• Kristin A Tuozzo, Reena Morris, Nicole Moskowitz, Kathleen McCauley, Anvar Babaev, and Michael Attubato.
• Kristin A. Tuozzo is a senior nurse clinician at New York University (NYU) Langone Health, New York.
• Am. J. Crit. Care. 2023 Nov 1; 32 (6): 421428421-428.

BackgroundBed rest duration following deployment of a vascular closure device after transfemoral left-sided cardiac catheterization is not standardized. Despite research supporting reduced bed rest, many hospitals require prolonged bed rest. Delayed ambulation is associated with back pain, urine retention, difficulty eating, and longer stay.ObjectiveTo study length of stay, safety, and opportunity cost savings of reduced bed rest at a large urban hospital.MethodsA single-site 12-week study of 1-hour bed rest after transfemoral cardiac catheterizations using vascular closure devices. Results were compared with historical controls treated similarly.ResultsThe standard bed rest group included 295 patients (207 male, 88 female; mean [SD] age, 64.4 [8.6] years). The early ambulation group included 260 patients (188 male, 72 female; mean [SD] age, 64 [9.3] years). The groups had no significant difference in age (t634 = 1.18, P = .21) or sex (χ12=0.2, P = .64). Three patients in the standard bed rest group and 1 in the early ambulation group had hematomas (P = .36). The stay for diagnostic cardiac catheterizations was longer in the standard bed rest group (mean [SD], 220.7 [55.2] minutes) than in the early ambulation group (mean [SD], 182.1 [78.5] minutes; t196 = 4.06; P < .001). Stay for percutaneous coronary interventions was longer in the standard bed rest group (mean [SD], 400.2 [50.8] minutes) than in the early ambulation group (mean [SD], 381.6 [54.7] minutes; t262 = 2.86; P = .005).ConclusionReduced bed rest was safe, shortened stays, and improved efficiency by creating opportunity cost savings.©2023 American Association of Critical-Care Nurses.

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