Findings

What do systematic reviews say?

7 questions · 7 findings · 1 reviews · Vascular

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%High 0 · 0%

Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters

Thrombophlebitis (per device days) (during hospitalisation) · any patient requiring a PIVC expected to remain in‐situ for at least 3 days

Effects of clinically‐indicated replacement showed no clear difference in thrombophlebitis (per device days) (during hospitalisation) compared with routine change of peripheral intravenous catheters (moderate certainty).

1 finding from 1 review

Clinically‐indicated replacement versus routine replacement of peripheral venous catheters 2019 · Cochrane Headline outcomes only
RR 0.9 [0.76, 1.08]
6 studies · 32709 participants
Moderate

Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters

Catheter‐related blood stream infection · any patient requiring a PIVC expected to remain in‐situ for at least 3 days

Effects of clinically‐indicated replacement showed no clear difference in catheter‐related blood stream infection (during hospitalisation) compared with routine change of peripheral intravenous catheters (low certainty).

1 finding from 1 review

Clinically‐indicated replacement versus routine replacement of peripheral venous catheters 2019 · Cochrane Headline outcomes only
RR 0.61 [0.08, 4.68]
7 studies · 7323 participants
Low

Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters

Thrombophlebitis (during hospitalisation) · any patient requiring a PIVC expected to remain in‐situ for at least 3 days

Effects of clinically‐indicated replacement showed no clear difference in thrombophlebitis (during hospitalisation) compared with routine change of peripheral intravenous catheters (moderate certainty).

1 finding from 1 review

Clinically‐indicated replacement versus routine replacement of peripheral venous catheters 2019 · Cochrane Headline outcomes only
RR 1.07 [0.93, 1.25]
7 studies · 7323 participants
Moderate

Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters

All‐cause blood stream infection (during hospitalisation) · any patient requiring a PIVC expected to remain in‐situ for at least 3 days

Effects of clinically‐indicated replacement showed no clear difference in all‐cause blood stream infection (during hospitalisation) compared with routine change of peripheral intravenous catheters (moderate certainty).

1 finding from 1 review

Clinically‐indicated replacement versus routine replacement of peripheral venous catheters 2019 · Cochrane Headline outcomes only
RR 0.47 [0.15, 1.53]
1 study · 3283 participants
Moderate

Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters

Cost of hospitalisation · any patient requiring a PIVC expected to remain in‐situ for at least 3 days

1 finding from 1 review

Clinically‐indicated replacement versus routine replacement of peripheral venous catheters 2019 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 4244 participants
Moderate

Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters

Infiltration (during hospitalisation) · any patient requiring a PIVC expected to remain in‐situ for at least 3 days

Effects of clinically‐indicated replacement probably leads to higher infiltration (during hospitalisation) compared with routine change of peripheral intravenous catheters (moderate certainty).

1 finding from 1 review

Clinically‐indicated replacement versus routine replacement of peripheral venous catheters 2019 · Cochrane Headline outcomes only
RR 1.16 [1.06, 1.26]
6 studies · 7123 participants
Moderate

Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters

Catheter blockage (during hospitalisation) · any patient requiring a PIVC expected to remain in‐situ for at least 3 days

Effects of clinically‐indicated replacement probably leads to higher catheter blockage (during hospitalisation) compared with routine change of peripheral intravenous catheters (moderate certainty).

1 finding from 1 review

Clinically‐indicated replacement versus routine replacement of peripheral venous catheters 2019 · Cochrane Headline outcomes only
RR 1.14 [1.01, 1.29]
7 studies · 7323 participants
Moderate