학회지

Korean Academic Society of Home Health Care Nursing

학회지보기

  • 학회지
  • 학회지보기

말초 정맥주사 삽입 어려움 예측을 위한 노모그램 구축

Construction of a Nomogram for Predicting Difficulty in Peripheral Intravenous Cannulation

김경숙 (삼성서울병원 간호본부, 성균관대학교 임상간호대학원), 최수정 (성균관대학교 임상간호대학원), 장수미 (삼성서울병원 간호본부), 안현주 (삼성서울병원 간호본부), 나은희 (삼성서울병원 간호본부), 이미경 (일리노이대학교)

언어 :

권호 : v.30, no.1, 48-58,

발행일자 : 2023년 4월

PDF 원문보기

초록

Purpose: The purpose of this study was to construct a nomogram for predicting difficulty in peripheral intravenous cannulation (DPIVC) for adult inpatients. Methods: This study conducted a secondary analysis of data from the intravenous cannulation cohort by intravenous specialist nurses at a tertiary hospital in Seoul. Overall, 504 patients were included; of these, 166 (32.9%) patients with failed cannulation in the first intravenous cannulation attempt were included in the case group, while the remaining 338 patients were included in the control group. The nomogram was built with the identified risk factors using a multiple logistic regression analysis. The model performance was analyzed using the Hosmer-Lemeshow test, area under the curve (AUC), and calibration plot. Results: Five factors, including vein diameter, vein visibility, chronic kidney disease, diabetes, and chemotherapy, were risk factors of DPIVC. The nomogram showed good discrimination with an AUC of 0.81 (95% confidence interval: 0.80-0.82) by the sample data and 0.79 (95% confidence interval: 0.74-0.84) by bootstrapping validation. The Hosmer-Lemeshow goodness-of-fit test showed a p-value of 0.694, and the calibration curve of the nomogram showed high coherence between the predicted and actual probabilities of DPIVC. Conclusion: This nomogram can be used in clinical practice by nurses to predict DPIVC probability. Future studies are required, including those on factors possibly affecting intravenous cannulation.

키워드

참고문헌 (31)

  • Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. Journal of Infusion Nursing. 2015;38(3):189-203. http://doi.org/10.1097/NAN.0000000000000100

    http://dx.doi.org/10.1097/NAN.0000000000000100

    원문상세

  • Rodriguez-Calero MA, Blanco-Mavillard I, Morales-Asencio JM, Fernandez-Fernandez I, Castro-Sanchez E, de Pedro-Gomez JE. Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis. Heart & Lung. 2020;49(3):273-286. http://doi.org/10.1016/j.hrtlng.2020.01.009

    http://dx.doi.org/10.1016/j.hrtlng.2020.01.009

    원문상세

  • van Loon FHJ, Puijn LAPM, Houterman S, Bouwman ARA. Development of the A-DIVA scale: A clinical predictive scale to identify difficult intravenous access in adult patients based on clinical observations. Medicine (Baltimore). 2016;95(16):e3428. 2016;95(16):e3428. http://doi.org/10.1097/MD.0000000000003428

    http://dx.doi.org/10.1097/MD.0000000000003428

    원문상세

  • Yalcinli S, Akarca FK, Can O, Sener A, Akbinar C. Factors affecting the first-attempt success rate of intravenous cannulation in older people. Journal of Clinical Nursing. 2019;28(11-12):2206-2213. http://doi.org/10.1111/jocn.14816

    http://dx.doi.org/10.1111/jocn.14816

    원문상세

  • Armenteros-Yeguas V, Garate-Echenique L, Tomas-Lopez MA, Cristobal-Dominguez E, Moreno-de Gusmao B, Miranda -Serrano E, et al. Prevalence of difficult venous access and associated risk factors in highly complex hospitalised patients. Journal of Clinical Nursing. 2017;26(23-24):4267-4275. http://doi.org/10.1111/jocn.13750

    http://dx.doi.org/10.1111/jocn.13750

    원문상세

  • Fields JM, Piela NE, Ku BS. Association between multiple IV attempts and perceived pain levels in the emergency department. The Journal of Vascular Access. 2014;15(6):514-8. http://doi.org/10.5301/jva.5000282

    http://dx.doi.org/10.5301/jva.5000282

    원문상세

  • Witting MD, Moayedi S, Brown LA, Ismail A. Predictors and delays associated with the need for advanced techniques for intravenous access. Journal of Emergency Medicine. 2017;53(2):172-7. http://doi.org/10.1016/j.jemermed.2017.04.002

