Cateter periférico com sistema fechado de infusão: implementação de tecnologia

RESUMO Objetivo: estimar a incidência de complicações locais relacionadas ao uso do cateter intravenoso periférico com sistema fechado de infusão e identificar os fatores de risco associados. Método: trata-se de um estudo quantitativo, de coorte prospectivo, realizado com 90 adultos. Realizou-se a coleta mediante a observação diária do cateter. Utilizaram-se, nas análises estatísticas, os testes Qui-Quadrado, Exato de Fisher, Correção de Williams, Mann-Whitney e Risco Relativo. Apresentaram-se os resultados em forma de tabelas. Resultados: informa-se que a incidência de complicações locais foi de 55,6%, sendo 15 (16,7%) flebites, 12 (13,3%) trações, dez (11,1%) infiltrações, sete (7,8%) extravasamentos, cinco (5,6%) obstruções e uma (1,1%) infecção local. Têm-se como fatores de risco o sexo feminino (p=0,005), o tempo de internação (p=<0,001) e a infusão em bomba (p=0,014). Conclusão: acredita-se que a taxa de complicações locais foi alta e identificaram-se três fatores de risco relacionados ao uso do cateter intravenoso periférico com sistema fechado de infusão. Descritores: Cateterismo Periférico; Tecnologia Biomédica; Fatores de Risco; Enfermagem Baseada em Evidências; Adulto; Infusões Intravenosas. ABSTRACT Objective: to estimate the incidence of local complications related to the use of a peripheral intravenous catheter with a closed infusion system and to identify the associated risk factors. Method: this is a quantitative, prospective cohort study with 90 adults. The collection was performed by daily observation of the catheter. The Chi-Square, Fisher's exact, Williams's Correction, Mann-Whitney and Relative Risk tests were used in the statistical analyzes. Results were presented in the form of tables. Results: the incidence of local complications was 55.6%, with 15 (16.7%) phlebitis, 12 (13.3%) traction, ten (11.1%) infiltrations, seven (7, 8%) extravasations, five (5.6%) obstructions and one (1.1%) local infection. The risk factors were female gender (p = 0.005), hospitalization time (p = 0.001) and pump infusion (p = 0.014). Conclusion: it is believed that the rate of local complications was high and three risk factors related to the use of the peripheral intravenous catheter with closed infusion system were identified. Descriptors: Peripheral Catheterization; Biomedical Technology; Risk factors; Evidence-Based Nursing; Adult; Intravenous Infusions. RESUMEN Objetivo: estimar la incidencia de complicaciones locales relacionadas al uso del catéter intravenoso periférico con sistema cerrado de infusión e identificar los factores de riesgo asociados. Método: se trata de un estudio cuantitativo, de cohorte prospectivo, realizado con 90 adultos. Se realizó la recolección mediante la observación diaria del catéter. Se utilizaron, en los análisis estadísticos, las pruebas Chi-Cuadrado, Exacto de Fisher, Corrección de Williams, Mann-Whitney y Riesgo Relativo. Se presentaron los resultados en forma de tablas. Resultados: se informa que la incidencia de complicaciones locales fue 55,6%, de los cuales 15 (16.7%) flebitis, 12 (13,3%) tracciones, diez (11,1%) la infiltración, siete (7 8%) extravasaciones, cinco (5,6%) obstrucciones y una (1,1%) infección local. Se toman como factores de riesgo el sexo femenino (p = 0,005), el tiempo de internación (p = <0,001) y la infusión en bomba (p = 0,014). Conclusión: se cree que la tasa de complicaciones locales fue alta y se identificaron tres factores de riesgo relacionados al uso del catéter intravenoso periférico con sistema cerrado de infusión. Descritores: Cateterismo Periférico; Tecnología Biomédica; Factores de Riesgo; Enfermería Basada em la Evidencia; Adulto; Infusiones Intravenosas.

