Bed rest after cardiovascular implantable electronic device position: Systematic review and Meta-analysis

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Abstract

Background. Bed rest is prescribed to all patients after cardiovascular implantable electronic device position, but to a variable extent. Different clinical protocols exists. Aim To assess the effects of different length of bed rest after CIED placement on complications and patient comfort. Methods. We searched MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, CINAHL, SCOPUS. We included randomized and quasi-randomized controlled trials. Two authors independently selected trials, assessed the risk of bias and extracted data. Results. We included 2 RCTs. There was no evidence that shorter bed rest was more harmful than longer bed rest in terms of lead displacement (RR 0.681 95%CI [0.063, 7.332]) and haematoma (RR 1.642, 95%CI [0.282, 9.560]). None of the studies reported the assessment of bleeding, back pain or urinary discomfort. Conclusions. Short bed rest appears to be as safe as longer periods of bed rest. However, to confirm these results, further larger trials needs.

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Authors

Antonella Ceroni - Azienda USL di Bologna, Italia

Erica Busca

Silvia Caristia

Simona Milani

Roberta Casarotto

Giulia Buratti

Samanta Gaboardi

Antonella Croso

Alberto Dal Molin

How to Cite
Ceroni, A., Busca, E., Caristia, S., Milani, S., Casarotto, R., Buratti, G., Gaboardi, S., Croso, A., & Dal Molin, A. (2018). Bed rest after cardiovascular implantable electronic device position: Systematic review and Meta-analysis. Annali dell’Istituto Superiore Di Sanità, 54(1), 28-34. Retrieved from https://annali.iss.it/index.php/anna/article/view/588
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