Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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Construction of a Nomogram for Predicting Difficulty in Peripheral Intravenous Cannulation

말초 정맥주사 삽입 어려움 예측을 위한 노모그램 구축

  • 김경숙 (삼성서울병원 간호본부, 성균관대학교 임상간호대학원) ;
  • 최수정 (성균관대학교 임상간호대학원) ;
  • 장수미 (삼성서울병원 간호본부) ;
  • 안현주 (삼성서울병원 간호본부) ;
  • 나은희 (삼성서울병원 간호본부) ;
  • 이미경 (일리노이대학교)
  • Received : 2023.02.27
  • Accepted : 2023.04.06
  • Published : 2023.04.30
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Abstract

Purpose: The purpose of this study was to construct a nomogram for predicting difficulty in peripheral intravenous cannulation (DPIVC) for adult inpatients. Methods: This study conducted a secondary analysis of data from the intravenous cannulation cohort by intravenous specialist nurses at a tertiary hospital in Seoul. Overall, 504 patients were included; of these, 166 (32.9%) patients with failed cannulation in the first intravenous cannulation attempt were included in the case group, while the remaining 338 patients were included in the control group. The nomogram was built with the identified risk factors using a multiple logistic regression analysis. The model performance was analyzed using the Hosmer-Lemeshow test, area under the curve (AUC), and calibration plot. Results: Five factors, including vein diameter, vein visibility, chronic kidney disease, diabetes, and chemotherapy, were risk factors of DPIVC. The nomogram showed good discrimination with an AUC of 0.81 (95% confidence interval: 0.80-0.82) by the sample data and 0.79 (95% confidence interval: 0.74-0.84) by bootstrapping validation. The Hosmer-Lemeshow goodness-of-fit test showed a p-value of 0.694, and the calibration curve of the nomogram showed high coherence between the predicted and actual probabilities of DPIVC. Conclusion: This nomogram can be used in clinical practice by nurses to predict DPIVC probability. Future studies are required, including those on factors possibly affecting intravenous cannulation.

Keywords

Acknowledgement

이 연구는 2019년 삼성서울병원 간호부의 지원을 받음.

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