Reducing bed rest time from five to three hours does not increase complications after cardiac catheterization: the THREE CATH Trial

Authors

  • Roselene Matte Hospital de Clínicas de Porto Alegre
  • Thamires de Souza Hilário
  • Rejane Reich Hospital de Clínicas de Porto Alegre
  • Graziella Badin Aliti Universidade Federal do Rio Grande do Sul; Escola de Enfermagem
  • Eneida Rejane Rabelo-Silva Universidade Federal do Rio Grande do Sul; Escola de Enfermagem

DOI:

https://doi.org/10.1590/1518-8345.0725.2796

Abstract

Objective: 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. Methods: 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. Results: 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. Conclusion: 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

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Published

2016-01-01

Issue

Vol. 24 (2016)

Section

Original Articles

License

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How to Cite

Reducing bed rest time from five to three hours does not increase complications after cardiac catheterization: the THREE CATH Trial . (2016). Revista Latino-Americana De Enfermagem, 24, e2796-. https://doi.org/10.1590/1518-8345.0725.2796