The efficacy of interventions for back pain in patients after transfemoral coronary angiography: A rapid systematic review

Fereidouni, Zhila; Morandini, Morteza Kameli; Kalyani, Majid Najafi

doi:10.1016/j.jvn.2018.11.002

Cited by 13 publications

(8 citation statements)

References 14 publications

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“…For example, back pain is a common complication following TFA and is associated with immobility and restricted positioning following the procedure [14]. It is recommended that following TFA, patients complete bed rest in supine for 6-12 h to prevent possible complications [15]. This extended bed rest may lead to further patient discomfort, groin and back pain, increased treatment costs, and a longer hospital stay [16].…”

mentioning

confidence: 99%

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Sarabi

Farsi

Butler

et al. 2021

BMC Cardiovasc Disord

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Background Prolonged immobilization after transfemoral coronary angiography (TFA) may cause pain and vascular complications in patients. This study aimed to evaluate the effectiveness of a change in position to decrease pain and vascular complications for patients after TFA. Methods This randomized clinical trial was conducted in 2020. Purposive sampling of 72 eligible patients undergoing TFA were selected and randomly assigned to either an experimental or control group. Patients in the experimental group (EG) were placed in a supine position for 2 h after angiography, followed by a semi-seated position with the bed angle gradually increased to 45° over 4 h. Patients in the control group (CG) remained in the supine position for 6 h. Vital signs, groin, back and leg pain, hematoma, hemorrhage, and urinary retention were assessed in both groups before, immediately after, and over 6 h after angiography. The Visual Analogue Scale was used to measure pain, the Christensen scale to measure hematoma, counting bloody gases to measure hemorrhage, and patient self-rating to determine urinary retention. Results There was no significant difference between EG and CG on score of groin (2.69 ± 1.00 vs. 2.61 ± 1.00, P = 0.74), back (2.19 ± 0.98 vs. 2.47 ± 0.87, P = 0.21), and leg pain (2.14 ± 0.71 vs. 2.50 ± 1.08, P = 0.27) before the TFA. However, from the second hour to the sixth hour after the TFA, the pain in the EG was significantly less than the CG (P < 0.001). So that pain in the groin (1.36 ± 0.48 vs. 3.28 ± 0.81), back (1.25 ± 0.50 vs. 3.81 ± 1.06), and leg (1.44 ± 0.55 vs. 3.28 ± 0.81) for the EG patients was significantly less than the CG in the sixth hour after TFA (P < 0.001). No patients experienced hematoma. No differences were noted between groups in hemorrhage and urinary retention. Conclusions Position change to a semi-seated position in patients after TFA is effective and safe for reduction of pain without increasing vascular complications. Trial registration Iranian Registry of Clinical Trials: IRCT registration number: IRCT20200410047011N1, Registration date: 30/04/2020

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mentioning

confidence: 99%

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Sarabi

Farsi

Butler

et al. 2021

BMC Cardiovasc Disord

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“…Nevertheless, there is a lack of proper evaluation and management of symptoms that patients face post CC procedure such as back pain, discomfort, urinary and bowel problems, stress and anxiety. Some methods of managing complications (such as early posture change and early ambulation) have been found in previous studies to have a positive effect in reducing post CC complications (Fereidouni, et al, 2019). Evaluation of patients' satisfaction with nursing care may be effective in enhancing nursing service quality by supporting the development of care standards while evaluating both results and patients' level of quality perceptions (Tang et al, 2013;Senarat, & Gunawardena, 2011).…”

Section: Significance Of the Studymentioning

confidence: 99%

“…According to (Fereidouni, et al, 2019; American Heart Association., 2018; Augustin, et al, 2010) in order to reduce potential vascular complications next trans-femoral CC, the nurse should put direct pressure that may be manually or mechanically over the femoral artery as long as 10-20 minutes until hemostasis is attained. In addition, the clients are instructed to be strictly immobile and to fully rest in bed in a flat position for at least 6 hours immediately posttest, and the head level of the bed should not be more than 30 degree during the bed rest time, as well as the affected limb should remain straight and immobile.…”

Section: Introductionmentioning

confidence: 99%

Effect of Gradual Sitting Position on Recovery and Satisfaction of Patients Post Trans-Femoral Cardiac Catheterization

