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Teixeira Rodrigues D, Teixeira C, Parola V, Marques P. Hemostasis of the radial artery after coronary angiography: a scoping review. Eur J Cardiovasc Nurs 2022. [DOI: 10.1093/eurjcn/zvac060.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background/Introduction
Nowadays, most interventional cardiology procedures are made via radial artery. There is significant variability of haemostasis methods, devices, and protocols. All of them try to avoid radial artery occlusion while maintaining patent haemostasis. Summarizing the available evidence about haemostasis of the radial artery after coronary angiography will allow us to challenge our current practice.
Purpose
The focus of this scoping review is to map the literature on haemostasis of the radial artery after coronary angiography. To date, no previous reviews addressing this purpose have been found.
Methods
This review follows the Joanna Briggs Institute methodology for scoping reviews. Two reviewers will independently perform the study selection regarding their eligibility. Data extraction will be accomplished using a researcher's developed tool to address the objectives and reviews questions. Any disagreements arisen between the reviewers will be resolved by discussion or consulting a third reviewer. Data synthesis will be presented in tabular form and a narrative summary that align with the review's objective. Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension to scoping reviews guidelines will be used to report the results. A set of relevant electronic databases and grey literature will be searched.
Results
Twenty-four studies were included, of various types: randomized clinical trials, case-reports, case series, narrative reviews. Three methods were described: compression devices, compression band and haemostatic patch. Sometimes more than one method is used, and there are various protocols that vary according to the institutional practice.
Conclusion
There are multiple radial artery haemostasis methods and protocols currently in use after a coronary angiography with no method overwhelmingly predominant. Few were associated with clearly defined haemostasis protocols, even though these protocols exist, often associated with compression devices. The institutional practice plays a decisive role on the use and modification of these protocols, with no clear evidence to support it. Such variability in protocols might have a detrimental effect in having a standardized one that can be used across various institutions/countries, facilitating broader multicentric studies.
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Affiliation(s)
| | - C Teixeira
- Donostia University Hospital , San Sebastian , Spain
| | - V Parola
- Nursing School of Coimbra , Coimbra , Portugal
| | - P Marques
- Center for Health Technology and Services Research (CINTESIS)/Nursing School of Porto (ESEP) , Porto , Portugal
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Justo-Henriques SI, Carvalho JO, Pérez-Sáez E, Neves H, Parola V, Alves-Apóstolo JL. Randomized trial of individual reminiscence therapy for older adults with cognitive impairment: a 3-month responder analysis. Rev Neurol 2022; 74:107-116. [PMID: 35148419 DOI: 10.33588/rn.7404.2021322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Non-pharmacological intervention options, including individual reminiscence therapy (iRT), have been effective in improving cognitive functioning, mood, and quality of life (QoL) in persons with neurocognitive disorders (NCD). OBJECTIVES A 13-week randomized trial intervention utilizing iRT was conducted on older adults with NCD. We explored predictors of participants with positive and non-positive intervention responses using responder analysis, an analytic strategy that focuses on contributors to intervention response. PATIENTS AND METHODS Re-analysis of a published single-blind, multicentre, randomised controlled trial on 251 older adult residents with NCD from residential facilities across Portugal. Participants received 13 weeks of biweekly iRT (26 sessions) or treatment/programming as usual. Outcomes included global cognition (Minimental State Examination), memory (MAT), executive functioning (FAB), depressive symptoms (GDS-15), and QoL (QoL-AD). RESULTS There were more responders in the intervention than the control group on all five criteria, with significant differences for cognition (p = 0.001; f = 0.202; NNT = 5) and memory (p = 0.004; f = 0.184; NNT = 6). At baseline, intervention responders vs non-responders had: higher QoL-AD scores (30.23 vs 25.57; p < 0.001; d = -0.774) for cognition; lower FAB scores (1.41 vs -2.12; p < 0.001; d = 0.928) for executive functioning; higher GDS-15 scores for the depressive symptoms (7.57 vs 4.91; p < 0.001; d = -0.845), and for QoL (6.81 vs 5.33; p = 0.013; d = -0.443). CONCLUSIONS The iRT intervention showed high response rates for cognition and memory. Those with worse executive dysfunction, mood, and QoL, benefitted most from the intervention for those respective outcomes. Therefore, the presented iRT has beneficial effects for people with NCD, with mood and QoL as important influential factors.
