Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study
Abstract Neonatal-short peripheral intravenous catheters (n-SPCs) and neonatal-long peripheral intravenous catheters (n-LPCs) are widely used for short-term vascular access in neonates. A retrospective single-centred cohort study was conducted in the neonatal intensive care unit between 2019 and 202...
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2025-05-01
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| author | Matheus F. P. T. van Rens Kevin Hugill Robin van der Lee Fiammetta Piersigilli Airene L. V. Francia Fredericus H. J. van Loon Mohammad A. A. Bayoumi |
| author_facet | Matheus F. P. T. van Rens Kevin Hugill Robin van der Lee Fiammetta Piersigilli Airene L. V. Francia Fredericus H. J. van Loon Mohammad A. A. Bayoumi |
| author_sort | Matheus F. P. T. van Rens |
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| description | Abstract Neonatal-short peripheral intravenous catheters (n-SPCs) and neonatal-long peripheral intravenous catheters (n-LPCs) are widely used for short-term vascular access in neonates. A retrospective single-centred cohort study was conducted in the neonatal intensive care unit between 2019 and 2022 to compare the 2 types of catheters. A total of 34,464 catheter insertions were analysed (32,885 n-SPCs, 1,579 n-LPCs). n-LPCs had longer dwell time (48:27 ± 39:08 h versus 34:01 ± 33:31 h, p < 0.001). Accidental removals were lower in n-LPCs (0.3% versus 2.6%, p < 0.001). n-LPCs had higher rates of phlebitis (16.1% versus 6.6%, p < 0.001) and peripheral intravenous infiltration or extravasation (PIVIE) rate (40.0% versus 29.9%). Severe PIVIE (≥ 30% severity) was higher in n-LPCs (8.5% versus 2.8%, p < 0.001). n-LPCs offer a more stable and effective option for peripheral vascular access in neonates. Their use should be balanced with strategies to reduce the risk of phlebitis and severe PIVIE. |
| format | Article |
| id | doaj-art-66db908c203a40ef882cc247d00da30a |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-05-01 |
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| spelling | doaj-art-66db908c203a40ef882cc247d00da30a2025-08-20T03:52:19ZengNature PortfolioScientific Reports2045-23222025-05-011511910.1038/s41598-025-00301-1Short versus long peripheral intravenous catheters in neonates: a retrospective cohort studyMatheus F. P. T. van Rens0Kevin Hugill1Robin van der Lee2Fiammetta Piersigilli3Airene L. V. Francia4Fredericus H. J. van Loon5Mohammad A. A. Bayoumi6Neonatal Intensive Care Unit, Radboud University Medical Center, Amalia Children’s HospitalDepartment of Nursing and Midwifery Education, Hamad Medical CorporationNeonatal Intensive Care Unit, Radboud University Medical Center, Amalia Children’s HospitalNeonatal Intensive Care Unit, Cliniques Saint Luc, Université de LouvainNeonatal Intensive Care Unit, Women’s Wellness and Research Center, Hamad Medical CorporationAnaesthesiology, Intensive Care and Pain Medicine, Catharina HospitalNeonatal Intensive Care Unit, Women’s Wellness and Research Center, Hamad Medical CorporationAbstract Neonatal-short peripheral intravenous catheters (n-SPCs) and neonatal-long peripheral intravenous catheters (n-LPCs) are widely used for short-term vascular access in neonates. A retrospective single-centred cohort study was conducted in the neonatal intensive care unit between 2019 and 2022 to compare the 2 types of catheters. A total of 34,464 catheter insertions were analysed (32,885 n-SPCs, 1,579 n-LPCs). n-LPCs had longer dwell time (48:27 ± 39:08 h versus 34:01 ± 33:31 h, p < 0.001). Accidental removals were lower in n-LPCs (0.3% versus 2.6%, p < 0.001). n-LPCs had higher rates of phlebitis (16.1% versus 6.6%, p < 0.001) and peripheral intravenous infiltration or extravasation (PIVIE) rate (40.0% versus 29.9%). Severe PIVIE (≥ 30% severity) was higher in n-LPCs (8.5% versus 2.8%, p < 0.001). n-LPCs offer a more stable and effective option for peripheral vascular access in neonates. Their use should be balanced with strategies to reduce the risk of phlebitis and severe PIVIE.https://doi.org/10.1038/s41598-025-00301-1NeonateNeonatal intensive care unit (NICU)Vascular accessComplicationsInfiltrationExtravasation. |
| spellingShingle | Matheus F. P. T. van Rens Kevin Hugill Robin van der Lee Fiammetta Piersigilli Airene L. V. Francia Fredericus H. J. van Loon Mohammad A. A. Bayoumi Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study Scientific Reports Neonate Neonatal intensive care unit (NICU) Vascular access Complications Infiltration Extravasation. |
| title | Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study |
| title_full | Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study |
| title_fullStr | Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study |
| title_full_unstemmed | Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study |
| title_short | Short versus long peripheral intravenous catheters in neonates: a retrospective cohort study |
| title_sort | short versus long peripheral intravenous catheters in neonates a retrospective cohort study |
| topic | Neonate Neonatal intensive care unit (NICU) Vascular access Complications Infiltration Extravasation. |
| url | https://doi.org/10.1038/s41598-025-00301-1 |
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