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Vascular access care in patients with multimorbidity
Victoria Armenteros-Yeguas, Maria Aranzazu Tomás-López, Erika Miranda-Serrano
1Bioaraba Health Research Institute, Araba University Hospital, Osakidetza Basque Health Service, Vitoria-Gasteiz, Araba, Spain.
British Journal of Nursing (Mark Allen Publishing)
|April 20, 2021
Summary
Patients with difficult intravenous access (DIVA) often require more catheters and placement attempts, leading to a higher complication rate. This highlights the need for specialized vascular access care in multimorbid patients.
Area of Science:
- Vascular Access
- Patient Care
- Multimorbidity
Background:
- Over half of patients with multimorbidity need intravenous therapy during hospitalization.
- Difficult intravenous access (DIVA) is common in this population.
- Understanding vascular access care is crucial for patient outcomes.
Purpose of the Study:
- To describe DIVA and vascular access care in multimorbid patients.
- To compare vascular access care between patients with easy and difficult access.
- To explore complications associated with DIVA.
Main Methods:
- A cohort study of 135 multimorbid patients admitted to two hospitals.
- Analysis of catheter choice, placement, dwell time, and adverse events.
- Statistical comparison between easy and DIVA groups using chi-squared, t-tests, and Mann-Whitney U tests.
Main Results:
- 59.3% of patients experienced DIVA.
- DIVA patients required more catheters (1.71 vs. 1.58) and placement attempts (23% vs. 2.5%).
- Adverse event rates were higher in the DIVA group (111/1000 vs. 83.6/1000 catheter days).
Conclusions:
- Multimorbid patients with DIVA face a greater risk of complications.
- DIVA necessitates increased resources, including more catheters and attempts.
- Optimizing vascular access in this population is essential for reducing adverse events.
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