The effect of evidence-based care guidelines on outcomes after removal of arterial sheath in patients undergoing angioplasty

BACKGROUND: Evidence-based clinical care guidelines effectively assists medical teams to increase the quality of clinical practice, and improve outcomes in patients. This study aimed to design and implement evidence-based care guidelines for removing arterial sheath in patients undergoing angioplasty of coronary artery.METHODS: This clinical trial study was performed on ۲۰۰ patients (two groups of ۱۰۰ patients) with mean age of ۶۲.۵ ± ۱۰.۸ years, from July ۲۰۱۴ to February ۲۰۱۴ in Baqiyatallah University of Medical Sciences (BUMS), Tehran, Iran. First, we designed a five-step guideline for removing arterial sheath. Then, the designed guideline (based on five-step Stetler model, i.e. preparation, validation, comparative study, implementation, and execution) in the current study, and the routine guideline were used for removing arterial sheath in patients in the intervention and the control groups, respectively. In both groups, the relevant outcomes including bleeding, vasovagal reactions, urinary retention, and pain were evaluated.RESULTS: There were significant differences between the two groups in terms of bleeding, hematoma, vasovagal reactions (n = ۱۱ versus n = ۲۴), urinary retention (n = ۸ versus n = ۳۱), and back pain after removing arterial sheath (P < ۰.۰۵۰ for all).CONCLUSION: Based on the results of this study, the use of evidence-based care guidelines after removal of atrial sheath in patients undergoing angioplasty is recommended.