheral intravenous catheter outcomes in an internal medicine department"],"prefix":"10.1111","volume":"53","author":[{"given":"Zvi","family":"Shimoni","sequence":"first","affiliation":[{"name":"The Adelson School of Medicine Ariel University Ariel Israel"},{"name":"Medical Director Laniado Hospital Netanya Israel"},{"name":"Department of Internal Medicine B Laniado Hospital Netanya Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihad","family":"Houdhoud","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine B Laniado Hospital Netanya Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yehudit","family":"Isaacs","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Nursing Laniado Hospital Netanya Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5126-8590","authenticated-orcid":false,"given":"Paul","family":"Froom","sequence":"additional","affiliation":[{"name":"Clinical Utility Department Sanz Medical Center, Laniado Hospital Netanya Israel"},{"name":"School of Public Health University of Tel Aviv Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0168637"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61082-4"},{"key":"e_1_2_6_4_1","first-page":"CD007798","article-title":"Clinically\u2010indicated replacement versus routine replacement of peripheral venous catheters","volume":"2019","author":"Webster J","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S74685"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011070.pub2"},{"key":"e_1_2_6_7_1","first-page":"450","article-title":"Complications due to peripheral venous catheterization. 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