Factors affecting the first-attempt success rate of intravenous cannulation in older people

Journal of Clinical Nursing
Sercan YalçınlıCemile Akbinar

Abstract

To determine the factors affecting the first-attempt success of peripheral intravenous catheter (PIVC) placement in older emergency department patients. In older patients who require intravenous treatment, establishing a PIVC as fast as possible is clinically important. This is a prospective, observational, descriptive study. Using a data collection form, researchers questioned both the patient and the nurse performing the procedure in terms of patient- and operator-related factors. This study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines (See Supporting Information Appendix S1). A total of 472 patients were included in the final analyses. According to the logistic regression analysis, independent factors which affected first-attempt failure were found to be: choosing a nonupper extremity site for PIVC (OR: 4.72, 95% CI: 1.35-16.45, p-value: 0.015), history of difficult intravenous access (OR: 3.02, 95% CI: 1.72-5.29, p-value: <0.001), nurse having less than 2 years of professional experience (OR: 3.45, 95% CI: 2.00-5.97, p-value: <0.001), nonpalpable veins observed after the application of tourniquet (OR: 2.21, 95% CI: 1.10-4.41, p-value: 0.025), a moderate degree of diff...Continue Reading

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Citations

Jan 5, 2021·Journal of the American College of Emergency Physicians Open·Hamid ShokoohiSayon Dutta
Apr 21, 2021·British Journal of Nursing : BJN·Victoria Armenteros-YeguasLucía Gárate-Echenique

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