Predicting difficult peripheral venous access in hospitalized adult patients: A scoping review.

IF 1.7 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-10-03 DOI:10.1177/11297298251374415

Francesco Nannini, Stefano Mancin, Sara Morales Palomares, Gianluca Pettinari, Simone Cosmai, Diego Lopane, Daniela Cattani, Beatrice Mazzoleni

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引用次数: 0

Abstract

Background: Venipuncture is a routine procedure in hospital clinical practice; however, procedural failure occurs frequently. This scoping review aims to identify and synthesize studies predicting difficult intravenous venous access (DIVA) in adult patients in hospital settings.

Methods: A scoping review was conducted across major biomedical databases, including PubMed, Embase, Cochrane, and CINAHL, from June to July 2024. Twelve records were included covering 11,841 adult inpatients. Methodological rigor was ensured using the Joanna Briggs Institute framework.

Results: The findings emphasized the impact of variables such as venous status, underlying conditions, and anthropometric factors on venipuncture success. Predictive scales like the A-DIVA, EA-DIVA, and Modified A-DIVA demonstrated accuracies of up to 97%.

Discussion: Predictive tools, especially the Modified A-DIVA scale, enhance the likelihood of first-attempt success and support clinical decision-making. Incorporating these tools into routine practice ensures effective venipuncture management, reduces procedural delays, and minimizes complications.

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预测住院成人患者周围静脉通路困难：一项范围综述。

背景：静脉穿刺是医院临床的常规操作；然而，程序故障经常发生。本综述旨在识别和综合预测医院成人患者静脉注射困难（DIVA）的研究。方法：从2024年6月至7月对主要生物医学数据库进行了范围综述，包括PubMed、Embase、Cochrane和CINAHL。纳入12份记录，涵盖11,841名成年住院患者。使用乔安娜布里格斯研究所框架确保了方法的严谨性。结果：研究结果强调了诸如静脉状态、潜在条件和人体测量因素等变量对静脉穿刺成功的影响。预测量表如A-DIVA， EA-DIVA和修改的A-DIVA显示准确率高达97%。讨论：预测工具，特别是改良的A-DIVA量表，提高了首次尝试成功的可能性，并支持临床决策。将这些工具纳入日常实践可确保有效的静脉穿刺管理，减少手术延误，并最大限度地减少并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.