Objective
To determine accidental withdrawal (AW) of tubes, sounds and catheters.
Design
Prospective observational study.
Setting
A 20-bed medical-surgical Intensive Care Unit (ICU).
Patients
All patients admitted in ICU from 1-5-2000 to 31-10-2000.
Results
253 patients were admitted (64.03% males). Mean age was 57.64 ± 16.71 years. APACHE-II was 12.48 ± 5.52. Mortality was 15.81%. Patients distribution was: 48% cardiac surgery, 14% cardiologic, 10% neurologic, 8% traumathology, 7% pulmonary, 6% digestive and 7% others. Patients need the following monitoring: 88.14% orotracheal tube (OT), 99.20% central venous catheter (CVC), 26.87% drum catheter (DC), 67.98% internal yugular vein catheter (IYVC), 34.38% subclavian vein catheter (SVC), 16.14% femoral vein catheter (FVC), 91.69% artery catheter (AC), 86.95% radial artery catheter (RAC), 13.83% femoral artery catheter (FAC), 91.69% nasogastrical sounds (NGS), 96.09% vesical sound (VS), 48.22% epicardial temporary pacemaker electrode (ETPE), 2.76% intraaortic balloon counter pulsation catheter (IABC), 54.54% thoracic drainage tube (TDT), 8.30% abdominal drainage tube (ADT) and 6.71% intracraneal pressure catheter (IPC).
Conclusions
This study permit to know our current levels of accidental withdrawals and comparing them with other ICU and with our results in the future.
Table 1.
| Number of patients | Number | Number of | Number of | Number of AW | Number of AW | |
|---|---|---|---|---|---|---|
| with catheter | of catheters | catheter-days | AW | per 100 catheter | per 100 catheter-days | |
| OT | 223 | 245 | 1802 | 14 | 5.71 | 0.77 |
| CVC | 251 | 454 | 3212 | 12 | 2.64 | 0.37 |
| DC | 68 | 96 | 717 | 2 | 2.08 | 0.27 |
| IYVC | 172 | 195 | 1112 | 6 | 3.07 | 0.53 |
| SVC | 87 | 117 | 1007 | 3 | 2.56 | 0.29 |
| FVC | 36 | 46 | 376 | 1 | 2.17 | 0.26 |
| AC | 232 | 348 | 2031 | 28 | 8.04 | 1.37 |
| RAC | 220 | 310 | 1702 | 23 | 7.41 | 1.35 |
| FAC | 35 | 38 | 329 | 5 | 13.15 | 1.51 |
| NGS | 232 | 380 | 2114 | 148 | 38.94 | 7 |
| VS | 246 | 334 | 2444 | 1 | 0.29 | 0.04 |
| ETPE | 122 | 122 | 400 | 0 | 0 | 0 |
| IABC | 7 | 7 | 16 | 0 | 0 | 0 |
| TDT | 138 | 270 | 575 | 0 | 0 | 0 |
| ADT | 21 | 41 | 316 | 0 | 0 | 0 |
| IPC | 17 | 21 | 199 | 0 | 0 | 0 |