Clinical Research
Meta-analysis of early out-of-bed activities in patients after percutaneous coronary intervention
Dong Fan, Guo Di, Zhang Tingting
Published 2020-05-26
Cite as Chin J Mod Nurs, 2020, 26(15): 2033-2040. DOI: 10.3760/cma.j.cn115682-20200117-00263
Abstract
ObjectiveTo evaluate the feasibility and safety of early out-of-bed activities in patients after percutaneous coronary intervention (PCI) by meta-analysis.
MethodsDatabases such as PubMed, The Cochrane Library, Elsevier, China Biology Medicine disc, China National Knowledge Infrastructure, and Wanfang were searched for randomized controlled trails (RCTs) about early and late out-of-bed activities after PCI which were reported up to November 2019, and the references in these articles were also retrospectively traced. Meta-analysis was performed using RevMan 5.0 after screening the articles, extracting the data and evaluating the quality according to inclusion and exclusion criteria.
ResultsA total of 8 articles were included, involving 1 491 patients. The meta-analysis showed that there were no difference in bleeding (OR=1.19; 95%CI: 0.59, 2.41; P=0.63) , hematoma (OR=0.87; 95%CI: 0.48, 1.56; P=0.63) , pseudoaneurysm (OR=1.48; 95%CI: 0.27, 8.13; P=0.65) , dysuria or urinary retention (OR=0.68; 95%CI: 0.15, 3.09; P=0.62) between early and late out-of-bed activities; however, there were statistically significant differences in backache (OR=0.35; 95%CI: 0.24, 0.5; P< 0.000 01) and bladder catheterization (OR=0.18; 95%CI: 0.05, 0.65; P=0.009) between early and late out-of-bed activities.
ConclusionsEarly out-of-bed activities after PCI will not increase the risk of bleeding, hematoma, or pseudoaneurysm, but it can improve patients' comfort, promote their postoperative urination, and reduce the occurrence of backache.
Key words:
Meta-analysis; Percutaneous coronary intervention; Randomized controlled trail (RCT)
Contributor Information
Dong Fan
Department of General Practice, Beijing Hospital, National Center for Geriatrics, and Institute of Geriatrics, Chinese Academy of Medical Sciences, Beijing 100730, China
Guo Di
Department of Cardiovascular, Beijing Hospital, National Center for Geriatrics, and Institute of Geriatrics, Chinese Academy of Medical Sciences, Beijing 100730, China
Zhang Tingting
Outpatient Treatment Room, Beijing Hospital, National Center for Geriatrics, and Institute of Geriatrics, Chinese Academy of Medical Sciences, Beijing 100730, China