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The Risk Factors of Phlebitis in The Installation of Intravent Catalysts

Midwifery and Nursing Research ◽

10.31983/manr.v3i1.6081 ◽

2021 ◽

Vol 3 (1) ◽

pp. 17-26

Author(s):

Hajar Acintya Farah ◽

Bambang Sarwono ◽

Heru Supriyatno

Keyword(s):

Risk Factors ◽

High Rate ◽

P Value ◽

Intravenous Catheter ◽

Chi Square ◽

Injection Drugs ◽

Cohort Design ◽

Chi Square Test ◽

Catheter Size ◽

Associated Risk Factors

Background: A hospital is a health service facility that allows nosocomial infections, namely phlebitis. Phlebitis is a complication of intravenous catheter placement that is characterized by redness, pain, swelling, and fever. The high rate of phlebitis in various countries is due to the risk factors that predispose to the incidence of phlebitis due to intravenous catheter placement.Objective: This study aims to determine the risk factors for phlebitis in intravenous catheter placement.Methodology: This study uses an observational analytic method with a cohort design. The study was conducted on 27 February - 14 March 2020 with 22 samples taken using purposive accidental sampling in the inward and RST surgery Dr. Soedjono Magelang. The instrument used was an observation sheet designed by researchers that had been tested by experts and a standard operational checklist for infusion. Data analysis uses a chi-square test and multiple logistic regression.Results: The incidence of phlebitis was 7 respondents (31.8%) and the associated risk factors were the type of infusion fluid (RR = 4.37 CI 95% 1.09-17.58; p-value 0.020). While the factors of age, sex, nutritional status, chronic diseases, types of injection drugs, insertion location, duration of installation, nurse skills, installation techniques, and catheter size were not related to the incidence of phlebitis (p-value 0.05).Conclusion: Although several factors are not related to the incidence of phlebitis, these factors can be a support for the incidence of phlebitis.

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The incidence and risk of infusion phlebitis with peripheral intravenous catheters: A meta-analysis

The Journal of Vascular Access ◽

10.1177/1129729819877323 ◽

2019 ◽

Vol 21 (3) ◽

pp. 342-349 ◽

Cited By ~ 4

Author(s):

Luyu Lv ◽

Jiaqian Zhang

Keyword(s):

Risk Factors ◽

Confidence Interval ◽

Odds Ratio ◽

Meta Analysis ◽

Female Gender ◽

Incidence Rates ◽

Intravenous Catheter ◽

Peripheral Intravenous Catheter ◽

Meta Analyses ◽

Intravenous Catheters

Introduction: Phlebitis is a common complication associated with the use of peripheral intravenous catheters. The aim of this study was to estimate the incidence of phlebitis with peripheral intravenous catheter use and to identify risk factors for phlebitis development. Method: Literature survey was conducted in electronic databases (CINAHL, Embase, Google Scholar, Ovid, and PubMed), and studies were included if they used peripheral intravenous catheter for therapeutic or volumetric infusion and reported phlebitis incidence rates. Random effects meta-analyses were performed to obtain overall and subgroup phlebitis incidence rates and odds ratio between males and females in phlebitis incidence. Results: Thirty-five studies were included (20,697 catheters used for 15,791 patients; age 57.1 years (95% confidence interval: 55.0, 59.2); 53.9% males (95% confidence interval: 42.3, 65.5)). Incidence of phlebitis was 30.7 per 100 catheters (95% confidence interval: 27.2, 34.2). Incidence of severe phlebitis was 3.6% (95% confidence interval: 2.7%, 4.6%). Incidence of phlebitis was higher in non-intervened (30% (95% confidence interval: 27%, 33%)) than in intervened (21% (95% confidence interval: 15%, 27%)) groups, and with Teflon (33% (95% confidence interval: 25%, 41%)) than Vialon (27% (95% confidence interval: 21%, 32%)) cannula use. Odds of developing phlebitis was significantly higher in females (odds ratio = 1.42 (95% confidence interval: 1.05, 1.93); p = 0.02). Longer dwelling time, antibiotics infusion, female gender, forearm insertion, infectious disease, and Teflon catheter are important risk factors for phlebitis development identified by the included studies. Conclusion: Incidence of phlebitis with the use of peripheral intravenous catheters during infusion is 31%. Severe phlebitis develops in 4% of all patients. Risk of phlebitis development can be reduced by adapting appropriate interventions.

