Impact of Implementing the Modified A-DIVA Scale on Successful Access to a Venous Line on the First Attempt

Recruiting now · Not applicable

Conditions studied: Chronic Disease

In brief

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.

Key facts

Study ID

NCT06062199

Run by

Centre Jean Perrin

People needed

200

Starts

2024-02-27

Expected to finish

2028-12-01

Last updated by the study team

2025-04-04

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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.

Where it is running

• Centre Jean PERRIN — Clermont-Ferrand, France (enrolling)
• CHU Gabriel Montpied — Clermont-Ferrand, France
• Hôpital de la Croix Rousse — Lyon, France

Full record on ClinicalTrials.gov

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