Optimal Bed Rest Period Post Femoral PCI

Advisor(s)

Megan Lieb

Confirmation

1

Document Type

Poster

Location

ONU McIntosh Center; Activities Room

Start Date

24-4-2026 11:00 AM

End Date

24-4-2026 11:50 AM

Abstract

Problem

Femoral access percutaneous coronary intervention (PCI) is a common cardiac procedure that requires bed rest to prevent bleeding and hematoma formation. Traditional protocols often require extended best rest of 6 hours or longer which may contribute to patient discomfort, increased pain, extended hospital stay, and urinary retention. There is an increased amount of evidence that shows a shorter ordered bed rest time of 2-4 hours contributes to improved patient outcome and recovery time while maintaining patient safety.

Aim

The purpose of this project is to evaluate whether early mobilization following femoral percutaneous coronary intervention increases vascular complications compared to standard bed rest protocols.

Methods

This study will use a randomized experimental design in a cardiac care unit at a hospital performing percutaneous coronary interventions. Adult patients aged 18 years and older undergoing femoral PCI will be eligible to participate. Participants will be randomly assigned to either an early mobilization group, where ambulation occurs 2-4 hours post procedure, or a control group receiving standard bed rest for six hours. Patients with preexisting bleeding disorders, anticoagulation contraindications, or vascular complications at the time of the procedure will be excluded. Outcome measures will include incidence of vascular complications such as hematoma formation or bleeding, as well as secondary outcomes including pain levels, patient comfort, and length of hospital stay. Data will be collected through patient assessment and electronic health record review during the immediate post-operative recovery period to the time of discharge.

Conclusion

Findings from this study may support evidence-based updates to post PCI recovery protocols. Earlier mobilization may improve patient comfort and recovery efficiency while maintaining patient safety, ultimately contributing to improved nursing practice and patient centered cardiovascular care.

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Apr 24th, 11:00 AM Apr 24th, 11:50 AM

Optimal Bed Rest Period Post Femoral PCI

ONU McIntosh Center; Activities Room

Problem

Femoral access percutaneous coronary intervention (PCI) is a common cardiac procedure that requires bed rest to prevent bleeding and hematoma formation. Traditional protocols often require extended best rest of 6 hours or longer which may contribute to patient discomfort, increased pain, extended hospital stay, and urinary retention. There is an increased amount of evidence that shows a shorter ordered bed rest time of 2-4 hours contributes to improved patient outcome and recovery time while maintaining patient safety.

Aim

The purpose of this project is to evaluate whether early mobilization following femoral percutaneous coronary intervention increases vascular complications compared to standard bed rest protocols.

Methods

This study will use a randomized experimental design in a cardiac care unit at a hospital performing percutaneous coronary interventions. Adult patients aged 18 years and older undergoing femoral PCI will be eligible to participate. Participants will be randomly assigned to either an early mobilization group, where ambulation occurs 2-4 hours post procedure, or a control group receiving standard bed rest for six hours. Patients with preexisting bleeding disorders, anticoagulation contraindications, or vascular complications at the time of the procedure will be excluded. Outcome measures will include incidence of vascular complications such as hematoma formation or bleeding, as well as secondary outcomes including pain levels, patient comfort, and length of hospital stay. Data will be collected through patient assessment and electronic health record review during the immediate post-operative recovery period to the time of discharge.

Conclusion

Findings from this study may support evidence-based updates to post PCI recovery protocols. Earlier mobilization may improve patient comfort and recovery efficiency while maintaining patient safety, ultimately contributing to improved nursing practice and patient centered cardiovascular care.