Factors related to complications of the invasive blood pressure system among adult and elderly patients: a prospective study

Souza, Willian Marques de; Cypriano, Victor Hugo Baldan; Sousa, Rosângela Aparecida de; Lino, Rafael Luis Bressani; Mroczinski, Ana Luiza; Garbuio, Danielle Cristina

doi:10.1590/1518-8345.7097.4443

person Willian Marques de Souza

Study concept and design · Obtaining data · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolCentro Universitário Central Paulista, Departamento de Enfermagem, São Carlos, SP, Brazil.

0009-0002-6811-4461

person Victor Hugo Baldan Cypriano

Study concept and design · Obtaining data · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolCentro Universitário Central Paulista, Departamento de Enfermagem, São Carlos, SP, Brazil.

0009-0005-4014-2091

person Rosângela Aparecida de Sousa

Obtaining data · Data analysis and interpretation · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolUniversidade Federal de São Carlos, Departamento de Enfermagem, São Carlos, SP, Brazil.

0000-0003-3417-5581

person Rafael Luis Bressani Lino

Study concept and design · Data analysis and interpretation · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolUniversidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

0000-0002-5683-7040

person Ana Luiza Mroczinski

Obtaining data · Data analysis and interpretation · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolCentro Universitário Central Paulista, Departamento de Enfermagem, São Carlos, SP, Brazil.

0000-0003-2942-5515

person Danielle Cristina Garbuio

Study concept and design · Data analysis and interpretation · Statistical analysis · Drafting the manuscript · Critical review of the manuscript as to its relevant intellectual content · All authors approved the final version of the text

schoolCentro Universitário Central Paulista, Departamento de Enfermagem, São Carlos, SP, Brazil.

0000-0002-0516-5213

personCorresponding author: Danielle Cristina Garbuio E-mail:
dgarbuio@yahoo.com.br https://orcid.org/0000-0002-0516-5213

Conflict of interest:

the authors have declared that there is no conflict of interest.

Associate Editor:

Maria Lucia do Carmo Cruz Robazzi

	N	%
Sex Male Female	28 22	56 44
Race/Skin color White Brown Black	30 17 03	60 34 03
Smoking status Smoker Non-smoker Former smoker Not identified	08 21 14 07	16 42 28 14
Alcohol use Alcohol user Does not drink alcohol Former drinker Not identified	16 19 04 11	32 38 08 22
Comorbidities* Diabetes Mellitus Systemic Arterial Hypertension Chronic Kidney Disease Heart diseases Others	16 36 00 02 28	32 72 00 04 56
Eating habits Oral route Nasoenteric tube	21 29	42 58
Vasoactive drug Yes No	48 02	96 04
SedationYes No	33 17	66 34
Antibiotic Yes No	37 13	74 26
Anticoagulant Yes No	18 32	36 64
Central venous catheter Yes No	37 13	74 26
Puncture site Radial Dorsalis Pedis	43 07	86 14
Volume of pressurizing solution 250 ml 500 ml 1000 ml	1 13 36	02 26 72
Bandage used at the time of puncture Transparent and Waterproof Gauze and Micropore	32 18	64 36
Reasons for removal Non-indication of use/scheduled Complication Death	24 20 06	48 40 12

Variable	Complication	Mean	SD*	p-value ^†	Hedges’g	Effect size
Age	No	56.23	17.204	0.327	0.02	Insignificant
	Yes	60.90	14.928	0.327	0.02	Insignificant
BMI^‡	No	26.08	4.872	0.200	0.05	Insignificant
	Yes	23.80	3.768	0.200	0.05	Insignificant
Mean pressure in the bag	No	274.80	30.800	0.046	0.70	Average
	Yes	255.75	34.372	0.046	0.70	Average
Variable	Complication	Mean	Sum Rank	p-value ^§	Pearson’s r	Effect size
Usage time (days)	No	24.37	731	0.493	0.10	Insignificant
	Yes	27.20	544	0.493	0.10	Insignificant

Risk factors		With complication	No complication	Total	p-value	RR and CI
Sex	Female	10	12	22	0.485*	0.7 (0.400; 1.544)
Sex	Male	10	18	28	0.485*	0.7 (0.400; 1.544)
Use of sedation	Yes	13	20	33	0.903*	1.0 (0.515; 0.227)
Use of sedation	No	7	10	17	0.903*	1.0 (0.515; 0.227)
Use of anticoagulant	Yes	7	11	18	0.904*	1.0 (0.511; 2.135)
Use of anticoagulant	No	13	19	32	0.904*	1.0 (0.511; 2.135)
Use of antibiotics	Yes	15	22	37	0.895*	0.9 (0.430; 2.092)
Use of antibiotics	No	5	8	13	0.895*	0.9 (0.430; 2.092)
Eating habits	Oral route	9	12	21	0.726*	1.1 (0.573; 2.227)
Eating habits	Nasoenteric tube	11	18	29	0.726*	1.1 (0.573; 2.227)
Puncture site	Radial	17	26	43	1,000^†	0.9 (0.363; 2.342)
Puncture site	Dorsalis Pedis	3	4	7	1,000^†	0.9 (0.363; 2.342)
Type of bandage	Gauze and micropore	6	12	18	0.470*	1.3 (0.612; 2.813)
Type of bandage	Transparent waterproof	14	18	32	0.470*	1.3 (0.612; 2.813)
Volume of the solution	≤500 ml	4	10	14	0.353^†	0.6 (0.260; 1.589)
Volume of the solution	1,000 ml	16	20	36	0.353^†	0.6 (0.260; 1.589)
Catheter gauge size	18G	7	14	21	0.413*	1.3 (0.650; 2.783)
Catheter gauge size	20G; 22G	13	16	29	0.413*	1.3 (0.650; 2.783)

[1] *Each patient could have more than one comorbidity, with the sum exceeding 50

Factors related to complications of the invasive blood pressure system among adult and elderly patients: a prospective study

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