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September 1, 2008The Journal of Cardiovascular NursingOpen Access

Mobilization at 3, 4, or 6 hours after femoral sheath removal had no significant effect on bleeding (P=0.21) or hematoma formation (P=0.612).

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Why the study?

Does early mobilization at 3 or 4 hours compared to 6 hours affect groin complications in patients after percutaneous coronary intervention?

Population

Patients undergoing coronary angioplasty and coronary stent placement at a large public hospital in…

Comparison

Mobilization at 3 or 4 hours after femoral… vs Mobilization at 6 hours after femoral arterial…

Design

RCT, Randomly allocated to the 3, 4, or 6 hourly mobilization group

Follow-up

Next day

Key result

Mobilization at 3, 4, or 6 hours after femoral sheath removal had no significant effect on bleeding (P=0.21) or hematoma formation (P=0.612).

Authors

SWSandra WalkerCJColleen JenFMFiona McCosker

Discussion

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Member takes

Overview

Supports reducing bed rest to 3-4 hours after femoral PCI; confirms safety of early mobilization without excess complications.

Study Design

Type

RCT

Multicenter

No

Structured PICO

Does early mobilization at 3 or 4 hours compared to 6 hours affect groin complications in patients after percutaneous coronary intervention?

P
Population
Patients undergoing coronary angioplasty and coronary stent placement assessed for groin complications after femoral arterial sheath removal.
I
Intervention
Mobilization at 3 or 4 hours after femoral arterial sheath removal
C
Comparator
Mobilization at 6 hours after femoral arterial sheath removal
O
Outcome
Groin complications including hemorrhage, hematoma formation, and pseudoaneurysm assessed after sheath removal and the next daysafety

Main Result

p-value: p=0.21 (bleeding), 0.612 (hematoma)

Early mobilization at 3 or 4 hours after femoral sheath removal following PCI does not significantly increase bleeding or hematoma formation compared to 6 hours of bed rest.

Cite This Study

Walker et al. (2008) conducted an RCT in Percutaneous coronary intervention. Mobilization at 3, 4, or 6 hours vs. Compared against each other (3, 4, and 6 hours) was evaluated on Bleeding or hematoma formation at the groin puncture site (p=0.21 (bleeding), 0.612 (hematoma)). Mobilization at 3, 4, or 6 hours after femoral sheath removal had no significant effect on bleeding (P=0.21) or hematoma formation (P=0.612).

synapsesocial.com/papers/6a9c8d768bd8b951b3d4df2fhttps://doi.org/10.1097/01.jcn.0000317452.72402.7c
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