The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns

Authors

  • Priscila Costa Universidade de São Paulo; Escola de Enfermagem
  • Amélia Fumiko Kimura Universidade de São Paulo; Escola de Enfermagem
  • Debra Huffman Brandon Duke University; School of Nursing
  • Eny Dorea Paiva Universidade Federal Fluminense; Escola de Enfermagem
  • Patricia Ponce de Camargo Universidade de São Paulo; Faculdade de Medicina; Instituto da Criança; Hospital das Clínicas

DOI:

https://doi.org/10.1590/0104-1169.0491.2578

Abstract

;;OBJECTIVE:;

; to develop a risk score for unplanned removal of peripherally inserted central catheter in newborns.

;;;;METHOD:;

; prospective cohort study conducted in a neonatal intensive care unit with newborn babies who underwent 524 catheter insertions. The clinical characteristics of the newborn, catheter insertion and intravenous therapy were tested as risk factors for the unplanned removal of catheters using bivariate analysis. The risk score was developed using logistic regression. Accuracy was internally validated based on the area under the Receiver Operating Characteristic curve.

;;;;RESULTS:;

; the risk score was made up of the following risk factors: transient metabolic disorders; previous insertion of catheter; use of a polyurethane double-lumen catheter; infusion of multiple intravenous solutions through a single-lumen catheter; and tip in a noncentral position. Newborns were classified into three categories of risk of unplanned removal: low (0 to 3 points), moderate (4 to 8 points), and high (≥ 9 points). Accuracy was 0.76.

;;;;CONCLUSION:;

; the adoption of evidence-based preventative strategies based on the classification and risk factors faced by the newborn is recommended to minimize the occurrence of unplanned removals.

;;

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Published

2015-06-01

Issue

Vol. 23 No. 3 (2015)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns. (2015). Revista Latino-Americana De Enfermagem, 23(3), 475-482. https://doi.org/10.1590/0104-1169.0491.2578