Effect of complete bed rest duration on vascular complication after angiography ‎in hospitalized patients in post angiography units in health centers in Rasht

Abstract

Introduction: Coronary artery angiography is an important diagnostic method in patients with ‎coronary disease which like other diagnostic methods has side effects. The important ‎complication of it is vascular side effects (hematoma and bleeding) in place of sheet insertion. ‎In order to control it, one must be in complete bed rest (CBR) and in no reference an exact ‎time is mentioned for it. ‎ Objective: This study was conducted to determine the effect of CBR duration on vascular ‎complication after angiography. ‎ Methods: This is a clinical trial method with random sampling. ‎‏120‏‎ patients were divided into ‎two groups of experiment (‎‏2‏‎ hour CBR) and the control group (‎‏6‏‎ hours CBR) and were ‎compared regarding vascular side effects. Arterial sheet was removed in both groups ‎immediately after patients transfer to post-angio and maintaining primary hemostasis by ‎applying manual pressure with a transparent dressing for observation. Vascular complications ‎were controlled in both groups up to ‎‏24‏‎ hours after procedure. ‎ Results: Findings revealed that both groups were matched regarding age, sex, BMI, sheet ‎size, coagulation tests, and length of manual pressure and duration of angiography. There was ‎no significant statistical difference in rate of vascular complications in both groups. ‎ Conclusion: It is possible to take patient out of CBR after two hours past angiography done ‎through femor. Implementing this method of care can shorten the time of hospitalization, ‎provide more comfort to the patient, decrease bed occupancy and decrease costs.‎

Keywords

• Coronary angiography
• vascular complication
• ambulation
• bed rest