    http://dx.doi.org/10.1016/j.jemermed.2017.04.002

    원문상세

  • Witting MD, Moayedi S, Hirshon JM, George NH, Schenkel SM. Predicting failure of intravenous access in adults: The value of prior difficulty. The Journal of Emergency Medicine. 2019;57(1):1-5. http://doi.org/10.1016/j.jemermed.2019.02.011

    http://dx.doi.org/10.1016/j.jemermed.2019.02.011

    원문상세

  • van Loon FHJ, van Hooff LWE, de Boer HD, Koopman S, Buise MP, Korsten HHM, et al. The modified A-DIVA scale as a predictive tool for prospective identification of adult patients at risk of a difficult intravenous access: A multicenter validation study. Journal of Clinical Medicine. 2019;8(2). http://doi.org/10.3390/jcm8020144

    http://dx.doi.org/10.3390/jcm8020144

    원문상세

  • Nickel B. Peripheral intravenous access: Applying infusion therapy standards of practice to improve patient safety. Critical Care Nurse. 2019;39(1):61-71. http://doi.org/10.4037/ccn2019790

    http://dx.doi.org/10.4037/ccn2019790

    원문상세

  • Carr PJ, Rippey JCR, Cooke ML, Trevenen ML, Higgins NS, Foale AS, et al. Factors associated with peripheral intravenous cannulation first-time insertion success in the emergency department. A multicentre prospective cohort analysis of patient, clinician and product characteristics. BMJ Open. 2019;9(4):e022278. http://doi.org/10.1136/bmjopen-2018-022278

    http://dx.doi.org/10.1136/bmjopen-2018-022278

    원문상세

  • Piredda M, Fiorini J, Facchinetti G, Biagioli V, Marchetti A, Conti F, et al. Risk factors for a difficult intravenous access: A multicentre study comparing nurses' beliefs to evidence. Journal of Clinical Nursing. 2019;28(19-20):3492-3504. http://doi.org/10.1111/jocn.14941

    http://dx.doi.org/10.1111/jocn.14941

    원문상세

  • Sabri A, Szalas J, Holmes KS, Labib L, Mussivand T. Failed attempts and improvement strategies in peripheral intravenous catheterization. Biomedical Materials and Engineering. 2013;23(1-2):93-108. http://doi.org/10.3233/BME-120735

    http://dx.doi.org/10.3233/BME-120735

    원문상세

  • de la Torre-Montero JC, Montealegre-Sanz M, Faraldo-Cabana A, Oliva-Pellicer B, Garcia-Real I, Fenwick M, et al. Venous international assessment, VIA scale, validated classification procedure for the peripheral venous system. The Journal of Vascular Access. 2014;15(1):45-50. http://doi.org/10.5301/jva.5000173

    http://dx.doi.org/10.5301/jva.5000173

    원문상세

  • Civetta G, Cortesi S, Mancardi M, De Pirro A, Vischio M, Mazzocchi M, et al. EA-DIVA score (Enhanced Adult DIVA score): A new scale to predict difficult preoperative venous cannulation in adult surgical patients. The Journal of Vascular Access. 2019;20(3):281-289. http://doi.org/10.1177/1129729818804994

    http://dx.doi.org/10.1177/1129729818804994

    원문상세

  • Yen K, Riegert A, Gorelick MH. Derivation of the DIVA score: a clinical prediction rule for the identification of children with difficult intravenous access. Pediatric Emergency Care. 2008;24(3):143-147. http://doi.org/10.1097/PEC.0b013e3181666f32

    http://dx.doi.org/10.1097/PEC.0b013e3181666f32

    원문상세

  • Seo JH, Kim HJ, Lee JY. Nomogram construction to predict dyslipidemia based on a logistic regression analysis. Journal of Applied Statistics. 2020;47(5):914-926. https://doi.org/10.1080/02664763.2019.1660760

    http://dx.doi.org/10.1080/02664763.2019.1660760

    원문상세

  • Iasonos A, Schrag D, Raj GV, Panageas KS. How to build and interpret a nomogram for cancer prognosis. Journal of Clinical Oncology. 2008;26(8):1364-1370. http://doi.org/10.1200/JCO.2007.12.9791

    http://dx.doi.org/10.1200/JCO.2007.12.9791

    원문상세

  • Shaukat H, Neway B, Breslin K, Watson A, Poe K, Boniface K, et al. Utility of the DIVA score for experienced emergency department technicians. British Journal of Nursing. 2020;29(2):S35-s40. http://doi.org/10.2309/j.java.2019.004.007

