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标题：Bed rest after cardiovascular implantableelectronic device placement: systematicreview and meta-analysis
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作者：Antonella Ceroni ; Erica Busca ; Silvia Caristia 等
期刊名称：Annali dell'Istituto Superiore di Sanita
印刷版ISSN：0021-2571
出版年度：2018
卷号：54
期号：1
页码：28-34
出版社：Editrice Kurtis Srl
摘要：Background. Bed rest is prescribed for all patients after cardiovascular implantable electronicdevice (CIED) placement but to a varied extent. Different clinical protocols exist.Aim. To assess the effects of different lengths of bed rest on complications and patientcomfort after CIED implantation.Methods. We searched MEDLINE, EMBASE, Cochrane Database of Systematic Reviews,CINAHL, SCOPUS. We included randomized and quasi-randomized controlledtrials. Two of the authors independently selected trials, assessed the risk of bias, andextracted data.Results. We included 2 RCTs. There was no evidence that shorter bed rest was moreharmful than longer bed rest in terms of lead displacement (RR 0.681, 95% CI [0.063,7.332]) and hematoma (RR 1.642, 95% CI [0.282, 9.560]). None of the studies reportedthe assessment of bleeding, back pain, or urinary discomfort.Conclusions. Shorter periods of bed rest appear to be as safe as longer ones. However,to confirm these results, further larger trials are needed.
关键词：pacemaker; bed rest; mobilization; complications