Bed rest duration and complications after transfemoral cardiac catheterization: a network meta-analysis.

Included studies had risk of bias; quality was good for attrition and selective reporting but poor for other bias domains. Some randomized studies did not report how allocation was done, and a few included studies were not randomized. Secondary outcomes such as discomfort and urinary discomfort were based on very few studies and participants. For primary outcomes, confidence intervals included both possible benefits and possible harms, so the evidence is imprecise. Studies varied in patient age, diagnostic versus therapeutic catheterization, catheter or sheath size, and haemostasis method, although subgroup analyses did not show effect modification.

The supplied text lists funding from MIUR, British Heart Foundation, Medical Research Council, UK Medical Research Council, and NIHR Cambridge Biomedical Research Centre. It does not include an author conflict-of-interest declaration.

Do not read the back pain findings as proof that 2 h of bed rest is safe for every patient. The primary outcomes of bleeding and haematoma showed no association with bed rest duration, and the paper says early ambulation can be implemented only if the patient's physical state allows.