Evidence map›Paper›PMID 33632127›Full record

Trial reportBMC cardiovascular disorders2021

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

Hojjat Niknam Sarabi, Zahra Farsi, Samantha Butler, Amir Hosein Pishgooie

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06070545 (The Effect of Modified Supine Position on Urinary Elimination After Percutaneous Coronary Intervention), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06070545 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Effect of Modified Supine Position on Urinary Elimination After Percutaneous Coronary Intervention

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2023 to 2023Enrolled60ConditionsUrinary RetentionArmsModified Supine Position
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Hojjat Niknam SarabiStudent Research Committee and Military Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-1843-9794
Zahra FarsiResearch and Community Health Department, Faculty of Nursing, Aja University of Medical Sciences, Kaj St., Shariati St, Tehran, Iran. z.farsi@ajaums.ac.ir.ORCID 0000-0002-5154-0758
Samantha ButlerDepartment of Psychiatry, Harvard Medical School, Children's Hospital Boston, Boston, MA, USA.
Amir Hosein PishgooieMedical-Surgical Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-8042-2657
Aja University of Medical Sciences · IRBoston Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Cardiac CatheterizationCatheterization, PeripheralCoronary AngiographyFemoral ArteryPatient PositioningPostureAdultAgedAged, 80 and overDouble-Blind MethodFemaleHematomaHemorrhageHumansIranMaleCardiac catheterizationCoronary angiographyHematomaHemorrhagePain

Identifiers

PMID33632127
PMCPMC7908805
OpenAlexW3130794762

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.