Impact of Implementing the Modified A-DIVA Scale on Successful Access to a Venous Line on the First Attempt

Sponsor
Centre Jean Perrin
Study ID
NCT06062199
Status
Recruiting
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Conditions

  • Chronic Disease

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Training in the A-DIVA scale and its failure prediction score — PROCEDURE
    Nurses are trained in the A-DIVA scale and its predictive failure score. This score enables them to adapt their approach to peripheral venous line insertion.

Study Details

Peripheral venous access (PVA), although commonly used, can be a difficult procedure for patients with precarious venous capital. The difficulty of insertion can lead to multiple attempts, with the consequences of pain, anxiety, delayed management and worsening of the potentially already precarious venous capital. One study assessed the risk of failure according to a score based on venous status criteria. This study first established a link between venous status criteria and the risk of failure. The criteria defined as determinants were used to establish a venous status score. The data were then repeated by analyzing the success rate as a function of the scale score. A clear link between score and risk of failure was established. It seems worthwhile to evaluate the impact of implementing this scale prior to the placement of a peripheral venous line. The hypothesis is that obtaining a score predictive of failure would modify the therapeutic attitude of the registered nurse. They would opt for techniques that would increase their chances of success. This in turn would lead to a reduction in unsuccessful attempts, which generate pain and anxiety for the patient. Preserving venous capital by increasing first-attempt success is both a health issue for the patient and a guarantee of quality of care.

Key Dates

First listed
Oct 2, 2023
Start date
Feb 27, 2024
Status verified
Apr 2025
Primary completion
Dec 31, 2028
Completion
Dec 31, 2028

Study Design

Enrollment
200 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER

Arms

  • No Intervention: Control arm
    Nurses will place a peripheral venous line on these patients without having been trained in the venous status score predictive of failure.
  • Experimental: Experimental arm
    Nurses will place a peripheral venous line on these patients after being trained in the venous status score predictive of failure.

Primary Outcome Measure

Success rate of peripheral venous vein placement [ Time Frame: 1 year ]

Central Contacts

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