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Nomogram for Predicting the Risk of Complications in Hospitalized Children With Peripheral Intravenous Catheters

Xin Zhang1, Shuhui Xu2, Jing Sun2

  • 1From the Chinese Academy of Medical Sciences and Peking Union Medical College.

Journal of Patient Safety
|December 21, 2023
PubMed

Insights

This study developed a risk prediction model to identify hospitalized children at risk of peripheral intravenous catheter (PIVC) complications. The nomogram effectively predicts PIVC complication severity, aiding clinical nursing care.

Area of Science:

  • Pediatric Nursing
  • Medical Device Complications
  • Clinical Risk Assessment

Background:

  • Peripheral intravenous catheters (PIVCs) are common in hospitalized children.
  • PIVC complications can lead to moderate to severe injuries.
  • Accurate prediction of PIVC complication risk is crucial for patient safety.

Purpose of the Study:

  • To identify hospitalized children at risk of peripheral intravenous catheter (PIVC) complications.
  • To develop a severity prediction model for PIVC complications.
  • To create a nomogram for easy-to-use visualization of complication risk.

Main Methods:

  • Data from 301 hospitalized children with PIVC complications were analyzed.
  • Risk factors were collected using a researcher-designed tool.
  • Multivariable logistic regression and nomogram construction were employed.

Main Results:

  • The nomogram demonstrated good predictive accuracy (AUC = 0.79) and discrimination (C-index = 0.779).
  • Independent predictors included vascular condition, limb immobilization, venipuncture technique, infusion parameters, and insertion site.
  • Decision curve analysis confirmed the nomogram's clinical utility across a wide probability range.

Conclusions:

  • A risk prediction model and nomogram were developed for PIVC complications in children.
  • The nomogram offers a user-friendly tool for assessing PIVC complication severity.
  • This tool can guide timely and effective nursing care management.
Abstract

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