PMID- 15312222
OWN - NLM
STAT- MEDLINE
DCOM- 20051103
LR  - 20181113
IS  - 1466-609X (Electronic)
IS  - 1364-8535 (Print)
IS  - 1364-8535 (Linking)
VI  - 8
IP  - 4
DP  - 2004 Aug
TI  - Accidental catheter removal in critically ill patients: a prospective and 
      observational study.
PG  - R229-33
AB  - INTRODUCTION: The importance of accidental catheter removal (ACR) lies in the 
      complications caused by the removal itself and by catheter reinsertion. To the 
      best of our knowledge, no studies have analyzed accidental removal of various 
      types of catheters in the intensive care unit (ICU). The objective of the present 
      study was to analyze the incidence of ACR for all types of catheters in the ICU. 
      METHODS: This was a prospective and observational study, conducted in a 24-bed 
      medical/surgical ICU in a university hospital. We included all consecutive 
      patients admitted to the ICU over 18 months (1 May 2000 to 31 October 2001). The 
      incidences of ACR for all types of catheters (both per 100 catheters and per 100 
      catheter-days) were determined. RESULTS: A total of 988 patients were included. 
      There were no significant differences in ACR incidence between the four central 
      venous access sites (peripheral, jugular, subclavian and femoral) or between the 
      four arterial access sites (radial, femoral, pedal and humeral). However, the 
      incidence of ACR was higher for arterial than for central venous catheters 
      (1.12/100 catheter-days versus 2.02/100 catheter-days; P < 0.001). The incidences 
      of ACR/100 nonvascular catheter-days were as follows: endotracheal tube 0.79; 
      nasogastric tube 4.48; urinary catheter 0.32; thoracic drain 0.56; abdominal 
      drain 0.67; and intraventricular brain drain 0.66. CONCLUSION: We found ACR 
      incidences for central venous catheter, arterial catheter, endotracheal tube, 
      nasogastric tube and urinary catheter that are similar to those reported in 
      previous studies. We could not find studies that analyzed the ACR for thoracic, 
      abdominal, intraventricular brain and cardiac surgical drains, but we believe 
      that our rates are acceptable. To minimize ACR, it is necessary to monitor its 
      incidence carefully and to implement preventive measures. In our view, according 
      to establish quality standards, findings should be reported as ACR incidence per 
      100 catheters and per 100 catheter-days, for all types of catheters.
FAU - Lorente, Leonardo
AU  - Lorente L
AD  - Staff Intensivist, Department of Intensive Care, Hospital Universitario de 
      Canarias, Tenerife, Spain. lorentemartin@msn.com
FAU - Huidobro, Maria S
AU  - Huidobro MS
FAU - Martin, Maria M
AU  - Martin MM
FAU - Jimenez, Alejandro
AU  - Jimenez A
FAU - Mora, Maria L
AU  - Mora ML
LA  - eng
PT  - Journal Article
DEP - 20040602
PL  - England
TA  - Crit Care
JT  - Critical care (London, England)
JID - 9801902
SB  - IM
MH  - Accidents/*statistics & numerical data
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Catheterization, Central Venous/instrumentation
MH  - Catheterization, Peripheral/instrumentation
MH  - Catheters, Indwelling/classification/*statistics & numerical data
MH  - Child
MH  - Critical Illness/*therapy
MH  - Female
MH  - Hospitals, University
MH  - Humans
MH  - Incidence
MH  - Intensive Care Units/*standards
MH  - Intubation, Gastrointestinal/instrumentation
MH  - Intubation, Intratracheal/instrumentation
MH  - Male
MH  - Medical Errors/*statistics & numerical data
MH  - Middle Aged
MH  - Prospective Studies
MH  - *Quality Assurance, Health Care
MH  - Sentinel Surveillance
MH  - Spain
PMC - PMC522842
EDAT- 2004/08/18 05:00
MHDA- 2005/11/04 09:00
PMCR- 2004/06/02
CRDT- 2004/08/18 05:00
PHST- 2004/03/06 00:00 [received]
PHST- 2004/04/09 00:00 [revised]
PHST- 2004/04/28 00:00 [accepted]
PHST- 2004/08/18 05:00 [pubmed]
PHST- 2005/11/04 09:00 [medline]
PHST- 2004/08/18 05:00 [entrez]
PHST- 2004/06/02 00:00 [pmc-release]
AID - cc2874 [pii]
AID - 10.1186/cc2874 [doi]
PST - ppublish
SO  - Crit Care. 2004 Aug;8(4):R229-33. doi: 10.1186/cc2874. Epub 2004 Jun 2.