Variables‡ | All | American Indian or Alaska Native | Asian | Black or African American | White or Caucasian | Other | p value | ||
---|---|---|---|---|---|---|---|---|---|
n | 144,524 | 484 (0.3%) | 2,908 (2.0%) | 38,956 (27.0%) | 97,069 (67.2%) | 5,107 (3.5%) | |||
Hospital Course | |||||||||
Hospital Setting | < 0.001 | ||||||||
Community (250 + beds) | 40,043 (27.7%) | 80 (16.5%) | 273 (9.4%) | 20,970 (53.8%) | 18,012 (18.5%) | 708 (13.9%) | |||
Mid-size (500 + beds) | 49,119 (34.0%) | 192 (39.7%) | 1437 (49.4%) | 2768 (7.1%) | 42,490 (43.8%) | 2232 (43.7%) | |||
Academic (1000 + beds) | 55,362 (38.3%) | 212 (43.8%) | 1198 (41.2%) | 15,218 (39.1%) | 36,567 (37.7%) | 2167 (42.4%) | |||
Emergency Severity Index | < 0.001 | ||||||||
Mean | 2.6 (0.6) | 2.6 (0.6) | 2.5 (0.6) | 2.6 (0.6) | 2.6 (0.6) | 2.5 (0.6) | |||
Median | 3.0 (2.0, 3.0) | 3.0 (2.0, 3.0) | 3.0 (2.0, 3.0) | 3.0 (2.0, 3.0) | 3.0 (2.0, 3.0) | 3.0 (2.0, 3.0) | |||
Not documented | 472 | 2 | 10 | 85 | 358 | 17 | |||
Length of Stay, hours | < 0.001 | ||||||||
Mean | 134.7 (147.6) | 122.6 (156.6) | 131.5 (144.1) | 137.1 (155.2) | 134.1 (143.7) | 130.6 (161.6) | |||
Median | 95.2 (53.5, 162.8) | 77.4 (51.7, 126.3) | 90.3 (50.7, 158.8) | 95.4 (55.0, 162.9) | 95.5 (53.4, 163.4) | 88.2 (50.0, 153.9) | |||
Use of Intravenous Vesicant | < 0.001 | ||||||||
Yes | 36,696 (25.4%) | 123 (25.4%) | 852 (29.3%) | 9527 (24.5%) | 24,837 (25.6%) | 1357 (26.6%) | |||
PIVC Characteristics | |||||||||
Gauge | < 0.001 | ||||||||
18 | 25,517 (18.8%) | 82 (18.3%) | 508 (18.6%) | 6894 (18.8%) | 17,137 (18.9%) | 896 (18.7%) | |||
20 | 101,637 (75.0%) | 339 (75.5%) | 2103 (77.0%) | 26,294 (71.7%) | 69,196 (76.2%) | 3705 (77.4%) | |||
22 | 8043 (5.9%) | 28 (6.2%) | 119 (4.4%) | 3285 (9.0%) | 4430 (4.9%) | 181 (3.8%) | |||
24 | 330 (0.2%) | 0 (0.0%) | 2 (0.1%) | 222 (0.6%) | 104 (0.1%) | 2 (0.0%) | |||
Not documented | 8997 | 35 | 176 | 2261 | 6202 | 323 | |||
Orientation | < 0.001 | ||||||||
Left | 70,206 (49.3%) | 255 (53.5%) | 1387 (48.5%) | 18,351 (47.9%) | 47,724 (49.9%) | 2489 (49.6%) | |||
Right | 72,099 (50.7%) | 222 (46.5%) | 1474 (51.5%) | 19,983 (52.1%) | 47,892 (50.1%) | 2528 (50.4%) | |||
Not documented | 2219 | 7 | 47 | 622 | 1453 | 90 | |||
Location | < 0.001 | ||||||||
Antecubital | 81,882 (56.7%) | 269 (55.6%) | 1788 (61.5%) | 20,803 (53.4%) | 55,944 (57.6%) | 3078 (60.3%) | |||
Forearm | 38,360 (26.5%) | 127 (26.2%) | 708 (24.3%) | 9913 (25.4%) | 26,337 (27.1%) | 1275 (25.0%) | |||
Hand/Wrist | 5103 (3.5%) | 20 (4.1%) | 95 (3.3%) | 1257 (3.2%) | 3559 (3.7%) | 172 (3.4%) | |||
Upper Arm | 6440 (4.5%) | 25 (5.2%) | 82 (2.8%) | 2797 (7.2%) | 3374 (3.5%) | 162 (3.2%) | |||
Other | 12,739 (8.8%) | 43 (8.9%) | 235 (8.1%) | 4186 (10.7%) | 7855 (8.1%) | 420 (8.2%) | |||
Insertion Method | < 0.001 | ||||||||
