Why the study?
Postprocedure bed rest duration after femoral artery cardiac catheterization varies widely and prolonged bed rest causes patient discomfort and increases hospital stay.
Does 4 hours of bed rest compared to 6 hours prevent bleeding as effectively in adult patients undergoing diagnostic coronary angiography?
Population
86 adult patients undergoing diagnostic coronary angiography
Comparison
4 hours vs 6 hours bed rest after arterial sheath removal with pressure dressings and sandbags
Design
Randomized experimental-control group design
Key result
Decreasing bed rest from 6 to 4 hours after cardiac catheterization resulted in no significant difference in the incidence of bleeding from femoral artery insertion sites (chi-square = 0.31).
Authors
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Supports reducing post-catheterization bed rest to 4 hours; extends RCT evidence that bleeding rates remain equivalent.
RCT (n=86)
randomly assigned
Does 4 hours of bed rest compared to 6 hours prevent bleeding as effectively in adult patients undergoing diagnostic coronary angiography?
Reducing bed rest from 6 to 4 hours after diagnostic coronary angiography via the femoral artery is safe and does not increase the incidence of bleeding.
Keeling et al. (1996) conducted an RCT in diagnostic coronary angiography (n=86). 4 hours of bed rest vs. 6 hours of bed rest was evaluated on incidence of bleeding from femoral artery insertion sites related to out-of-bed activity. Decreasing bed rest from 6 to 4 hours after cardiac catheterization resulted in no significant difference in the incidence of bleeding from femoral artery insertion sites (chi-square = 0.31).
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