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Commentary on: Tongsai S, Thamlikitkul V. The safety of early versus late ambulation in the management of patients after percutaneous coronary interventions: a meta-analysis. Int J Nurs Stud 2012;49:1084–90.
Implications for practice and research
Early ambulation after percutaneous coronary intervention (PCI) may facilitate earlier hospital discharge and improve patient comfort.
There are a limited number of randomised clinical trials assessing the safety of this strategy.
This meta-analysis suggests that earlier ambulation was not associated with an increased risk of adverse bleeding events.
The number of PCIs performed around the world continues to increase due to a rising incidence of patients with symptomatic coronary artery disease. Despite an increased interest in performing the procedure via the radial approach, with large-scale clinical trials demonstrating reductions in vascular complications and time to ambulation, the majority of cases involve femoral arterial access. While vascular closure devices (VCDs) facilitate …