Cochrane · systematic review · CD007798
Clinically‐indicated replacement versus routine replacement of peripheral venous catheters
Webster, J, Osborne, S, Rickard, CM, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 4 versionsEffects of clinically‐indicated replacement compared to routine change of peripheral intravenous catheters
Population: any patient requiring a PIVC expected to remain in‐situ for at least 3 days
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Catheter‐related blood stream infection (during hospitalisation) Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters | RR 0.61 [0.08, 4.68] | 7 studies · 7323 participants | Low Downgraded: inconsistency |
Thrombophlebitis (during hospitalisation) Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters | RR 1.07 [0.93, 1.25] | 7 studies · 7323 participants | Moderate Downgraded: risk of bias |
Thrombophlebitis (per device days) (during hospitalisation) Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters | RR 0.9 [0.76, 1.08] | 6 studies · 32709 participants | Moderate Downgraded: risk of bias |
All‐cause blood stream infection (during hospitalisation) Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters | RR 0.47 [0.15, 1.53] | 1 study · 3283 participants | Moderate Downgraded: inconsistency |
Cost (during hospitalisation) Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters | no estimate extracted | 3 studies · 4244 participants | Moderate Downgraded: risk of bias |
Infiltration (during hospitalisation) Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters | RR 1.16 [1.06, 1.26] | 6 studies · 7123 participants | Moderate Downgraded: risk of bias |
Catheter blockage (during hospitalisation) Effects of clinically‐indicated replacement vs routine change of peripheral intravenous catheters | RR 1.14 [1.01, 1.29] | 7 studies · 7323 participants | Moderate Downgraded: risk of bias |