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Difficult Intravenous Access as an Independent Predictor of Delayed Care and Prolonged Length of Stay in the Emergency Department by Hamid Shokoohi; Michael A. Loesche; Nicole M. Duggan; Andrew S. Liteplo; Calvin Huang; Ahad A. Al Saud; Dustin McEvoy; Shan W. Liu; Sayon Dutta is a Medicine article available to read on EtoBox.
What is Difficult Intravenous Access as an Independent Predictor of Delayed Care and Prolonged Length of Stay in the Emergency Department about?
## Abstract ## Objectives Difficult intravenous access (DIVA) is common in the emergency department (ED). We investigated the extent to which DIVA is associated with care delay outcomes including time to first laboratory draw, therapies, imaging, and ED disposition. ## Methods An observational retrospective cohort analysis of patients with DIVA treated between 2018 and 2020 at 2 urban academic EDs was performed. DIVA was defined as patients requiring ultrasound‐guided intravenous access placed by physicians or advanced practice providers (APPs) as opposed to landmark‐based intravenous placement by nurses. ED throughput variables and disposition time were compared. We correlated DIVA with time to administration of intravenous pain medications, fluids, imaging contrast, laboratory results, and ED disposition. ## Results A total of 108,256 subjects with 161,122 total encounters were included. DIVA occurred in 4961 (3.1%) of ED visits. Patients with DIVA were more likely to be female (3.5% vs 2.6% for males, odds ratio [OR] 1.34, 95% confidence interval [CI]: 1.27–1.42), self‐identify as black (OR 1.78, 95% CI: 1.66–1.91), and have higher acuity of illness (__P__ < 0.001). Among pediat
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- Author
- Hamid Shokoohi; Michael A. Loesche; Nicole M. Duggan; Andrew S. Liteplo; Calvin Huang; Ahad A. Al Saud; Dustin McEvoy; Shan W. Liu; Sayon Dutta
- Publisher
- Wiley
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)