Back to Search
Start Over
Evaluation of 3-hour ambulation post cardiac catheterization.
- Source :
-
Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires [Can J Cardiovasc Nurs] 1999; Vol. 10 (1-2), pp. 23-30. - Publication Year :
- 1999
-
Abstract
- There is much variation in the length of immobilization for patients post cardiac catheterization. While it is generally agreed that a period of time on bedrest is necessary to prevent post procedural complications, the optimal duration remains unknown. The purpose of this study was to evaluate the effects of 3-hour ambulation post cardiac catheterization with a 7 french (F) arterial catheter on bleeding, hematoma formation, and vascular complications. Retrospective chart data were gathered for a period of 8 months for patients who were on the traditional 5-hour ambulation protocol, and prospective data were gathered for a period of 7 months for patients who received the 3-hour protocol. A total of 880 patients were included in the study, with 472 in the 5-hour ambulation group and 408 in the 3-hour ambulation group. The overall incidence of delayed bleeding and hematoma formation for the 15 month study period was 19.1%, with no occurrence of vascular complications in either group. Patients who received the 3-hour ambulation protocol experienced a significantly lower rate of bleeding and hematoma formation (13%) than patients who received the 5-hour ambulation protocol (24.4%) (p < 0.001). Ambulating patients 3 hours post cardiac catheterization with a 7F catheter was found to be safe, and thus has the potential to decrease hospital length of stay, as well as increase patient comfort.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Cardiac Catheterization adverse effects
Cardiac Catheterization instrumentation
Cardiac Catheterization psychology
Early Ambulation adverse effects
Early Ambulation psychology
Female
Humans
Incidence
Male
Middle Aged
Postoperative Care adverse effects
Postoperative Care psychology
Postoperative Complications etiology
Postoperative Complications prevention & control
Postoperative Hemorrhage etiology
Postoperative Hemorrhage prevention & control
Prospective Studies
Retrospective Studies
Time Factors
Cardiac Catheterization nursing
Early Ambulation methods
Early Ambulation nursing
Postoperative Care methods
Postoperative Care nursing
Subjects
Details
- Language :
- English
- ISSN :
- 0843-6096
- Volume :
- 10
- Issue :
- 1-2
- Database :
- MEDLINE
- Journal :
- Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires
- Publication Type :
- Academic Journal
- Accession number :
- 10786467