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Prevalence of laboratory-related musculoskeletal disorders among biomedical scientists

10.1101/2021.06.04.21258372 ◽

2021 ◽

Author(s):

Nasar Alwahaibi ◽

Mallak Al Sadairi ◽

Ibrahim Al Abri ◽

Samira Al Rawahi

Keyword(s):

Risk Factors ◽

Musculoskeletal Disorders ◽

Female Gender ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Lower Back ◽

Heavy Work ◽

Risk Of Exposure ◽

Associated Risk Factors

Background: Laboratory related musculoskeletal disorders (LMSDs) are injuries resulted from working in the laboratory. Biomedical scientists (BMSs) play an important role in any health care system. However, they are at high risk of exposure to LMSDs. This study aimed to estimate the prevalence and the associated risk factors of LMSDs among this group of healthcare professionals. Methods: A cross sectional survey (Nordic musculoskeletal) was used to estimate the prevalence of LMSDs among BMSs. Data were analyzed using Statistical Package for Social Science software version 25. Chi square was performed to find the significant association between LMSDs and different risk factors. Results: The study included 83 BMSs. Females represented 63.9% and 36.1% were in the age group of 35 to 44. The overall prevalence of LMSDs was 77.1%. The most prevalent LMSDs were neck, shoulders, and lower back with 50.6%, 49.4%, and 43.4%, respectively. Neck complaints and upper back complaints were found statistically significant with the female gender. Shoulders complaints were associated with pipetting and microscopy. Lower back complaints were associated with pipetting and heavy work at home. A total of 65.57% of BMSs had irregular symptoms of LMSDs, 54.10% experienced moderate pain due to these symptoms, and 44.26% had symptoms that persisted from hours to days. Conclusion: The study found that the prevalence of LMSDs among BMSs was high. Good knowledge, attitude, practice, and training of ergonomics may minimize the prevalence of LMSDs among BMSs.

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Incidence of local complications and risk factors associated with peripheral intravenous catheter in neonates

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000100003 ◽

2016 ◽

Vol 50 (1) ◽

pp. 22-28 ◽

Cited By ~ 7

Author(s):

Mitzy Tannia Reichembach Danski ◽

Priscila Mingorance ◽

Derdried Athanasio Johann ◽

Stela Adami Vayego ◽

Jolline Lind

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Cohort Study ◽

Neonatal Intensive Care ◽

Intermittent Infusion ◽

High Rate ◽

Intravenous Catheter ◽

Factors Associated ◽

Peripheral Intravenous Catheter ◽

Associated Risk Factors

Abstract OBJECTIVE To evaluate the incidence of complications related to the use of peripheral intravenous catheter in neonates and identify the associated risk factors. METHOD Prospective cohort study conducted in a Neonatal Intensive Care Unit. Participants were the hospitalized neonates undergoing peripheral intravenous puncture in the period from February to June 2013. RESULTS The incidence of complications was 63.15%, being infiltration/extravasation (69.89%), phlebitis (17.84%) and obstruction (12.27%). The risk factors were the presence of infection (p = 0.0192) and weight at the puncture day (p = 0.0093), type of intermittent infusion associated with continuous infusion (p <0.0001), endotracheal intubation (p = 0.0008), infusion of basic plan (p = 0.0027), total parenteral nutrition (P = 0.0002), blood transfusion associated with other infusions (p = 0.0003) and other drugs (p = 0.0004). Higher risk of developing complications in the first 48 hours after puncture. CONCLUSION A high rate of complications related to the use of peripheral intravenous catheter, and risk factors associated with infection, weight, drugs and infused solutions, and type of infusion.

