Final Project Article Review Guidelines and Rubric

Article Review

Maria Williams

Southern New Hampshire University

Article Review

Article Topic: Evaluation of feasibility and safety of changing body position after transfemoral

angiography: A randomized clinical trial

Health Question: What are the effects of position change on the acute complications of

coronary angiography?

Table 1: Article Findings

Variables	(Valiee et al., 2016) P-Value	(Chair et al., 2007) P- Value
Age	0.401	0.8
Height	0.151	1.0
Weight	0.52	0.9
Number of cigarettes smoked per day	0.076	1.0
Number of previous angiography	0.076	1.0
Systolic blood pressure	0.653	0.9

Implications

The two studies demonstrate that changing the positions of patients after angiography based on the provided program established creates no change in the incidences of vascular complications, such as bleeding, thrombosis, as well as bruises. Additionally, the studies indicate no demographic connection with the likelihood of getting the complications. In both the first and second studies, the results indicate that none of the participants experienced bleeding complications or hematoma. Similar studies also suggest that there is no significant variation between control groups and the intervention groups in the incidence of hematoma and bleeding complications at the access site following angiography. In light of the presented protocol, the two studies suggest that it is safe and feasible to change the patients’ position and allow early ambulation after coronary angiography. More precisely, the two studies point to the importance of body change in preventing health problems such as backache, and physical discomfort.

Cardiovascular diseases are some of the leading causes of deaths among women of all ethnic and racial groups. In particular, heart disease remains one of the most problematic complications, followed by coronary heart artery diseases. Many diagnostic models are often employed to assess coronary artery illnesses. One such tool is coronary angiography, which provides the golden standard test for the disease. Angiography is a process that entails injecting a radiopaque dye into the coronary arteries under fluoroscopy, which determines the condition of the coronary arteries and the degree of atherosclerosis. Although the risks related to the utilization of angiography are dependent upon the patient’s condition, operators’ skills, and judgment, coupled with any invasive process, may develop complications. As such, coronary angiography may be accessed using the possible arteries, such as brachial, radial, and femoral ones.

From the findings, therefore, changes in body position after angiography does not result in change in the incidences of cardiovascular complications for patients across all demographic groups. On top of that, changing the body position minimizes the risks of back pain, groin pain, and finally improves the comfort of the patient. The aforementioned studies reflect previous investigations carried out by different researchers across varying patient groups. In that regard, other studies are in agreement with the results because they indicate a significant variation in the incidences of complications after coronary angiography at the catheter insertion site between the intervention and control groups. Other studies have also attempted to examine the simultaneous impacts of early ambulation and changes in body position using different protocols from the study. Their time points for assessing the patient in terms of complication were different. However, their findings showed that changes in body position in and early ambulation after the procedure did not increase cardiovascular complications.

Bio statistical Calculations

The bio statistical tools that have been used to determine the relationship between the variables is correlational analysis. In particular, the p- value has been employed across the two studies to assess the relationship between changing body position and likelihood of having complications associated with cardiovascular diseases such as heart disease and hematoma. During null hypothesis significance testing, the p-value is instrumental in determining the probability of obtaining test outcomes at least as extreme as the results actually observed when all factors and controls have been held constant. Thus, it measures the possibility that the observed difference could have occurred merely by random chance.

References

Chair, S., Thompson, D., & Li, S. (2007). The effect of ambulation after cardiac catheterization

on patient outcomes. Journal of Clinical Nursing, 16(1), 212–214.

Valiee, S., Fathi, M., Hadizade, N., Roshani, D., & Mahmoodi, P. (2016). Evaluation of

feasibility and safety of changing body position after transfemoral angiography: A

randomized clinical trial. Journal of Vascular Nursing, 34(3), 106–115.