Development of a clinical prediction rule to improve peripheral intravenous cannulae first attempt success in the Emergency Department and reduce post insertion failure rates. An investigation of Vascular Access Decisions in the Emergency Room: The VADER study.

Not Applicable

Completed

• Conditions: Peripheral intravenous cannula insertion failure; Peripheral cannula failure as a result of phlebitis; Peripheral cannula failure as a result of infiltration/extravasation; Peripheral cannula failure as a result of pain; Peripheral cannula failure as a result of accidental dislodgement.; Peripheral cannula failure as a result of securement device failure; Infection - Studies of infection and infectious agents; Skin - Other skin conditions; Surgery - Surgical techniques

• Registration Number: ACTRN12615000588594
• Lead Sponsor: Sir Charles Gairdner Emergency Medicine

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-06-04
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1000

Inclusion Criteria

All clinical staff who place PIVCs as part of their role in the Emergency Department, and who consent to participate.
All patients >18 years will be approached. We will attempt to observe all patient types and as such a waiver of consent has been granted. However, patients with the capacity to understand what the researchers are doing will be verbally informed as to what we intend to observe. Family members present with patients who do not have the capacity to understand will also be informed. If either the patient or family members advocating on behalf of a patient decline to have a PIVC procedure observed, they will not be coerced into taking part.

Exclusion Criteria

Patients under 18 years of age. Clinician participants who decline to provide consent. Patients with the capacity to understand and decline to take part and/or family advocating for patients who decline on the patient's behalf.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Predictors of survival time of an ED inserted PIVC<br><br>[Upon study completion at data analysis stage. ];First-time insertion success is the primary outcome and will be recorded as a dichotomous variable, either yes or no. PIVC insertion failure is the outcome of interest for analysis along with associated risk factors, which will be identified using regression techniques. [At the point of a PIVC insertion attempt in ED. The time when the ED PIVC is removed in admitted patients. The rationale for removal will be recorded. ]

Secondary Outcome Measures

Name	Time	Method
Rates of unnecessary PIVC placement[Data analysis phase];A clinical prediction rule for first-time insertion success[After data analysis along with multivariate logistic regression modelling and sensitivity and specificity with a receiver operating characteristics curve. ];Risk factors for insertion failure[Upon ward follow up until the ED placed PIVC is removed]