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Stress, anxiety, depression and burnout in frontline health care workers during COVID-19 pandemic: a brief systematic review and new data from Russia

10.31234/osf.io/je3ch ◽

2021 ◽

Author(s):

Ekaterina Mosolova ◽

Dmitry Sosin ◽

Sergey Mosolov

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Female Gender ◽

Assessment Tools ◽

Care Workers ◽

Younger Age ◽

Wide Range ◽

Associated Risk Factors ◽

Anxiety Depression ◽

The Impact

During the COVID-19 pandemic, healthcare workers (HCWs) have been subject to increased workload while also exposed to many psychosocial stressors. In a systematic review we analyze the impact that the pandemic has had on HCWs mental state and associated risk factors. Most studies reported high levels of depression and anxiety among HCWs worldwide, however, due to a wide range of assessment tools, cut-off scores, and number of frontline participants in the studies, results were difficult to compare. Our study is based on two online surveys of 2195 HCWs from different regions of Russia during spring and autumn epidemic outbreaks revealed the rates of anxiety, stress, depression, emotional exhaustion and depersonalization and perceived stress as 32.3%, 31.1%, 45.5%, 74.2%, 37.7% ,67.8%, respectively. Moreover, 2.4% of HCWs reported suicidal thoughts. The most common risk factors include: female gender, nurse as an occupation, younger age, working for over 6 months, chronic diseases, smoking, high working demands, lack of personal protective equipment, low salary, lack of social support, isolation from families, the fear of relatives getting infected. These results demonstrate the need for urgent supportive programs for HCWs fighting COVID-19 that fall into higher risk factors groups.

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Risk Factors for Typhoid Fever Occurrence and Recurrence in Gombe Metropolis, Gombe State, Nigeria

Journal of University of Shanghai for Science and Technology ◽

10.51201/jusst/21/11914 ◽

2021 ◽

Vol 23 (11) ◽

pp. 381-401

Author(s):

Umar Abdullahi Tawfiq ◽

◽

Shohaimi Shamarina ◽

Syafinaz Amin Nordin ◽

Mohd Noor Hisham Mohd Nadzir ◽

...

Keyword(s):

Risk Factors ◽

Epidemiological Data ◽

Simple Random Sampling ◽

Chi Square ◽

Long Time ◽

Chi Square Test ◽

The Government ◽

Set Up ◽

Associated Risk Factors ◽

At Home

Typhoid is a life-threatening disease that has remained endemic in parts of Africa and Asia where its burden is elevated by the inefficiency of control efforts which have been hampered by lack of epidemiological data, among others. In Nigeria, such data is absent in most of the States like Gombe where the disease has been rife for a long time, hence, to bridge that knowledge gap, this study was set up to determine the host-associated risk factors for typhoid occurrence and recurrence in Gombe. A questionnaire that was designed and validated for this location was used to obtain data from 663 respondents using simple random sampling and analyzed using the Chi-square test for association and binomial logistic regression to obtain risk factors for typhoid occurrence and recurrence, respectively. The study revealed that occurrences were statistically significantly associated with the variables for vaccination (χ2 = 39.729, p < 0.01), having houseboy/girl (χ2 = 16.909, p < 0.01), typhoid patient at home (χ2 = 13.393, p < 0.01), hand washing before handling food (χ2 = 22.856, p < 0.01), consuming iced/frozen items (χ2 = 16.805, p < 0.01), boiling drinking water (χ2 = 49.633, p < 0.01), and eating commercially available foods/drinks (χ2 = 27.864, p < 0.01), while recurrences were statistically significantly predicted by „not sure of been vaccinated‟ (OR = 2.962, CI = 1.290 to 6.802, p < 0.01), „not having another typhoid patient at home‟ (OR = 1.799, CI = 0.998 to 3.244, p < 0.01), and „drinking unboiled water sometimes‟ (OR = 2.130, CI = 1.023 to 4.434, p < 0.01). It is believed that these findings will guide efforts by the Government for health interventions against typhoid in the study area, thus improving the quality of life for the population.

