Dal Molin Alberto, Faggiano Fabrizio, Bertoncini Fabio, Buratti Giulia, Busca Erica, Casarotto Roberta, Gaboardi Samanta, Allara Elias
School of Nursing, Biella Hospital, Corso Pella 10, 13900, Biella, Italy.
Department of Translational Medicine, Università del Piemonte Orientale, Via Salaroli 17, 28100, Novara, Italy.
Syst Rev. 2015 Apr 15;4:47. doi: 10.1186/s13643-015-0036-0.
Transfemoral cardiac catheterisation is an invasive medical procedure used for therapeutic or diagnostic purposes. Postoperative bed rest can prevent a number of complications such as bleeding and haematoma formation and can result in side effects such as back pain and urinary discomfort. Currently, there is no consensus regarding the optimal length of bed rest. Our objective is to assess the effects of post-catheterisation length of bed rest on bleeding and haematoma, other vascular complications, patient symptoms and patient discomfort, among patients who underwent transfemoral cardiac catheterisation.
We wrote this protocol in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols statement. We defined the search query by using the PICO framework (Population: Patients undergoing cardiac catheterisation;
early mobilisation; Comparison: late mobilisation;
early and late complications). We will search six biomedical databases and five online registries to obtain both published and unpublished studies. We will include randomised controlled trials and quasi-randomised controlled trials, and their quality will be independently appraised with the Cochrane Effective Practice and Organisation of Care criteria for quality assessment. We will carry out a pairwise meta-analysis and network meta-analysis to estimate the overall intervention effects from both direct and indirect comparisons.
This review may have considerable implications for practice and help to achieve an effective and efficient management of patients who underwent cardiac catheterisation. This review will be grounded in an expanded search of 11 resources and will employ innovative statistical methods such as network meta-analysis.
PROSPERO registration number: CRD42014014222 .
经股动脉心脏导管插入术是一种用于治疗或诊断目的的侵入性医疗程序。术后卧床休息可预防多种并发症，如出血和血肿形成，但也可能导致背痛和排尿不适等副作用。目前，关于最佳卧床休息时长尚无共识。我们的目的是评估经股动脉心脏导管插入术患者术后卧床休息时长对出血、血肿、其他血管并发症、患者症状及不适的影响。
我们按照系统评价与Meta分析方案的首选报告项目声明撰写本方案。我们使用PICO框架（人群：接受心脏导管插入术的患者；干预措施：早期活动；对照：晚期活动；结局：早期和晚期并发症）来定义检索词。我们将检索六个生物医学数据库和五个在线注册库，以获取已发表和未发表的研究。我们将纳入随机对照试验和半随机对照试验，并根据Cochrane有效实践和护理组织质量评估标准对其质量进行独立评估。我们将进行成对Meta分析和网状Meta分析，以从直接和间接比较中估计总体干预效果。
本综述可能对实践有重大影响，并有助于实现对接受心脏导管插入术患者的有效且高效管理。本综述将基于对11种资源的扩展检索，并将采用网状Meta分析等创新统计方法。
PROSPERO注册号：CRD42014014222 。
