Matte Roselene, Hilário Thamires de Souza, Reich Rejane, Aliti Graziella Badin, Rabelo-Silva Eneida Rejane
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
aff3, Brazil.
Rev Lat Am Enfermagem. 2016;24:e2796. doi: 10.1590/1518-8345.0725.2796. Epub 2016 Jul 25.
to compare the incidence of vascular complications in patients undergoing transfemoral cardiac catheterization with a 6F introducer sheath followed by 3-hour versus 5-hour rest.
randomized clinical trial. Subjects in the intervention group (IG) ambulated 3 hours after sheath removal, versus 5 hours in the control group (CG). All patients remained in the catheterization laboratory for 5 hours and were assessed hourly, and were contacted 24, 48, and 72 h after hospital discharge.
the sample comprised 367 patients in the IG and 363 in the GC. During cath lab stay, hematoma was the most common complication in both groups, occurring in 12 (3%) IG and 13 (4%) CG subjects (P=0.87). Bleeding occurred in 4 (1%) IG and 6 (2%) CG subjects (P=0.51), and vasovagal reaction in 5 (1.4%) IG and 4 (1.1%) CG subjects (P=0.75). At 24-h, 48-h, and 72-h bruising was the most commonly reported complication in both groups. None of the comparisons revealed any significant between-group differences.
the results of this trial show that reducing bed rest time to 3 hours after elective cardiac catheterization is safe and does not increase complications as compared with a 5-hour rest. ClinicalTrials.gov Identifier: NCT-01740856.
比较经股动脉心脏导管插入术患者使用6F导入鞘管后分别休息3小时与5小时的血管并发症发生率。
随机临床试验。干预组（IG）患者在拔除鞘管后休息3小时，对照组（CG）休息5小时。所有患者在导管室停留5小时，每小时进行评估，并在出院后24、48和72小时进行随访。
样本包括IG组的367例患者和GC组的363例患者。在导管室停留期间，血肿是两组最常见的并发症，IG组12例（3%）、CG组13例（4%）出现血肿（P = 0.87）。IG组4例（1%）、CG组6例（2%）发生出血（P = 0.51），IG组5例（1.4%）、CG组4例（1.1%）出现血管迷走神经反应（P = 0.75）。在24小时、48小时和72小时时，两组最常报告的并发症均为瘀伤。所有比较均未显示组间有任何显著差异。
本试验结果表明，与休息5小时相比，择期心脏导管插入术后将卧床休息时间缩短至3小时是安全的，且不会增加并发症。ClinicalTrials.gov标识符：NCT - 01740856。