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Seroprevalence of Brucellosis and Associated Risk Factors among Indigenous Breeds of Goats in Wukari, Taraba State, Nigeria

Journal of Pathogens ◽

10.1155/2018/5257926 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Olaolu T. Olufemi ◽

Danjuma B. Dantala ◽

Paul A. Shinggu ◽

Umesi A. Dike ◽

Gbeminiyi R. Otolorin ◽

...

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

The Public ◽

Factors Associated ◽

Males And Females ◽

Associated Risk Factors ◽

La Jolla

A cross-sectional study was conducted in Wukari, Taraba state, Nigeria, to determine the prevalence of Brucella antibodies and the risk factors associated with brucellosis in indigenous breeds of goats. A total of 386 goats were sampled from three political wards: Puje, Avyi, and Hospital: harvested sera samples were subjected to Rose Bengal Plate Test (RBPT). GraphPad Prism version 7.03 for Windows (GraphPad Software, La Jolla California, USA) was used to analyse the association between seroprevalence of brucellosis and age, sex, breed, location, and management system by using Chi square and Fisher’s exact test as appropriate. Brucellosis was detected in all three wards: Puje; 15%, Avyi; 6.6%, and Hospital; 7.6%. A prevalence rate of 2.8%, 8%, 18.7%, and 1% was recorded for <20-month, 22-35-month, 36-45-month, and ≥46-55-month age categories, respectively (P < 0.05). Only 9.5% was observed for male animals while 9.8% was observed for female animals with no statistical difference between the males and females. Breed-specific seroprevalence yielded 7.4%, 5.4% 12%, 12.8%, and 11.6%, for Cross, West Africa Dwarf, Red Sokoto, Kano Brown, and Sahel breeds of goat, respectively. There is an evidence of brucellosis (9.6%) in Wukari L.G.A, Taraba State, and age is a risk factor for the disease in the study area. There is a need to enlighten the public on the zoonotic potentials and economic impacts of brucellosis.

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Prevalence of Long COVID symptoms in Bangladesh: a prospective Inception Cohort Study of COVID-19 survivors

BMJ Global Health ◽

10.1136/bmjgh-2021-006838 ◽

2021 ◽

Vol 6 (12) ◽

pp. e006838

Author(s):

Mohammad Anwar Hossain ◽

K M Amran Hossain ◽

Karen Saunders ◽

Zakir Uddin ◽

Lori Maria Walton ◽

...

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Structural Equation ◽

Functional Limitation ◽

Maximal Oxygen Consumption ◽

Female Gender ◽

Inception Cohort ◽

Persistent Symptoms ◽

Health Initiatives ◽

Associated Risk Factors

BackgroundThe objective of this study was to identify the prevalence of long COVID symptoms in a large cohort of people living with and affected by long COVID and identify any potential associated risk factors.MethodsA prospective survey was undertaken of an inception cohort of confirmed people living with and affected by long COVID (aged 18–87 years). 14392 participants were recruited from 24 testing facilities across Bangladesh between June and November 2020. All participants had a previously confirmed positive COVID-19 diagnosis, and reported persistent symptoms and difficulties in performing daily activities. Participants who consented were contacted by face-to-face interview, and were interviewed regarding long COVID, and restriction of activities of daily living using post COVID-19 functional status scale. Cardiorespiratory parameters measured at rest (heart rate, systolic blood pressure, diastolic blood pressure, oxygen saturation levels, maximal oxygen consumption, inspiratory and expiratory lung volume) were also measured.ResultsAmong 2198 participants, the prevalence of long COVID symptoms at 12 weeks was 16.1%. Overall, eight long COVID symptoms were identified and in descending order of prominence are: fatigue, pain, dyspnoea, cough, anosmia, appetite loss, headache and chest pain. People living with and affected by long COVID experienced between 1 and 8 long COVID symptoms with an overall duration period of 21.8±5.2 weeks. Structural equation modelling predicted the length of long COVID to be related to younger age, female gender, rural residence, prior functional limitation and smoking.ConclusionIn this cohort, at 31 weeks post diagnosis, the prevalence of long COVID symptoms was 16.1%. The risk factors identified for presence and longer length of long COVID symptoms warrant further research and consideration to support public health initiatives.