    http://dx.doi.org/10.2309/j.java.2019.004.007

    원문상세

  • van Loon FHJ, Buise MP, Claassen JJF, Dierick-van Daele ATM, Bouwman ARA. Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein cannulation in adult patients: a systematic review and meta-analysis. British Journal of Anaesthesia. 2018;121(2):358-366. http://doi.org/10.1016/j.bja.2018.04.047

    http://dx.doi.org/10.1016/j.bja.2018.04.047

    원문상세

  • Gu MO, Cho Y, Eun Y, Jung IS, Kim HL, Yoon HS, et al. Updates of nursing practice guideline for intravenous infusion. Journal of Korean Clinical Nursing Research. 2017;23(3): 361-375. https://doi.org/10.22650/JKCNR.2017.23.3.361

    http://dx.doi.org/10.22650/JKCNR.2017.23.3.361

    원문상세

  • Paul P, Pennell ML, Lemeshow S. Standardizing the power of the Hosmer-Lemeshow goodness of fit test in large data sets. Statistics in Medicine. 2013;32(1):67-80. http://doi.org/10.1002/sim.5525

    http://dx.doi.org/10.1002/sim.5525

    원문상세

  • Fenlon C, O'Grady L, Doherty ML, Dunnion J. A discussion of calibration techniques for evaluating binary and categorical predictive models. Preventive Veterinary Medicine. 2018;149:107-114. http://doi.org/10.1016/j.prevetmed.2017.11.018

    http://dx.doi.org/10.1016/j.prevetmed.2017.11.018

    원문상세

  • Hoo ZH, Candlish J, Teare D. What is an ROC curve? Emergency Medicine Journal. 2017;34(6):357-359. http://doi.org/10.1136/emermed-2017-206735

    http://dx.doi.org/10.1136/emermed-2017-206735

    원문상세

  • Meurer WJ, Tolles J. Logistic regression diagnostics: Understanding how well a model predicts outcomes. JAMA. 2017;317(10):1068-1069. http://doi.org/10.1001/jama.2016.20441

    http://dx.doi.org/10.1001/jama.2016.20441

    원문상세

  • Carr PJ, Rippey JC, Budgeon CA, Cooke ML, Higgins N, Rickard CM. Insertion of peripheral intravenous cannulae in the emergency department: Factors associated with first-time insertion success. The Journal of Vascular Access. 2016;17(2):182-190. http://doi.org/10.5301/jva.5000487

    http://dx.doi.org/10.5301/jva.5000487

    원문상세

  • Ismailoglu EG, Zaybak A, Akarca FK, Kiyan S. The effect of the use of ultrasound in the success of peripheral venous catheterisation. International Emergency Nursing. 2015;23(2):89-93. https://doi.org/10.1016/j.ienj.2014.07.010

    http://dx.doi.org/10.1016/j.ienj.2014.07.010

    원문상세

  • Western Australian Department of Health. Guideline for vein preservation in chronic kidney disease: Renal Health Network, Western Australian Department of Health; 2017 [cited 2020 Mar 15]. Available from: https://ww2.health.wa.gov.au/~/media/Files/Corporate/general%20documents/Health%20Networks/Renal/171010_PAP_VeinPreservationGuideline_V04_FINAL.pdf.

  • Piredda M, Biagioli V, Barrella B, Carpisassi I, Ghinelli R, Giannarelli D, et al. Factors affecting difficult peripheral intravenous cannulation in adults: a prospective observational study. Journal of Clinical Nursing. 2017;26(7-8):1074-1084. http://doi.org/10.1111/jocn.13444

    http://dx.doi.org/10.1111/jocn.13444

    원문상세

  • Pagnutti L, Bin A, Donato R, Di Lena G, Fabbro C, Fornasiero L, et al. Difficult intravenous access tool in patients receiving peripheral chemotherapy: A pilot-validation study. European Journal of Oncology Nursing. 2016;20:58-63. http://doi.org/10.1016/j.ejon.2015.06.008

    http://dx.doi.org/10.1016/j.ejon.2015.06.008

    원문상세

  • Kang YO, Song R. Validation of Fall Risk Assessment Scales among hospitalized patients in South Korea using retrospective data analysis. Korean Journal of Adult Nursing. 2015;27(1):29-38. http://doi.org/ 10.7475/kjan.2015.27.1.29

    http://dx.doi.org/10.7475/kjan.2015.27.1.29

    원문상세
유관기관