[논문]말초 정맥주사 삽입 어려움 예측을 위한 노모그램 구축

김경숙; 최수정; 장수미; 안현주; 나은희; 이미경

doi:10.22705/jkashcn.2023.30.1.48

말초 정맥주사 삽입 어려움 예측을 위한 노모그램 구축
Construction of a Nomogram for Predicting Difficulty in Peripheral Intravenous Cannulation 원문보기

가정간호학회지, v.30 no.1, 2023년, pp.48 - 58

김경숙 (삼성서울병원 간호본부, 성균관대학교 임상간호대학원) , 최수정 (성균관대학교 임상간호대학원) , 장수미 (삼성서울병원 간호본부) , 안현주 (삼성서울병원 간호본부) , 나은희 (삼성서울병원 간호본부) , 이미경 (일리노이대학교)

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to construct a nomogram for predicting difficulty in peripheral intravenous cannulation (DPIVC) for adult inpatients. Methods: This study conducted a secondary analysis of data from the intravenous cannulation cohort by intravenous specialist nurses at a tertiary hospital in Seoul. Overall, 504 patients were included; of these, 166 (32.9%) patients with failed cannulation in the first intravenous cannulation attempt were included in the case group, while the remaining 338 patients were included in the control group. The nomogram was built with the identified risk factors using a multiple logistic regression analysis. The model performance was analyzed using the Hosmer-Lemeshow test, area under the curve (AUC), and calibration plot. Results: Five factors, including vein diameter, vein visibility, chronic kidney disease, diabetes, and chemotherapy, were risk factors of DPIVC. The nomogram showed good discrimination with an AUC of 0.81 (95% confidence interval: 0.80-0.82) by the sample data and 0.79 (95% confidence interval: 0.74-0.84) by bootstrapping validation. The Hosmer-Lemeshow goodness-of-fit test showed a p-value of 0.694, and the calibration curve of the nomogram showed high coherence between the predicted and actual probabilities of DPIVC. Conclusion: This nomogram can be used in clinical practice by nurses to predict DPIVC probability. Future studies are required, including those on factors possibly affecting intravenous cannulation.

주제어

표/그림 (5)

표 Comparison of IV Failure group and IV success group (N=504)
표 Risk Factors of Failure of First Attempts at Peripheral Intravenous Cannulation and Nomogram (N=504)
그림 A nomogram predicting the difficulty of establishing peripheral venous access showing conversion scores for factors affecting difficulty of establishing peripheral venous access and probability of peripheral venous access failure by total score
그림 ROC curve and calibration plot for the constructed normogram
표 Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value of the Optimal Cut-off 82 points for the Constructed Nomogram (N=504)

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표제어: PCR

동의어: Packet Collision Rate

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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