ArticleBMC medical education2025
Competency-driven hemostasis training reduces vascular complications in transradial hemodynamic monitoring: a self-controlled trial with early-career residents.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
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Abstract
backgroundThe manual compression approach is still widely used to achieve hemostasis of the radial artery. This study aimed to evaluate the effectiveness of competency-driven hemostasis training for radial artery among early-career residents.
methodsThis prospective, self-controlled study included 10 residents who had not previously received standard compression hemostasis training (Trial Registration: ChiCTR1900025140, 13/08/2019). Radial artery compression was performed in 100 patients both before and after training. The primary endpoints were 5 min hemostasis success rate, incidence of hematoma/bruise in puncture site, and the secondary endpoints were compression-related neurological sequelae and allergic responses.
resultsThe analysis demonstrated a significant improvement in the 5-min hemostasis success rate (84.94% vs. 93.62%, P = 0.05) and a substantial reduction in the occurrence of hematoma/bruise (29.03% vs. 13.82%, P = 0.011). There were no significant differences in the frequencies of neurological complications (3.22% vs. 1.06%, P = 0.65) or allergic reactions (4.30% vs. 3.19%, P = 0.32) between the pre- and post-training phases.
conclusionsThe competency-driven hemostasis training for radial artery enhanced hemostatic effectiveness while ensuring procedural safety, as demonstrated by a reduction in hematoma/bruise formation, without elevating the risk of neurological sequelae or allergic responses. The findings established an evidence-based foundation for competency-driven hemostasis training.
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