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Affiliation(s)
- S I Justo-Henriques
- Nursing School of Coimbra, Coimbra, Portugal.,Polytechnic Institute of Beja, Beja, Portugal
| | - J O Carvalho
- Bridgewater State University, Bridgewater, MA, EE.UU
| | - E Pérez-Sáez
- CRE de atención a personas con enfermedad de Alzheimer y otras demenci, Salamanca, España
| | - H Neves
- Nursing School of Coimbra, Coimbra, Portugal
| | - V Parola
- Nursing School of Coimbra, Coimbra, Portugal
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Gil I, Santos-Costa P, Bobrowicz-Campos E, Barata A, Parola V, Coelho A, Santos E, Almeida ML, Apóstolo J. Pilot study on the effectiveness of Reminiscence Therapy on cognition, depressive symptoms, and quality of life in nursing home residents. Transl Med UniSa 2021; 23:82-91. [PMID: 34447721 PMCID: PMC8370515 DOI: 10.37825/2239-9747.1018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Aim This study aimed to assess the effectiveness of the group Reminiscence Therapy (RT) on cognition, depressive symptoms, and quality of life (QOL) in older adults recruited in nursing homes. Methods A pilot study with a one-group pretest-posttest design was conducted between September 2017 and March 2018 in five nursing homes from central Portugal. A comprehensive RT program (Core program followed by a Follow-up program) was provided to clinically stable volunteers aged 65 years or more, who did not have severe cognitive impairment. Results From the 50 older adults (32 women and 18 men, with mean age of 83.32±7.76, and mean education level of 5.48±4.05) considered eligible to participate in the study, 35 (mean age: 84.17±7.46, mean education level of 6.14±4.49) completed the Core Program and 28 completed the Follow-up Program (mean age: 84.25±7.66, mean education level of 6.18±4.57). Based on the Wilcoxon Test, it was observed that the participants' cognitive performance did not change during the two RT programs. No significant changes were confirmed in relation to depressive symptomatology and QOL. Conclusion Although no statistically significant improvements of the older adults' cognitive function, depressive symptomatology, and quality of life were found, the stabilization of such outcomes are relevant from a clinical viewpoint. Further studies are necessary to confirm these findings.
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Affiliation(s)
- I Gil
- Department of Elderly Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal
| | - P Santos-Costa
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,Department of Fundamental Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal
| | - E Bobrowicz-Campos
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra 3000-115, Portugal
| | - A Barata
- Department of Elderly Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal
| | - V Parola
- Department of Elderly Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal
| | - A Coelho
- Department of Elderly Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal
| | - E Santos
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,Rheumatology Department, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra 3000-075, Portugal
| | - M L Almeida
- Department of Elderly Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal
| | - J Apóstolo
- Department of Elderly Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal.,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra 3046-851, Portugal
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Apóstolo J, Bobrowicz-Campos E, Moreno-Casbas T, Teixeira-Santos L, Sánchez de Madariaga R, Casado-Ramírez E, Couto F, Coelho A, Parola V, Gil I, Pascual-Carrasco M, Almeida MDL. A Study Protocol for Development and Validation of a Clinical Prediction Model for Frailty (ModulEn): a new European Commitment to Tackling Frailty. Transl Med UniSa 2019; 19:36-41. [PMID: 31360665 PMCID: PMC6581487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
There is a growing need to implement and evaluate the technological solutions that allow the early detection of age-related frailty and enable assessment of the predictive values of frailty components. The broad use of these solutions may ensure an efficient and sustainable response of health and social care systems to the challenges related to demographic aging. In this paper, we present the protocol of the ModulEn study that aims to develop and validate a predictive model for frailty. For this purpose, the sample composed by older adults aged 65-80 years and recruited from the community will be invited to use an electronic device ACM Kronowise® 2.0. This device allows proactive and continuous monitoring of circadian health, physical activity, and sleep and eating habits. It will be used during a period of seven to ten days. The participants will also be given the questionnaires evaluating the variables of interest, including frailty level, as well as their experience and satisfaction with the device use. Data provided from these two sources will be combined and the relevant associations will be identified. In our view, the implications of this study' findings for clinical practice include the possibility to develop and validate tools for timely prevention of frailty progress. In the long term, the ModulEn may contribute to the critical reduction of frailty burden in Europe.
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Affiliation(s)
- J Apóstolo
- Nursing School of Coimbra, Coimbra, Portugal,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - E Bobrowicz-Campos
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - T Moreno-Casbas
- Nursing and Healthcare, Research Unit (Investén-isciii), Madrid, Spain,Frailty and Healthy Ageing-CIBERFES, Madrid, Spain
| | - L Teixeira-Santos
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | | | - E Casado-Ramírez
- Nursing and Healthcare, Research Unit (Investén-isciii), Madrid, Spain,Frailty and Healthy Ageing-CIBERFES, Madrid, Spain
| | - F Couto
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - A Coelho
- Nursing School of Coimbra, Coimbra, Portugal,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - V Parola
- Nursing School of Coimbra, Coimbra, Portugal,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - I Gil
- Nursing School of Coimbra, Coimbra, Portugal,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | | | - M de L Almeida
- Nursing School of Coimbra, Coimbra, Portugal,The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
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