Webster, Joan and Lloyd, Sophia and Hopkins, Tracey and Osborne, Sonya 
ORCID: https://orcid.org/0000-0002-2826-0627 and Yaxley, Maria
(2007)
Developing a research base for intravenous peripheral cannula re-sites (DRIP trial). A randomised controlled trial of hospital in-patients.
International Journal of Nursing Studies, 44 (5).
pp. 664-671.
ISSN 0020-7489
Abstract
Background: There is currently no high grade evidence on which to base decisions about the frequency of intravenous cannula re-sites.
Objective: To assess the safety of changing peripheral venous cannulas when clinically indicated.
Design: Randomised controlled trial.
Setting: A tertiary referral hospital in Brisbane, Australia.
Participants: Two hundred and six hospitalised patients from surgical, medical and orthopaedic wards. Interventions: Peripheral intravenous cannulas were re-sited only when complications occurred (intervention group) or every 3 days (control group).
Main outcome measures: The primary endpoint was any unplanned cannula removal, the secondary outcome was cost.
Results: Forty six patients had unplanned removals in the intervention group compared with 41 in the control group [relative risk 1.12, 95% confidence interval 0.81-1.55 (p = 0.286)], a non-significant difference. Total duration of peripheral cannulation was similar in both groups (mean 123.3 h in the intervention group and 125.9 h in the control group: P = 0.82) but significantly more re-sites occurred in the control group (167 in intervention group, 202 in the control group: p = 0.022). Cost of cannula replacements in the intervention group was AUD$3,183.62 and in the control group AUD$3,837.56 (p = 0.006).
Conclusion: Re-siting peripheral venous cannulas when clinically indicated compared with changing them routinely every 3 days does not lead to more complications and reduces costs.
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| Item Type: | Article (Commonwealth Reporting Category C) |
|---|---|
| Refereed: | Yes |
| Item Status: | Live Archive |
| Additional Information: | Permanent restricted access to Published version in accordance with the copyright policy of the publisher. |
| Faculty/School / Institute/Centre: | No Faculty |
| Faculty/School / Institute/Centre: | No Faculty |
| Date Deposited: | 09 Aug 2021 06:09 |
| Last Modified: | 09 Aug 2021 06:09 |
| Uncontrolled Keywords: | clinical trials; cost and cost analysis; infusions; intravenous |
| Fields of Research (2008): | 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care) |
| Fields of Research (2020): | 42 HEALTH SCIENCES > 4205 Nursing > 420501 Acute care |
| Identification Number or DOI: | https://doi.org/10.1016/j.ijnurstu.2006.02.003 |
| URI: | http://eprints.usq.edu.au/id/eprint/42951 |
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