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Development and Validation of the Intravenous Infiltration and Extravasation Risk Assessment Tool (IIERAT) for

Sandeep Kaur1, Parvinder Kaur2, Yogesh Kumar1

  • 1Department of Child Health Nursing, Maharishi Markandeshwar College of Nursing, Maharishi Markandeshwar (Deemed to be) University, Mullana, Haryana.

Indian Pediatrics
|June 25, 2022
PubMed

Insights

A new tool, the Intravenous Infiltration and Extravasation Risk Assessment Tool (IIEART), was developed and validated. This tool accurately predicts pediatric patients at risk for intravenous infiltration and extravasation.

Area of Science:

  • Pediatric Nursing
  • Patient Safety
  • Clinical Tool Development

Background:

  • Intravenous (IV) fluid extravasation is a common complication in pediatric patients.
  • Early identification of risk is crucial for preventing adverse events.
  • Existing tools may lack specificity or validation in pediatric populations.

Purpose of the Study:

  • To develop and validate the Intravenous Infiltration and Extravasation Risk Assessment Tool (IIEART).
  • To provide a reliable method for assessing extravasation risk in children undergoing peripheral IV cannulation.

Main Methods:

  • The IIEART was developed through a four-phase process including Modified Delphi rounds with nine experts.
  • Psychometric properties were determined using data from 120 children (aged 2-18 years).
  • Reliability (internal consistency, inter-rater) and validity (predictive) were assessed.

Main Results:

  • The final 11-item IIEART demonstrated good internal consistency (α=0.81) and excellent inter-rater reliability (κ=0.88).
  • Predictive validity showed 100% sensitivity and 100% specificity at a score >21 on the second day post-cannulation.
  • Area under the curve was 1.0, indicating high diagnostic accuracy.

Conclusions:

  • The IIEART is a valid and reliable tool for healthcare professionals.
  • It can effectively predict pediatric patients at risk of IV infiltration and extravasation.
  • Implementation of IIEART can enhance patient safety and reduce complications.
Abstract

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