Abouelala

Khalil

Bahy³

et al. 2022

Egyptian Journal of Health Care

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Bed rest is recommended after cardiac catheterization, this frequently results in back pain, urinary retention, and hemodynamic instability. Aim of the Study: to evaluate the effect of gradual sitting position on recovery parameters and satisfaction of patients' post trans-femoral catheterization. Subjects and method: Quasi experimental pretest-posttest research design. Setting: It was conducted at cardiac catheterization department at El-Mahalla Cardiac Center. A purposive sample of 60 patients, divided equally into study group (received gradual change position from flat to sitting) and control group (who received routine hospital care i.e. flat position for 6 hours). Tool: "patient's assessment sheet" consisted of 4 parts, "Demographic data"; "Clinical data"; "Patient recovery parameters", and "patient satisfaction scale". Results: There was reduction in back pain severity for study group with statistically significant difference p value at ( MC p <0.001 * ) after 4 th and 6 th hours, absent of vascular complications (hematoma and bleeding) for all patients (100%) in both groups and reduced urinary retention in the study group with highly statistically significant difference p value at ( MC p <0.001 * ). The mean level of satisfaction was highly significant p value at (<0.001*) after four and six hours. Conclusion: the gradual change position from flat to sitting position had statistically significant positive effect on recovery parameters including reducing back pain and urinary retention without changes in vital signs, neurovascular status and vascular complications incidence in the study group. Recommendation: Enroll changing of patients position in post cardiac catheterization care.

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“…), difficulty defecation, and a longer hospital stay [ 4 , 5 ]. In recent years, an increasing number of studies indicate that early ambulation accompanied by changing patients’ position after TFA could effectively reduce patient postoperative discomfort, without an increase in the vascular events [ 3 , 8 – 10 ]. However, the early ambulation protocol varies among different studies, and no uniform consensus has been achieved regarding the duration of bed rest and optimal position after TFA.…”

Section: Introductionmentioning

confidence: 99%

Early ambulation protocol after diagnostic transfemoral cerebral angiography: an evidence-based practice project

Liang,

Ye,

Song

et al. 2024

BMC Neurol

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Background No uniform consensus has been achieved regarding the ambulation protocol after transfemoral cerebral angiography (TFA). Until now, in most hospitals patients are prescribed 8-12 h strict immobilization along with bed rest in the supine position after TFA in China, which causes great discomfort to patients. Objective To evaluate the effect of an evidence-based early ambulation protocol on the prevention of vascular complications and general discomfort in patients following transfemoral cerebral angiography (TFA). Methods A prospective quasi-experimental study was conducted on 214 patients undergoing TFA with manual compression. Patients in the experimental group were placed supine position for 2 h with a sandbag placed on the wound dressing, followed by a semi-seated position for another 2 h. After this period, patients took 2 h bed rest (move freely) with the sandbag removed, and were allowed to get out of bed 6 h after TFA. Patients in the control group were restricted to an 8 h bed rest in a supine position with the affected leg straight and immobilized. The vascular complications (bleeding, hematoma, ecchymosis) and levels of comfort (low back pain, leg pain, and blood pressure) were evaluated after the procedure. Numeric Rating Scale (NRS) pain scores, systolic blood pressure (SBP); diastolic blood pressure (DBP) were measured hourly for 8 h after TFA. Results There was no significant difference in the two groups with regard to vascular complications including bleeding events (P = 0.621), bleeding volume (P = 0.321), and area of hematoma (P = 0.156). The area of ecchymosis in the experimental group was significantly smaller than the control group (P = 0.031). Compared with the control group, the NRS score for low back pain in the 4th, 5th, 6th, 7th, and 8th hour after TFA were significantly lower (P < 0.05), and the NRS score for leg pain in the 5th, 6th, 7th, 8th hour after TFA were significantly lower (P < 0.05). The SBP and DBP in the 6th, 7th, and 8th hour after TFA were significantly lower than the control group (all P < 0.05). Conclusions The evidence-based early ambulation protocol can effectively and safely increase comfort and decrease the pain level for patients undergoing TFA, without change in the incidence of vascular complications.

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The efficacy of interventions for back pain in patients after transfemoral coronary angiography: A rapid systematic review

Cited by 13 publications

References 14 publications

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Effect of Gradual Sitting Position on Recovery and Satisfaction of Patients Post Trans-Femoral Cardiac Catheterization

Early ambulation protocol after diagnostic transfemoral cerebral angiography: an evidence-based practice project

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