Key result
Mobilization at 3, 4, or 6 hours after femoral sheath removal had no significant effect on bleeding or hematoma formation.
Why the study?
Does early mobilization at 3 or 4 hours compared to 6 hours affect groin complications in patients after percutaneous coronary intervention?
RCT
No
Does early mobilization at 3 or 4 hours compared to 6 hours affect groin complications in patients after percutaneous coronary intervention?
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.
Answers are grounded in this paper and cite their sources.
Supports reducing bed rest to 3-4 hours after femoral PCI; confirms safety of early mobilization without excess complications.
The purpose of this research study was to explore groin complication rates of patients mobilized at 3, 4, and 6 hours after femoral arterial sheath removal following a percutaneous coronary intervention procedure. Participants were recruited from those undergoing coronary angioplasty and coronary stent placement at a large public hospital in Brisbane, Queensland. Participants were randomly allocated to the 3, 4, or 6 hourly mobilization group. After removal of the femoral arterial sheath and again the next day, participants' groins were assessed for evidence of complications including hemorrhage, hematoma formation, and pseudoaneurysm. The results showed that the length of bed rest after arterial sheath removal had no significant effect on bleeding (F 304 = 5.39, P = 0.21) or hematoma formation (F 304 = 0.258, P = 0.612) at the groin puncture site for participants who mobilized at either 3, 4, or 6 hours after percutaneous coronary intervention arterial sheath removal.
No takes yet. Share an insight, caveat, or question.
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 or hematoma formation.
Synapse has enriched 10 related papers. Consider them for comparative context: