A Randomized Controlled Trial on Position Change followed by early Ambulation after Trans-Femoral Coronary Angiography

Rai, Parisha; Dhandapani, Manju; Bagga, Shiv; Gopichandran, L; Sharma, Yash Paul

doi:10.5958/2349-2996.2019.00080.6

Cited by 3 publications

(4 citation statements)

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“…The current study demonstrated safety in changing the patient's position to a semi-sitting position with angles of 15°-45° for up to 6 h after TFA as no patients experienced significant hematoma, hemorrhage, or urinary retention before or after the TFA. Other studies have reported similar results in terms of hematoma incidence [23,34,35], hemorrhage [34,35], and urinary retention [2,18,21]. There were no bleeding complications because high-risk patients were not included in this study due to their risk of developing hematoma or hemorrhage.…”

Section: Discussionsupporting

confidence: 59%

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Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Sarabi

Farsi

Butler

et al. 2021

BMC Cardiovasc Disord

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Background Prolonged immobilization after transfemoral coronary angiography (TFA) may cause pain and vascular complications in patients. This study aimed to evaluate the effectiveness of a change in position to decrease pain and vascular complications for patients after TFA. Methods This randomized clinical trial was conducted in 2020. Purposive sampling of 72 eligible patients undergoing TFA were selected and randomly assigned to either an experimental or control group. Patients in the experimental group (EG) were placed in a supine position for 2 h after angiography, followed by a semi-seated position with the bed angle gradually increased to 45° over 4 h. Patients in the control group (CG) remained in the supine position for 6 h. Vital signs, groin, back and leg pain, hematoma, hemorrhage, and urinary retention were assessed in both groups before, immediately after, and over 6 h after angiography. The Visual Analogue Scale was used to measure pain, the Christensen scale to measure hematoma, counting bloody gases to measure hemorrhage, and patient self-rating to determine urinary retention. Results There was no significant difference between EG and CG on score of groin (2.69 ± 1.00 vs. 2.61 ± 1.00, P = 0.74), back (2.19 ± 0.98 vs. 2.47 ± 0.87, P = 0.21), and leg pain (2.14 ± 0.71 vs. 2.50 ± 1.08, P = 0.27) before the TFA. However, from the second hour to the sixth hour after the TFA, the pain in the EG was significantly less than the CG (P < 0.001). So that pain in the groin (1.36 ± 0.48 vs. 3.28 ± 0.81), back (1.25 ± 0.50 vs. 3.81 ± 1.06), and leg (1.44 ± 0.55 vs. 3.28 ± 0.81) for the EG patients was significantly less than the CG in the sixth hour after TFA (P < 0.001). No patients experienced hematoma. No differences were noted between groups in hemorrhage and urinary retention. Conclusions Position change to a semi-seated position in patients after TFA is effective and safe for reduction of pain without increasing vascular complications. Trial registration Iranian Registry of Clinical Trials: IRCT registration number: IRCT20200410047011N1, Registration date: 30/04/2020

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Section: Discussionsupporting

confidence: 59%

“…In the EG, back flexibility cause to relieve the tension level, which prevented an increase in the pain. Evidence showed that long-term immobilization imposes tension, and causes cellular ischemia and pain in the lumbar and the back [33,34].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Sarabi

Farsi

Butler

et al. 2021

BMC Cardiovasc Disord

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“…The incidence of circulatory problems did not vary significantly between control and experimental groups. Summary of findings: following coronary angiography by the femoral method, position shift followed by early ambulation is free from side effects because it reduces back discomfort, tiredness, and leads to better health without worsening vascular problems [36]. Heart disease is the leading cause of mortality in the world.…”

Section: -Parisha Rai Et Al (2019)mentioning

confidence: 99%

A Literature Review on Effects of Positioning and Early Ambulation on Coronary Angiography Complication

Sulaiman,

Zafar

2023

clin. med. & helt. res. jour.

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Introduction: The study was carried out to get a greater awareness of the impact of early ambulation and positioning on coronary angiography complications. And to build an evidence study on what other research said. Objectives: The objective of this study is to review the effect of changing position and early ambulation on coronary angiography complications. Methods: I used search engines were Identified 700 articles, I excluded 500, then screened total of 200 articles, 150 articles are not my concern, I included 36 articles in this research Result: According to the various research early ambulation and early position is safe after coronary angiography because it is effective way to minimize the risk of back pain and has no linkage in increasing risk of vascular complications like bleeding or hematoma.

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“…This section was developed by the researcher after reviewing pertinent literatures (Kurt & Kaşıkçı, 2019;Rai et al, 2019;Utami et al, 2018). It is used to collect data that can affect the participants' pain and vascular complications after cardiac catheterization.…”

Section: Part Ii: Health Relevant Datamentioning

confidence: 99%

Effect of Changing Angle of Bed on Pain Severity and Vascular Complications among Cardiac Catheterization Patients

Elsayed,

Abo Habieb,

El-Wkeel

et al. 2023

Mansoura Nursing Journal

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Background: Cardiac catheterization is a serious medical condition that needs to be managed by qualified health care experts with standardized procedures. Patients following cardiac catheterization are limited in bed to prevent vascular complications. For some patients, complete bed rest for six hours without mobilization can cause back pain. Changing the angle of the bed to several degrees reduces the severity of pain without raising the risk of vascular complications in those patients. Aim: This study aimed to evaluate the effect of changing angle of bed on pain severity and vascular complications among cardiac catheterization patients. Method: This study was carried out using a quasiexperimental research design at Mansoura University's Specialized Medical Hospital's Coronary Care Units and post cardiac catheterization unit. A sample of 82patients was randomly assigned to the intervention group (n = 41) and the control group (n = 41).Two tools were used to collect data; pain severity assessment tool and vascular complications monitoring scales tool. Results: Highly statistically significant differences were found in the participants' pain scores throughout the 4 th , 5 th , and 6 th hours of sheath removal (p=0.001, 0.000, &0.000 respectively). Conclusion: Changing angle of bed to different degrees was related to a reduction of back pain without any increase of vascular complications. Recommendations: Involving angle of bed changes in post cardiac catheterization care. Additionally, Future research studies are required to augment the evidence related to post cardiac catheterization care.

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A Randomized Controlled Trial on Position Change followed by early Ambulation after Trans-Femoral Coronary Angiography

Cited by 3 publications

References 0 publications

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

A Literature Review on Effects of Positioning and Early Ambulation on Coronary Angiography Complication

Effect of Changing Angle of Bed on Pain Severity and Vascular Complications among Cardiac Catheterization Patients

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