Impact of peripheral intravenous catheter status and monitoring on catheter removal outcome among patients at Viet Tiep General Hospital in 2025

Abstract

Peripheral intravenous catheterization is a common and essential technique that plays a crucial role in internal medicine and emergency treatment. Many studies have shown that catheter removal is often due to causes such as thrombophlebitis, catheter slippage, embolism, and needle displacement from the vein. However, the studies on factors related to removing the peripheral intravenous needle are limited. Therefore, we conducted this study to examine the impact of peripheral intravenous catheter status and monitoring on catheter removal outcomes among patients at Viet Tiep General Hospital. A descriptive cross-sectional survey was conducted among 271 inpatients with intravenous catheters. The study results showed that the rate of unplanned needle removal was 33.9%. The status of unplanned peripheral intravenous needle removal was highest with the feeling of discomfort among patients (35.4%), followed by pain (32.8%), and needle slippage due to water into the tape (18.8%). Backward stepwise logistic regression analysis revealed two statistically significant factors influencing peripheral intravenous line removal: site swelling (OR = 0.485; 95% CI: 0.244–0.964; p = 0.039) and nurse monitoring (OR = 2.352; 95% CI: 1.400–3.952; p = 0.001). The study results further support the evidence that the nurse monitoring schedule may reduce the risk of unplanned peripheral intravenous line removal.