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Trends of risk factors in coronary surgery

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1010570m ◽

2010 ◽

Vol 138 (9-10) ◽

pp. 570-576 ◽

Cited By ~ 4

Author(s):

Bogoljub Mihajlovic ◽

Svetozar Nicin ◽

Nada Cemerlic-Adjic ◽

Katica Pavlovic ◽

Slobodan Dodic ◽

...

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Emergency Operation ◽

Female Gender ◽

Left Ventricular ◽

Neurological Dysfunction ◽

Chi Square ◽

Percutaneous Coronary ◽

The Mean ◽

Cabg Patients

Introduction. In current era of widespread use of percutaneous coronary interventions (PCI), it is debatable whether coronary artery by-pass graft (CABG) patients are at higher risk. Objective. The aim of the study was to evaluate trends in risk profile of isolated CABG patients. Methods. By analysing the EuroSCORE and its risk factors, we reviewed a consecutive group of 4675 isolated CABG patients, operated on during the last 8 years (2001-2008) at our Clinic. The number of PCI patients was compared to the number of CABG patients. For statistical analyses, Pearson?s chi-square and ANOVA tests were used. Results. The number of PCI increased from 159 to 1595 (p<0.001), and the number of CABG from 557 to 656 (p<0.001). The mean EuroSCORE increased from 2.74 to 2.92 (p=0.06). The frequency of the following risk factors did not change over years: female gender, previous cardiac surgery, serum creatinine >200?mol/l, left ventricular dysfunction and postinfarct ventricular septal rupture. Chronic pulmonary disease, neurological dysfunction, and unstable pectoral angina declined significantly (p<0.001). Critical preoperative care declined from 3.1% in 2001 to 0.5 % in 2005, than increased and during the last 3 years did not change (2.3%). The mean age increased from 56.8 to 60.7 (p<0.001) and extracardiac arteriopathy increased from 9.2% to 22.9% (p<0.001). Recent preoperative myocardial infarction increased from 11% to 15.1% (p=0.021), while emergency operations increased from 0.9% to 4.0% (p=0.001). Conclusion. The number of CABG increases despite the enlargement of PCI. The risk for isolated CABG given by EuroSCORE increases over years. The risk factors, significantly contributing to higher EuroSCORE are: older age, extracardiac arteriopathy, recent myocardial infarction and emergency operation.

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CLINICAL PROFILE OF ISOLATED SYSTOLIC HYPERTENSION AND IT'S CARDIOVASCULAR AND RENAL COMPLICATIONS AT AIIMS, PATNA, BIHAR

10.36106/ijsr/5427239 ◽

2020 ◽

pp. 40-42

Author(s):

Rajeev Ranjan Kumar ◽

Shiv Kumar ◽

Ravikirti Ravikirti ◽

Debarshi Jana

Keyword(s):

Risk Factors ◽

Creatinine Clearance ◽

Systolic Hypertension ◽

Cross Sectional Study ◽

Clinical Profile ◽

Isolated Systolic Hypertension ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Associated Risk Factors

Hypertension, its risk factors and complications is very poorly understood therefore it goes undiagnosed and untreated for a long time. The present study was undertaken to study the clinical profile of isolated systolic hypertension (systolic > 140 and diastolic ≤ 90 mmHg ) in elderly (above the age of 60 years)and to find out any other associated risk factors, any end organ complications, specially cardiac through electrocardiography and echocardiography and on kidney through creatinine clearance. The present cross-sectional study was undertaken on patients attending the outdoor department and indoor department of medicine. The study group comprised of 75 elderly patients who had isolated systolic hypertension (ISH). Using Chi square test correlation of age with stage of BP, association of risk factors with ISH and Stage III BP and ECG changes with LVH calculated. It concluded that ISH associated with risk factors has definite effect mainly on cardiac in terms of LV hypertrophy and on kidney in terms of reduced creatinine clearance and is an even better predictor of mortalityand morbidity than is diastolic blood pressure.

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