Bed Rest Reduction Following Cardiac Catheterizations Using Vascular Closure Devices.
Background: Bed rest duration following deployment of a vascular closure device after transfemoral left-sided cardiac catheterization is not standardized. Despite research supporting reduced bed rest, many hospitals require prolonged bed rest. Delayed ambulation is associated with back pain, urine r...
| Publicado en: | American Journal of Critical Care Vol. 32; no. 6; pp. 421 - 429 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
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American Association of Critical-Care Nurses
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173344222&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173344222 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Nov2023 vid: 32 iid: 6 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 173344222 173344222 173344222 10.4037/ajcc2023536 173344222 ppf: 421 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Bed Rest Reduction Following Cardiac Catheterizations Using Vascular Closure Devices. aug: au: Tuozzo, Kristin A. Morris, Reena Moskowitz, Nicole McCauley, Kathleen Babaev, Anvar Attubato, Michael affil: senior nurse clinician at New York University (NYU) Langone Health, New York sug: subj: Vascular Closure Devices Utilization Bed Rest Heart Catheterization Length of Stay Patient Safety Cost Savings Hospitals, Urban Human Male Female Middle Age Aged Comparative Studies Early Ambulation Hematoma Percutaneous Coronary Intervention Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Bed rest duration following deployment of a vascular closure device after transfemoral left-sided cardiac catheterization is not standardized. Despite research supporting reduced bed rest, many hospitals require prolonged bed rest. Delayed ambulation is associated with back pain, urine retention, difficulty eating, and longer stay. Objective: To study length of stay, safety, and opportunity cost savings of reduced bed rest at a large urban hospital. Methods: A single-site 12-week study of 1-hour bed rest after transfemoral cardiac catheterizations using vascular closure devices. Results were compared with historical controls treated similarly. Results: The standard bed rest group included 295 patients (207 male, 88 female; mean [SD] age, 64.4 [8.6] years). The early ambulation group included 260 patients (188 male, 72 female; mean [SD] age, 64 [9.3] years). The groups had no significant difference in age (t634 = 1.18, P =.21) or sex ( χ 1 2 = 0. 2 , P =.64). Three patients in the standard bed rest group and 1 in the early ambulation group had hematomas (P =.36). The stay for diagnostic cardiac catheterizations was longer in the standard bed rest group (mean [SD], 220.7 [55.2] minutes) than in the early ambulation group (mean [SD], 182.1 [78.5] minutes; t196 = 4.06; P <.001). Stay for percutaneous coronary interventions was longer in the standard bed rest group (mean [SD], 400.2 [50.8] minutes) than in the early ambulation group (mean [SD], 381.6 [54.7] minutes; t262 = 2.86; P =.005). Conclusion: Reduced bed rest was safe, shortened stays, and improved efficiency by creating opportunity cost savings. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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