{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T07:06:52Z","timestamp":1784531212984,"version":"3.55.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The National Council for Scientific and Technological Development","award":["405497\/2021-0"],"award-info":[{"award-number":["405497\/2021-0"]}]},{"name":"- Institutional Funding Support","award":["2020-0615"],"award-info":[{"award-number":["2020-0615"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The SPECTRA study compared first-attempt success between ultrasound-guided and conventional peripheral intravenous catheter (PIVC) insertion. This subanalysis evaluated the control group results to determine the number of puncture attempts until successful or failed venous device insertion, stratified according to the Adult Difficult IntraVenous Access Scale (A-DIVA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Secondary analysis of the SPECTRA randomized clinical trial (RCT). Patients from the control group who underwent PIVC insertion without ultrasound guidance were included and stratified as high risk or low\/moderate risk according to the A-DIVA. Statistical comparisons between the groups were conducted on the number of puncture attempts, insertion failures, catheter dwell time, and clinical outcomes related to PIVC insertion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of all 84 patients analyzed, 35 were classified as high risk, and 49 as low\/moderate risk; 53 (63.1%) were female, mean age 59\u2009\u00b1\u200916\u2009years. The main reason for hospitalization was infection; high-risk patients experienced more punctures, with 20 (57%) undergoing four punctures, compared to only 8 (16%) of the low\/moderate-risk group,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001; the overall success rate of PIVC insertion was 17 (48.5%) in high-risk patients versus 43 (88%) in low\/moderate-risk patients. Insertion failure occurred in 18 (51.5%) high-risk versus 6 (12%) low\/moderate-risk patients,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001; the high-risk group had a shorter PIVC dwell time: 3 (2\u20138) days versus 8 (2\u20138) days in low\/moderate-risk group,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.065; PIVC removal due to negative outcomes (obstruction, infiltration, accidental removal) was higher in high-risk patients: 32 (91%) versus 24 (49%),\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients classified as high risk in the A-DIVA scale required more puncture attempts, had shorter PIVC dwell times, and experienced more negative outcomes. Using technologies such as ultrasound is beneficial for patients at high risk of failure on the first attempt.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251378615","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T05:10:56Z","timestamp":1768626656000},"page":"1611-1616","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prediction of failure risk on the first attempt of peripheral puncture: Secondary analysis of the SPECTRA control group"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3257-9988","authenticated-orcid":false,"given":"Jana\u00edna dos Santos","family":"Prates","sequence":"first","affiliation":[{"name":"Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil"},{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro Augusto","family":"Hansel","sequence":"additional","affiliation":[{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Junges","sequence":"additional","affiliation":[{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Carla Dantas","family":"Cavalcanti","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Niter\u00f3i, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar Pereira","family":"de Almeida Neto","sequence":"additional","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia, Uberlandia, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiane Raupp","family":"Nunes","sequence":"additional","affiliation":[{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola Panazzolo","family":"Maciel","sequence":"additional","affiliation":[{"name":"Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago Oliveira","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"do Nascimento Ceratti","sequence":"additional","affiliation":[{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivana Duarte","family":"Brum","sequence":"additional","affiliation":[{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4374-4419","authenticated-orcid":false,"given":"Eneida Rejane","family":"Rabelo-Silva","sequence":"additional","affiliation":[{"name":"Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil"},{"name":"Vascular Access Program at Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"},{"name":"Cardiology and Cardiovascular Sciences Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2020.06.205"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15687"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000505"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-48576-3"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231162132"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8020144"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.infpip.2023.100271"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.14069"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_2_11_2","volume-title":"IBM SPSS statistics for windows, version 21.0","author":"IBM Corp","year":"2012","unstructured":"IBM Corp. 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