Application of Difficult Intravenous Access Score in Paediatric Peripheral Venepuncture

Xiaotong LIU; Fangling LUO; Ling JIANG; Cexiang DAI; Qiu PENG; Lizhi CAI; Weiqun LU

doi:10.12259/j.issn.2095-610X.S20231128

Volume 44 Issue 11

Nov. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(11): 183-187

Xiaotong LIU, Fangling LUO, Ling JIANG, Cexiang DAI, Qiu PENG, Lizhi CAI, Weiqun LU. Application of Difficult Intravenous Access Score in Paediatric Peripheral Venepuncture[J]. Journal of Kunming Medical University, 2023, 44(11): 183-187. doi: 10.12259/j.issn.2095-610X.S20231128

Citation:

Xiaotong LIU, Fangling LUO, Ling JIANG, Cexiang DAI, Qiu PENG, Lizhi CAI, Weiqun LU. Application of Difficult Intravenous Access Score in Paediatric Peripheral Venepuncture[J]. Journal of Kunming Medical University, 2023, 44(11): 183-187. doi: 10.12259/j.issn.2095-610X.S20231128

Citation:

Xiaotong LIU, Fangling LUO, Ling JIANG, Cexiang DAI, Qiu PENG, Lizhi CAI, Weiqun LU. Application of Difficult Intravenous Access Score in Paediatric Peripheral Venepuncture[J]. Journal of Kunming Medical University, 2023, 44(11): 183-187. doi: 10.12259/j.issn.2095-610X.S20231128

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Application of Difficult Intravenous Access Score in Paediatric Peripheral Venepuncture

doi: 10.12259/j.issn.2095-610X.S20231128

Dept. of Paediatrics，Yan’ an Hospital Affiliated of Kunming Medical University， Kunming Yunnan 651051，China

Received Date: 2023-06-21
Available Online: 2023-11-02
Publish Date: 2023-11-30

Abstract

Abstract

Objective To verify the validity of difficult venous access score in pediatric peripheral venipuncture and explore its applicability in pediatric venous access indwelling strategy. Methods The convenience sampling method was used to select inpatients in the pediatric department of a tertiary hospital in Kunming, Yunnan Province as the research subjects. Riker’ s three-variable pediatric Difficult Intravenous Access（DIVA） Assessment Tool was used to evaluate 374 children undergoing venipuncture catheterization. The predictive value of the tool was evaluated using indicators such as the area under the ROC curve, sensitivity, specificity, and Youden index. Results Comparing this DIVA score with Riker’ s study, the difference was not statistically significant（P > 0.05）. In contrast, the difference in DIVA scores between the failed puncture group and the successful puncture group was statistically significant（P < 0.001）. As the DIVA score increased from 0 to 6, the first venipuncture success rate of the corresponding children gradually decreased from 92.9% to 54.5%. The area under the ROC curve of the DIVA score was 0.648. When the total score was 3 points, the scale had the greatest predictive value. Conclusion The three-variable DIVA score has a certain ability to identify difficult venous access in children. It has a good prediction accuracy, and can be used for evaluation before pediatric peripheral venipuncture.
- Difficult venous access,
- Assessment tools,
- Peripheral venepuncture in children

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References(27)

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