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Changing patients’ position in bed after non-emergency coronary angiography reduced back pain

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 Q In patients who have had non-emergency coronary angiography (CATH), does changing their position in bed reduce back pain without increasing the incidence of bleeding from the catheter insertion site?

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

unclear.

Embedded ImageBlinding:

unblinded.

Embedded ImageFollow up period:

⩽24 hours.

Embedded ImageSetting:

2 public hospitals in Hong Kong, China.

Embedded ImagePatients:

420 patients who had received non-emergency CATH. Exclusion criteria included non-Chinese patients, non-femoral approach for the procedure, known bleeding disorders, development of bleeding at the catheter insertion site before sheath removal, presence of back pain before procedure, systolic blood pressure >190 mm Hg or diastolic blood pressure >110 mm Hg, age <18 years, and complications during the procedure. 419 patients (mean age 62 y, 67% men) completed follow up.

Embedded ImageInterventions:

positioning intervention (n = 207) or usual care (n = 213). Patients in the intervention group had their position in bed changed …

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