Traditional | 137,105 (94.9%) | 455 (94.0%) | 2805 (96.5%) | 35,199 (90.4%) | 93,690 (96.5%) | 4956 (97.0%) | |||
Ultrasound Guided | 7419 (5.1%) | 29 (6.0%) | 103 (3.5%) | 3757 (9.6%) | 3379 (3.5%) | 151 (3.0%) | |||
Inserter Credentials | < 0.001 | ||||||||
EDT | 51,876 (47.0%) | 171 (47.9%) | 1083 (49.2%) | 13,942 (47.0%) | 34,865 (47.0%) | 1815 (46.8%) | |||
Nurse | 45,516 (41.3%) | 146 (40.9%) | 881 (40.0%) | 13,282 (44.8%) | 29,627 (39.9%) | 1580 (40.8%) | |||
APP/Physician | 778 (0.7%) | 5 (1.4%) | 9 (0.4%) | 439 (1.5%) | 300 (0.4%) | 25 (0.6%) | |||
EMS | 11,831 (10.7%) | 34 (9.5%) | 223 (10.1%) | 1938 (6.5%) | 9187 (12.4%) | 449 (11.6%) | |||
Other | 282 (0.3%) | 1 (0.3%) | 5 (0.2%) | 73 (0.2%) | 195 (0.3%) | 8 (0.2%) | |||
Not documented | 34,241 | 127 | 707 | 9282 | 22,895 | 1230 | |||
Outcomes | |||||||||
Proportion of Dwell to Hospital Length of Stay | < 0.001 | ||||||||
Mean | 0.68 (0.35) | 0.70 (0.35) | 0.74 (0.33) | 0.65 (0.36) | 0.69 (0.35) | 0.71 (0.34) | |||
Median | 0.88 (0.34, 0.99) | 0.90 (0.37, 0.99) | 0.94 (0.48, 0.99) | 0.82 (0.30, 0.98) | 0.90 (0.35, 0.99) | 0.93 (0.41, 0.99) | |||
Dwell time, hours | < 0.001 | ||||||||
Mean | 68.3 (55.3) | 62.5 (50.2) | 73.8 (58.5) | 65.9 (54.6) | 69.1 (55.5) | 68.3 (54.5) | |||
Median | 53.0 (29.5, 91.4) | 51.2 (27.6, 82.1) | 58.5 (33.4, 97.5) | 51.5 (28.0, 88.4) | 53.7 (30.0, 92.3) | 52.2 (29.4, 91.8) | |||
Time to PIVC Placement, hours | < 0.001 | ||||||||
Mean | 1.89 (3.70) | 2.29 (5.02) | 1.82 (2.46) | 2.03 (2.96) | 1.83 (4.05) | 1.82 (2.12) | |||
Median | 1.23 (0.63, 2.30) | 1.42 (0.72, 2.60) | 1.25 (0.65, 2.23) | 1.27 (0.62, 2.52) | 1.22 (0.63, 2.22) | 1.23 (0.65, 2.23) | |||
Length of stay, hours | < 0.001 | ||||||||
Mean | 134.9 (147.6) | 122.6 (156.6) | 131.49 (144.1) | 137.14 (155.2) | 134.1 (143.7) | 130.6 (161.6) | |||
Median | 95.2 (53.5, 162.8) | 77.4 (51.7, 126.3) | 90.3 (50.7, 158.8) | 95.4 (55.0, 162.9) | 95.5 (53.4, 163.4) | 88.2 (50.0, 153.9) | |||
Removal Reason | < 0.001 | ||||||||
Completed By Discharge | 42,674 (34.6%) | 149 (35.6%) | 1020 (40.3%) | 10,426 (31.8%) | 29,418 (35.4%) | 1661 (37.4%) | |||
Failure | 43,085 (34.9%) | 129 (30.9%) | 731 (28.9%) | 12,144 (37.0%) | 28,674 (34.5%) | 1407 (31.7%) | |||
Therapy Completed | 37,639 (30.5%) | 140 (33.5%) | 782 (30.9%) | 10,214 (31.2%) | 25,127 (30.2%) | 1376 (31.0%) | |||
Not documented | 21,126 | 66 | 375 | 6172 | 13,850 | 663 | |||
Failure Subcategory | < 0.001 | ||||||||
Infiltration | 10,250 (42.3%) | 36 (48.0%) | 184 (45.4%) | 3042 (43.5%) | 6659 (41.6%) | 329 (43.3%) | |||
Leaking | 10,406 (43.0%) | 31 (41.3%) | 166 (41.0%) | 2785 (39.9%) | 7108 (44.4%) | 316 (41.6%) | |||
Occlusion | 3549 (14.7%) | 8 (10.7%) | 55 (13.6%) | 1155 (16.5%) | 2217 (13.9%) | 114 (15.0%) | |||
Phlebitis | 16 (0.1%) | 0 (0.0%) | 0 (0.0%) | 6 (0.1%) | 10 (0.1%) | 0 (0.0%) | |||
Not documented | 18,864 | 54 | 326 | 5156 | 12,680 | 648 |