Abstract
BackgroundProlonged 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.MethodsThis 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.ResultsThere 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.ConclusionsPosition change to a semi-seated position in patients after TFA is effective and safe for reduction of pain without increasing vascular complications.Trial registrationIranian Registry of Clinical Trials: IRCT registration number: IRCT20200410047011N1, Registration date: 30/04/2020
Highlights
Prolonged immobilization after transfemoral coronary angiography (TFA) may cause pain and vascular complications in patients
The current study investigated the effect of increasing patient bed elevation and changing the patient’s position on pain and vascular complications after TFA
(88.9%) patients had no incidence of cardiac surgery, and 43 (59.7%) patients had previous angiography experience
Summary
Prolonged immobilization after transfemoral coronary angiography (TFA) may cause pain and vascular complications in patients. Coronary artery disease (CAD) accounts for 20% deaths in industrialized countries [3] and 78% in Niknam Sarabi et al BMC Cardiovasc Disord (2021) 21:114 developing countries [1, 2]. In Iran, CVD and CAD are common with an increasing rate of death (50% currently) and disability [4, 5]. Complications of angiography are dependent on multiple factors including a patient’s vascular anatomy, co-morbid conditions such as history of current smoking, increased body mass index (BMI), high blood pressure, diabetes mellitus, elevated cholesterol levels, the angiography performed, and the experience of the medical team and hospital unit [8, 11, 12]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
