[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100511114":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":29,"centralContacts":34,"locations":42,"responsibleParty":62,"collaborators":24,"id":65,"slug":66,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":71,"eligibilityCriteria":72,"healthyVolunteers":73,"sex":74,"minAge":75,"maxAge":24,"enrollmentInfo":76,"targetDuration":24,"studyType":79,"phases":80,"briefSummary":82,"conditions":83,"keywords":85,"overallStatus":44,"whyStopped":24,"lastUpdateSubmitDate":91,"lastUpdatePostDateStruct":92,"startDateStruct":95,"completionDateStruct":97,"leadSponsor":99,"locationsCount":100},{"fullName":5,"class":6},"Central Hospital, Nancy, France","OTHER",[8,13],{"label":9,"type":6,"description":10,"interventionNames":11},"The control group","The control group will consist of patients included in phase 1. These are the patients from the \"before\" phase, i.e. before the implementation of the Difficult Intravenous Access Scale.",[12],"Other: Implementation of the A-DIVA Scale",{"label":14,"type":15,"description":16,"interventionNames":17},"The experimental group","EXPERIMENTAL","The experimental group will consist of the patients included in phase 3. These are the patients from the \"after\" phases i.e after the implementation of the algorithm.",[18],"Other: Implementation of the algorithm composed of the A-DIVA Scale and the new decision-making tree (the A-DIVA Tool) in the centers",[20,25],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"Implementation of the A-DIVA Scale","Phase 2 aims to evaluate the impact of the implementation of the A-DIVA Scale (classification score for difficult intravenous access) on practitioners' approaches to the peripheral venous catheter placement. It consists of a systematic collection of peripheral venous catheter placement practices for quantitative data and a questionnaire of professionals' opinions on the use of the A-DIVA scale for qualitative data. The main objective of this phase is to recognize the potential appearance of changes in practices through the implementation of a tool for evaluating vascular access difficulties",[9],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Implementation of the algorithm composed of the A-DIVA Scale and the new decision-making tree (the A-DIVA Tool) in the centers","The main objective of this phase is to evaluate the impact of the algorithm on the quality of peripheral venous catheter placement.\n\n• Systematic collection of judgment criteria and socio-demographic and clinical characteristics of patients. Description of the care strategy implemented. Systematic collection of the A-DIVA Scale with identification of the patient's risk group, systematic rating of pain and evaluation of overall comfort.",[14],[30],{"name":31,"affiliation":32,"role":33},"Côme SLOSSE","Center Hospital Nancy","PRINCIPAL_INVESTIGATOR",[35,40],{"name":36,"role":37,"phone":38,"phoneExt":24,"email":39},"Amandine OSTERMANN","CONTACT","03 83 85 28 52","a.ostermann@chru-nancy.fr",{"name":31,"role":37,"phone":24,"phoneExt":24,"email":41},"c.slosse@chru-nancy.fr",[43],{"facility":32,"status":44,"city":45,"state":24,"zip":46,"country":47,"countryCode":48,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"RECRUITING","Vandœuvre-lès-Nancy","54 500","France","FR",{"type":50,"coordinates":51},"Point",[52,53],6.17114,48.66115,{"lat":53,"lon":52},[56,57,58,59],{"name":36,"role":37,"phone":38,"phoneExt":24,"email":39},{"name":31,"role":37,"phone":24,"phoneExt":24,"email":41},{"name":31,"role":33,"phone":24,"phoneExt":24,"email":24},{"name":60,"role":61,"phone":24,"phoneExt":24,"email":24},"Jean-Claude ORTH","SUB_INVESTIGATOR",{"type":33,"investigatorFullName":63,"investigatorTitle":64,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"SLOSSE Come","Principal Investigateur","100511114","development-and-evaluation-of-an-algorithm-for-vascular-access-management-100511114",false,"NCT05935228","Development and Evaluation of an Algorithm for Vascular Access Management","Development and Evaluation of an Algorithm for Vascular Access Management - ALCOV Pilot Study","ALCOV","Inclusion Criteria:\n\n* Patient inclusion criteria: adult patients, initially requiring at least one peripheral venous catheter (PVC), having given their consent for the study.\n* Inclusion criteria for healthcare professionals: Nurses, specialized nurses (IADE) and physicians attached to the department.\n\nExclusion Criteria:\n\nPatient exclusion criteria :\n\n* Minor patients\n* Patients under curators or guardianship\n* Patients who are non-communicative or unable to give consent\n* Patients not requiring a peripheral venous catheter, polytrauma patients and patients in shock (septic, hemorrhagic, cardiogenic, spinal, specific to certain centers and equipped upstream)\n* Patients who already have catheters on arrival.\n\nExclusion criteria for healthcare professionals: any professional not attached to the department and other professional categories.",true,"ALL","18 Years",{"count":77,"type":78},794,"ESTIMATED","INTERVENTIONAL",[81],"NA","Two billion catheters are placed annually worldwide. Of all the people requiring vascular access, nearly a quarter have Difficult Intravenous access (DIVA), a source of multiple punctures. The increased risk of haematomas, haemorrhages, infection, pain and associated trauma is responsible for increased human costs and economic impact.\n\nTo limit the risks posed by the DIVA, practitioners have solutions such as the per-bone line, other types of lines, and placement of peripheral venous catheter with ultrasound or transluminescence. However, these solutions are not always applicable, depending on the care situation (non-substitutable venous access, fragile patient, etc.) or on the technical platform (available personnel and training, configuration of the premises, available equipment). Moreover, these actions are often taken after failures, in a non-anticipated and non-consensual manner.\n\nIn order to assess the risk of DIVA, F.Van Loon et al developed in 2016, and then modified in 2018, a DIVA Scale (the A-DIVA Scale) which allows a rapid scoring upstream of peripheral venous catheter placement to classify patients according to the risk of DIVA.\n\nComposed of five items (non-palpable and non-visible vein, diameter \\\u003C 3mm, history of DIVA, operator experience) worth one point each, the score allows three categories to be established: \"low risk\", \"moderate risk\", \"high risk\". The study showed that the proportion of first puncture failures increased with the risk of the patients (defined according to the categorized score).\n\nThe use of a tool such as the A-DIVA Scale is of interest if it allows the definition of actions to be taken in relation to the risk it identifies. In view of this, it appears essential to optimize the management of peripheral venous catheters, particularly for patients with DIVAs. The aim of this study is to develop a graduate and specific response to the issue of multiple punctures. Our project is to create and evaluate a specific algorithm, consisting of a risk assessment (the A-DIVA Scale) and a co-construct decision-making tree (the A-DIVA Tool). Built on the basis of objective clinical data collection and adapted to the possibilities and competencies, this new tool would bring real benefits to the patient in terms of safety (reduction of risks) and comfort (reduction of pain and duration of management), as well as a medico-economic benefit for the institutions. To date, such an algorithm does not exist and its beneficial effects have not been evaluated.",[84],"Peripheral Venous Access",[86,87,88,89,90],"Difficult Intravenous Access (DIVA)","Difficult Intravenous Access Scale (A-DIVA Scale)","Algorithm","Peripheral venous catheter","Decision-making tree","2026-04-24",{"date":93,"type":94},"2026-04-29","ACTUAL",{"date":96,"type":94},"2023-12-05",{"date":98,"type":78},"2027-06-09",{"name":5,"class":6},1]