Clinical trial NCT06062199: Impact of Implementing the Modified A-DIVA Scale on Successful Access to a Venous Line on the First Attempt
Official title: Impact of Implementing the Modified A-DIVA Scale on Successful Access to a Venous Line on the First Attempt
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Chronic Disease
Lead sponsor: Centre Jean Perrin
Sponsor class: OTHER
First posted: 2023-10-02
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SEQUENTIAL
Primary purpose: OTHER

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* Male or female patient of legal age included in a care program requiring a VVP;
* Fluency in French
* Patient affiliated to a social security scheme;
* Written, signed and dated informed consent.

Exclusion Criteria:

* As the A-DIVA scale specifies a search for venous access to the upper limb, any patient without an upper limb or with a condition that contraindicates VVP placement in the upper limbs will be excluded;
* Patients treated as emergencies;
* Patients with a language barrier or known significant cognitive or psychiatric disorders;
* Patients under guardianship, curatorship, deprivation of liberty or legal protection;
* Pregnant or breast-feeding women.

Primary outcomes:
measure: Success rate of peripheral venous vein placement
timeFrame: 1 year
Secondary outcomes:
measure: Total number of attempts
timeFrame: 1 year
measure: Number of visualization techniques, alternative devices and/or third-party assistance used
timeFrame: 1 year
measure: Pain score: Numerical Pain Scale
timeFrame: 1 year
measure: Number of years' experience of nurses since obtaining diploma in nursing
timeFrame: 1 year
measure: A-DIVA scale score
timeFrame: 1 year
Other outcomes:
Locations:
city: Clermont-Ferrand
country: France
facility: CHU Gabriel Montpied
city: Clermont-Ferrand
country: France
facility: Centre Jean PERRIN
city: Lyon
country: France
facility: Hôpital de la Croix Rousse
Study officials:
affiliation: Centre Jean Perrin
name: Lucie MADELAINE
role: STUDY_DIRECTOR
References: