Effects of Hemostatic Wound Dressing on Controlling Puncture Site Bleeding after Percutaneous Cardiac Catheterization: A Meta-Analysis

2.50
Hdl Handle:
http://hdl.handle.net/10755/243226
Category:
Abstract
Type:
Presentation
Title:
Effects of Hemostatic Wound Dressing on Controlling Puncture Site Bleeding after Percutaneous Cardiac Catheterization: A Meta-Analysis
Author(s):
Shih, Hsiao-Ping; Chang, Wei-Shan; Liang, Jiun-Ying; Lo, Pei-Ching; Li, I. Ching; Fang, Yueh-Yen
Author Details:
Shih, Hsiao-Ping, BSN, RN, 850045@ms.kmuh.org.tw; Chang, Wei-Shan, BSN, RN; Liang, Jiun-Ying, MS, BSN, RN; Lo, Pei-Ching , BSN, RN; Li, I. Ching , BSN, RN; Fang, Yueh-Yen, PhD, RN;
Abstract:
Purpose: The purpose of this study was to evaluate the effect of various hemostatic wound dressings (HWDs) on controlling puncture site bleeding after percutaneous cardiac catheterization. 

Methods: Meta-analyses were conducted to evaluate the hemostatic effect of various HWDs on the femoral puncture site of percutaneous cardiac catheterization. Eight English and two Chinese electronic databases were used to search literature published up to August, 2011. Search terms used were ‘hemostatic wound pad or bandage ’, ‘angiography’, ‘puncture’, ‘angioplasty’, ‘cardiac catheterization’, and ‘ manual compression’. Studies provided comparisons between HWDs and manual compressions (MC) were included. Data were extracted by two researchers independently. Disagreement on extracted data was resolved by complete consensus between researchers. Study quality was evaluated by the Johns Hopkins Nursing Evidence-based practice Quality Rating Scale. 

Results: Eight randomized controlled trials (RCTs) that met the inclusion criteria were located from 1333 articles. The total subjects involved were 2402 patients. HWDs analyzed were Clo-Sur pad, D-Stat Dry pad, Neptune pad, quickClot pad, and Star-Clos pad. Meta-analyses showed Clo-Sur pad supported an earlier ambulation than MC (Std diff in Means = -2.659, p< .001). As for the effect of hemostasis time, only D-stat Dry pad presented a stable and positive effect on the prevention (Std diff in Means = -1.158, P <.001). However, all pads showed similar but non-significant effect on preventing hematoma (Pooled OR < 1, p > .05 ). 

Conclusion: The inconsistent result and insufficient evidence of each HWD made the use of HWDs debatable. While hematoma outcome presented a homogeneous result across studies, it may be reasonable to infer that the inconsistent results of time to ambulation and hemostasis time across studies might be due to measurement errors of these two outcomes.

Keywords:
cardiac catheterization; hemostasis; hemostatic wound dressing research
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffects of Hemostatic Wound Dressing on Controlling Puncture Site Bleeding after Percutaneous Cardiac Catheterization: A Meta-Analysisen_GB
dc.contributor.authorShih, Hsiao-Pingen_GB
dc.contributor.authorChang, Wei-Shanen_GB
dc.contributor.authorLiang, Jiun-Yingen_GB
dc.contributor.authorLo, Pei-Chingen_GB
dc.contributor.authorLi, I. Chingen_GB
dc.contributor.authorFang, Yueh-Yenen_GB
dc.author.detailsShih, Hsiao-Ping, BSN, RN, 850045@ms.kmuh.org.tw; Chang, Wei-Shan, BSN, RN; Liang, Jiun-Ying, MS, BSN, RN; Lo, Pei-Ching , BSN, RN; Li, I. Ching , BSN, RN; Fang, Yueh-Yen, PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243226-
dc.description.abstract<b>Purpose: </b>The purpose of this study was to evaluate the effect of various hemostatic wound dressings (HWDs) on controlling puncture site bleeding after percutaneous cardiac catheterization.&nbsp; <p><b>Methods: </b>Meta-analyses were conducted to evaluate the hemostatic effect of various HWDs on the femoral puncture site of percutaneous cardiac catheterization. Eight English and two Chinese electronic databases were used to search literature published up to August, 2011. Search terms used were &lsquo;hemostatic wound pad or bandage &rsquo;, &lsquo;angiography&rsquo;, &lsquo;puncture&rsquo;, &lsquo;angioplasty&rsquo;, &lsquo;cardiac catheterization&rsquo;, and &lsquo; manual compression&rsquo;. Studies provided comparisons between HWDs and manual compressions (MC) were included. Data were extracted by two researchers independently. Disagreement on extracted data was resolved by complete consensus between researchers. Study quality was evaluated by the Johns Hopkins Nursing Evidence-based practice Quality Rating Scale.&nbsp; <p><b>Results: </b>Eight randomized controlled trials (RCTs) that met the inclusion criteria were located from 1333 articles. The total subjects involved were 2402 patients. HWDs analyzed were Clo-Sur pad, D-Stat Dry pad, Neptune pad, quickClot pad, and Star-Clos pad. Meta-analyses showed Clo-Sur pad supported an earlier ambulation than MC (Std diff in&nbsp;Means&nbsp;= -2.659, <i>p&lt;</i> .001). As for the effect of hemostasis time, only D-stat Dry pad presented a stable and positive effect on the prevention (Std diff in Means&nbsp;= -1.158, <i>P</i> &lt;.001). However, all pads showed similar but non-significant effect on preventing hematoma (Pooled OR &lt; 1, <i>p</i> &gt; .05 ).&nbsp; <p><b>Conclusion: </b>The inconsistent result and insufficient evidence of each HWD made the use of HWDs debatable. While hematoma outcome presented a homogeneous result across studies, it may be reasonable to infer that the inconsistent results of time to ambulation and hemostasis time across studies might be due to measurement errors of these two outcomes.en_GB
dc.subjectcardiac catheterizationen_GB
dc.subjecthemostasisen_GB
dc.subjecthemostatic wound dressing researchen_GB
dc.date.available2012-09-12T09:19:16Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:19:16Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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