Clinically indicated versus routine replacement of peripheral intravenous cannulas in elderly patients: Secondary analysis of a multi-center randomized controlled trial in mainland China.
Geriatr NursJun 17, 2026 (epub)
Xin-Yun Jiang, Li-Jie Wang, Tao Wei et al.
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In 30 seconds
This secondary analysis of a multicenter randomized controlled trial evaluated the outcomes of clinically indicated versus routine replacement of peripheral intravenous cannulas (PIVCs) in 1805 elderly patients. The study found that clinically indicated removal was associated with a significantly longer catheter dwell time and a higher risk of all-cause PIVCs failure (OR 2.273, p < 0.01).
Key findings
- Clinically indicated group had a longer PIVCs dwell time compared to routine replacement group (p < 0.01).
- All-cause PIVCs failure was significantly higher in the clinically indicated group (OR 2.273, p < 0.01).
- Phlebitis incidence was greater in the clinically indicated group (OR 1.882, p < 0.01).
- No significant difference in suspected infection rates between the two groups (p > 0.05).
Why it matters
Understanding the implications of PIVC management in elderly patients is crucial for minimizing complications. This study highlights the need for careful monitoring when using clinically indicated removal strategies, particularly regarding catheter failure.