A prospective randomized trial of early ambulation following 8 French diagnostic cardiac catheterization

Bogart, M.A.; Bogart, Douglas B.; Rigden, Lesley; Jung, Sung-ui; Liston, Mairéad

doi:10.1002/(sici)1522-726x(199906)47:2<175::aid-ccd9>3.0.co;2-q

Cited by 13 publications

(26 citation statements)

References 11 publications

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“…Of these 18 included trials, nine were conducted in the USA, 10,11,16–18,21,22,32,33 three in Canada, 9,13,19 three in the UK, 31,34,35 one in Hong Kong 26 and two in Singapore 20,36 …”

Section: Discussionmentioning

confidence: 99%

“…Most of the trials ( n = 10) were conducted in hospital settings, four included outpatients 10,18,22,32 and two involved both inpatients and outpatients 19,33 . The settings of two trials were not clear 16,17 …”

Section: Discussionmentioning

confidence: 99%

“…One trial 35 did not report the age, while the remaining reported either age groups 36 or mean ages 17–22,31–33 of the participants. Fourteen trials 9,11,13,16–22,26,31–33 reported on the gender of the participants, with the male ranging from 44% 26 to 100% 13 …”

Section: Discussionmentioning

confidence: 99%

“… 6 h versus 2, 22 3, 9,17 4, 13,16,21,32,34 4–5, 33 12 11 and 24 h 20 4 h versus 2, 10,31 2.5, 18 12 to 24 26 and 24 h 36 …”

Section: Discussionmentioning

confidence: 99%

“…Cardiac catheterisation, as with all invasive procedures, is not without risk, and vascular complications have been reported to occur in approximately 0.43–4% of patients 4–7 following the procedure. The most common vascular complications following cardiac catheterisation are bleeding 8–19 and haematoma at the puncture site 7,8,10,12,14,17,19–22 . Other vascular complications include distal embolisation, 3 arterial thrombosis, 7,8 false femoral aneurysm 7,19,23 and arteriovenous fistula 7,8,24 .…”

Section: Introductionmentioning

confidence: 99%

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The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

Fernandez

Lui

Lopez

et al. 2008

International Journal of Evidence-Based Healthcare

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Background Cardiac catheterisation plays a vital role in the diagnosis and evaluation of cardiac conditions. The goal of management of patients after cardiac catheterisation is to reduce the risk of development of any local or prolonged vascular complications, in particular bleeding and haematoma formation at the puncture site. Bed rest and immobilisation of the affected leg are recommended practices to ensure adequate haemostasis at the femoral arterial puncture site and prevent complications. Objectives The objective of this review was to present the best available evidence for the optimal length of bed rest after trans-femoral diagnostic cardiac catheterisation. The main outcome of interest was the incidence of bleeding and haematoma formation following varying periods of bed rest. Search strategy We searched the following databases: CINAHL, Medline, Cochrane Library, Current Contents, EBSCO, Web of Science, Embase, British Nursing Index, Controlled clinical trials database, Google Scholar. Reference lists of relevant articles and conference proceedings were searched. We also contacted key organisations and researchers in the field. Selection criteria All randomised and quasi-randomised controlled trials that compared the effects of different lengths of bed rest following trans-femoral diagnostic cardiac catheterisation on patient outcomes were considered for inclusion in the review. Data collection and analysis Eligibility of the trials for inclusion in the review, details of eligible trials and the methodological quality of the trials were assessed independently by two reviewers. Odds ratios (OR) for dichotomous data and a weighted mean difference for continuous data were calculated with 95% confidence intervals (CI). Where synthesis was inappropriate, trials were considered separately. Main results Eighteen trials involving a total of 4294 participants were included in the review. One trial included three treatment groups. In seven trials among 747 people there was no significant difference in the incidence of bleeding following six or less than 6 h of bed rest (OR 1.47; 95% CI 0.60, 3.64). Likewise, there was no significant difference in the incidence of bleeding following bed rest at other time periods. In eight trials involving 2272 patients there was no significant difference in the incidence of haematoma formation following 6 or less than 6 h of bed rest (OR 0.82; 95% CI 0.59, 1.16). Significantly fewer patients randomised to less than 6 h of bed rest complained of back pain. The odds of developing back pain at 4 (OR 24.60; 95% CI 1.29, 469) and 24 h (OR 2.47; 95% CI 1.16, 5.23) following coronary catheterisation was significantly higher among patients randomised to 6 compared with 3 h of bed rest. Authors' conclusions There is evidence of no benefit relating to bleeding and haematoma formation in patients who have more than 3 h of bed rest following trans-femoral diagnostic cardiac catheterisation. However, there is evidence of benefit relating to decreased incidence and severity of back pain a...

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“…Of these 18 included trials, nine were conducted in the USA, 10,11,16–18,21,22,32,33 three in Canada, 9,13,19 three in the UK, 31,34,35 one in Hong Kong 26 and two in Singapore 20,36 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“… 6 h versus 2, 22 3, 9,17 4, 13,16,21,32,34 4–5, 33 12 11 and 24 h 20 4 h versus 2, 10,31 2.5, 18 12 to 24 26 and 24 h 36 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

Fernandez

Lui

Lopez

et al. 2008

International Journal of Evidence-Based Healthcare

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Accrediting Practice Development Activity: An Approach for Achieving Person‐Centred and Evidence‐Based Care

Manley

Canny

Down

et al. 2007

International Practice Development in Nursing and Healthcare

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Vascular Closure Devices in Interventional Radiology Practice

Patel

Müller‐Hülsbeck

Morgan

et al. 2015

Cardiovasc Intervent Radiol

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Manual compression (MC) is a well-established technique for haemostasis following percutaneous arterial intervention. However, MC is labour and time intensive with potential limitations, particularly for patients who are coagulopathic, unable to comply with bed rest or obese and when large sheaths or anti-coagulants are used. There are a variety of vascular closure devices (VCDs) available to overcome these limitations. This review gives an overview of current VCDs, their mechanism of action, individual strengths and weaknesses, evidence base and utility in interventional radiology (IR) practice. The majority of the published evidence on VCDs is derived from patients undergoing cardiac interventions, which should be borne in mind when considering the applicability and transfer of this data for general IR practice. Overall, the evidence suggests that most VCDs are effective in achieving haemostasis with a similar rate of complications to MC although the complication profile associated with VCDs is distinct to that of MC. There is insufficient evidence to comparatively analyse the different types of VCDs currently available or reliably judge their cost-effectiveness. The interventional radiologist should have a thorough understanding of the available techniques for haemostasis and be able to identify and utilise the most appropriate strategy and closure technique for the individual patient.

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A prospective randomized trial of early ambulation following 8 French diagnostic cardiac catheterization

Cited by 13 publications

References 11 publications

The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

Accrediting Practice Development Activity: An Approach for Achieving Person‐Centred and Evidence‐Based Care

Vascular Closure Devices in Interventional Radiology Practice

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