1 / 2024-01-29 09:28:23

Safety and Comfort of Early Ambulation after Cardiac Radiofrequency Catheter Ablation Via the Femoral: A Meta-analysis

Cardiac radiofrequency ablation; Femoral; Early ambulation; Safety;Ccomfort; Meta analysis

Abstract：

Background: After cardiac radiofrequency ablation, patients traditionally undergo strict immobilization and bed rest for 3-24 hours, often experiencing back pain and discomfort due to potential vascular events.

Objective: This study aims to assess the impact of bed rest duration on patient safety and comfort following cardiac radiofrequency ablation.

Methods: A literature search using PICO principles was conducted across multiple databases, including PubMed, Embase, Cochrane Library, CKNI, Sinomed, Wanfang database, and Weipu database. Randomized controlled trials comparing various durations of bed rest after cardiac radiofrequency ablation were included. Meta-analysis was performed using RevMan 5.4 software, presenting combined odds ratios (OR) and respective 95% confidence intervals (CIs) in a forest plot.

Results: Nine studies involving 1286 participants were included, covering bed rest periods from 3 to 24 hours. Early ambulation after cardiac radiofrequency ablation did not significantly impact the incidence of bleeding/hematoma or pseudoaneurysm. However, it significantly affected the incidence of dysuria, irritability, difficulty sleeping, lower extremity numbness, and comfort scores.

Conclusion：Early ambulation after cardiac radiofrequency ablation does not differ significantly in vascular complication incidence compared to late ambulation. Nevertheless, early ambulation enhances patient comfort in terms of comfort, sleep quality, mood, and lower limb sensation.