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首页> 外文期刊>Istituto Superiore di Sanita. Rendiconti >Bed rest after cardiovascular implantableelectronic device placement: systematicreview and meta-analysis
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Bed rest after cardiovascular implantableelectronic device placement: systematicreview and meta-analysis

机译：放置心血管植入式电子设备后的卧床休息：系统评价和荟萃分析

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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.
机译：背景。放置心血管植入式电子设备（CIED）后，所有患者均应卧床休息，但程度不同。存在不同的临床方案。评估不同长度的卧床休息对CIED植入后并发症和患者舒适度的影响。我们搜索了MEDLINE，EMBASE，Cochrane系统评价数据库，CINAHL，SCOPUS。我们纳入了随机和半随机对照试验。两位作者独立选择试验，评估偏倚风险并提取数据。结果。我们纳入了2个RCT。没有证据表明，就铅置换（RR 0.681，95％CI [0.063,7.332]）和血肿（RR 1.642，95％CI [0.282，9.560]）而言，较短的卧床休息比较长的卧床休息更具危害性。没有一项研究报告了对出血，背痛或泌尿不适的评估。较短的卧床休息时间似乎与较长的休息时间一样安全。但是，要确认这些结果，还需要进行更大的试验。

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